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https://www.readbyqxmd.com/read/29755949/tetanus-a-rare-but-real-threat
#1
David Moynan, Ruth O'Riordan, Roisin O'Connor, Concepta Merry
Tetanus is a potentially fatal disease of the nervous system arising from toxins produced by Clostridium tetani , an anaerobic bacterium found in soil [1]. Characterized by muscular rigidity, spasms and autonomic dysregulation its identification and, importantly, its prevention remain critical to the welfare of at risk patients. We present the case of a twenty two year old woman who presented to hospital with trismus and generalized muscle spasms three days following a dog bite to the right hand. Here, we discuss the presentation of generalized tetanus and the use of neurophysiology to facilitate its diagnosis...
2018: IDCases
https://www.readbyqxmd.com/read/29755948/two-cases-of-acute-pneumococcal-purulent-arthritis
#2
Masafumi Seki, Bin Chang, Kengo Ohshima, Yuji Watanabe
We present two adult cases of pneumococcal severe arthritis one case with, and other case without pericarditis those occurred in one season. Both cases eventually recovered, and the isolated S. pneumoniae strains were serotype 12F and penicillin susceptible. The patients were not elderly and had no medical history including pneumonia and vaccination. Although S. pneumoniae is a relatively rare causative pathogen of arthritis and/or pericarditis recently, a greater number of cases may be expected as a result of serotype conversion due to the increased use of pneumococcal conjugate vaccines in Japan...
2018: IDCases
https://www.readbyqxmd.com/read/29682450/first-case-of-cervical-epidural-abscess-caused-by-brucellosis-in-saudi-arabia-a-case-report-and-literature-review
#3
Meshal Alyousef, Rabia Aldoghaither
Spinal epidural abscess (SEA) is an extremely rare and disastrous musculoskeletal complication of spondylodiscitis and sacroilitis secondary to brucellosis infection. Few case reports and retrospective studies have been published reporting patients with epidural abscesses mainly lumbar, and thoracic while cervical abscess are rare. Management of spinal epidural abscess due to Brucella species is not standard and remains controversial. To the best of our knowledge this is the first case of brucellar cervical epidural abscess reported in Saudi Arabia...
2018: IDCases
https://www.readbyqxmd.com/read/29682449/varicella-zoster-virus-meningitis-with-hypoglycorrhachia-in-a-young-immunocompetent-adult-without-rash-a-case-report-and-literature-review
#4
Nikolaos Spernovasilis, Athanasia Milioni, Ioannis Gialamas, Evangelos Kokorakis, Garufallia Fanti
Overt aseptic meningitis rarely complicates varicella-zoster virus (VZV) reactivation in young and immunocompetent adults. Many of the cases of VZV meningitis are associated with an exanthem. We describe an otherwise healthy 36-year-old adult who had aseptic meningitis without skin rash, caused by reactivation of varicella-zoster virus. Cerebrospinal fluid (CSF) analysis revealed lymphocytosis, increased total protein, and low glucose. Diagnosis was made by polymerase chain reaction in CSF. The present case highlights the fact that VZV should be considered as a cause of aseptic meningitis with hypoglycorrhachia in healthy and young individuals, even in the absence of an exanthem...
2018: IDCases
https://www.readbyqxmd.com/read/29619329/botulism-like-symptoms-in-an-immunocompetent-patient-with-clostridium-subterminale-bacteremia
#5
Marytere Carrasquillo, Lisa L Dever, Alexandra Sonyey
Clostridium subterminale is a low virulence species of Clostridium that is an infrequent cause of human infections. We report a case of C. subterminale bacteremia in an immunocompetent patient who developed botulism-like symptoms.
2018: IDCases
https://www.readbyqxmd.com/read/29619328/ciprofloxacin-for-the-treatment-of-cardiobacterium-hominis-prosthetic-valve-endocarditis
#6
Lisa M Avery, Catherine B Felberbaum, Muhammad Hasan
Prosthetic valve endocarditis due to Cardiobacterium hominis is rare and recommended therapy includes a third generation cephalosporin. We report a case of Cardiobacterium hominis endocarditis post transcatheter aortic valve replacement in a patient with significant beta-lactam antimicrobial sensitivities who was successfully treated with ciprofloxacin monotherapy in conjunction with surgery.
2018: IDCases
https://www.readbyqxmd.com/read/29619327/-brucella-vertebral-osteomyelitis-misidentified-as-an-ochrobactrum-anthropi-infection
#7
João Trêpa, Patricia Mendes, Raquel Gonçalves, Catarina Chaves, Ana Maria Brás, Andrea Mesa, Isabel Ramos, Rosa Sá, José Gabriel Saraiva da Cunha
Ochrobactrum anthropi is a Gram-negative bacillus widely distributed in nature. It is a low virulence and low pathogenic microorganism and human infection by this agent is considered rare. This microorganism can cause bacteremia and in some cases can lead to osteomyelitis and endocarditis. Included in Brucellaceae family, this bacterium is phenotypically and genetically closely related to the Brucella genus and may be misidentified by rapid identification systems. The authors describe a patient admitted to the Infectious Diseases Department with vertebral osteomyelitis initially identified as Ochrobactrum anthropi ...
2018: IDCases
https://www.readbyqxmd.com/read/29619326/rare-but-not-forgotten-a-case-of-meningitis-due-to-ceftriaxone-resistant-streptococcus-pneumoniae
#8
Naomi Hauser, Miguel E Cervera-Hernandez, John Lonks, Najam Zaidi
Despite the dramatic decrease in invasive pneumococcal disease since the widespread use of the first pneumococcal vaccine, invasive and resistant disease still occurs. We present a case of ceftriaxone-resistant pneumococcal meningitis suggesting that continued vigilance is warranted for empiric treatment of meningitis when Streptococcus pneumoniae is a concern.
2018: IDCases
https://www.readbyqxmd.com/read/29619325/doxycycline-desensitization-in-chronic-q-fever-a-critical-tool-for-the-clinician
#9
Aila Luise Caplunik-Pratsch, Israel Potasman, Aharon Kessel, Alona Paz
We present the case of a 45 year old woman with acute Q fever pneumonia who progressed to the chronic phase of the disease despite azithromycin therapy. A trial of doxycycline was halted because of severe allergy and she was put on clarithromycin and later moxifloxacin. Failure of both drugs required desensitization to doxycycline with escalating doses. After two-year treatment with doxycycline-hydroxychloroquine combination, complete recovery was declared. Our case highlights the option of doxycycline desensitization when an acute allergic reaction poses an obstacle to optimal treatment...
2018: IDCases
https://www.readbyqxmd.com/read/29619324/novel-case-of-penicillin-resistant-e-rhusiopathiae-septicemia-case-report-with-review-of-the-literature
#10
Nancy Rihana, Adam Hemminger, Shikerria Green
No abstract text is available yet for this article.
2018: IDCases
https://www.readbyqxmd.com/read/29619323/bacteremia-caused-by-cellulosimicrobium-in-a-bone-marrow-transplant-patient-a-case-report-and-literature-review
#11
Jose Armando Gonzales Zamora, Nicholas Camps
Background: Cellulosimicrobium sp. is a ubiquitous gram-positive bacillus that was formerly known as Oerskovia. This bacterium is found in soil and decaying plant material and is rarely associated with infections in humans. Case report: We report the case of a 44 year-old woman with history of bone marrow transplant that developed Cellulosimicrobium sp. bacteremia secondary to a central line infection. She was admitted with presumed sepsis. Blood cultures from central line and periphery revealed the growth of gram-positive rods that were further identified as Cellulosimicrobium sp ...
2018: IDCases
https://www.readbyqxmd.com/read/29619322/-burkholderia-multivorans-a-rare-yet-emerging-cause-of-bacterial-meningitis
#12
Diego P Peralta, Aymara Y Chang, Angie Ariza-Hutchinson, Catherine A Ho
Burkholderia multivorans is a member of the Burkholderia cepacia complex. Although it is usually associated with infections in patients with cystic fibrosis, chronic granulomatous disease, and immunosuppression, central nervous infections are not commonly reported. Moreover, management of these infections is difficult due to multiple mechanisms of bacterial resistance to antimicrobial agents. We report a 55-year-old-man who developed Burkholderia multivorans meningitis after two episodes of central line-associated bloodstream infections...
2018: IDCases
https://www.readbyqxmd.com/read/29619321/rapid-pulmonary-cavity-formation-caused-by-mycobacterium-avium-complex-in-a-chemotherapy-patient
#13
Ryo Nakamura, Tadayuki Hashimoto
No abstract text is available yet for this article.
2018: IDCases
https://www.readbyqxmd.com/read/29619320/-corynebacterium-jeikeium-endocarditis-a-case-report-and-comprehensive-review-of-an-underestimated-infection
#14
Kaveh Rezaei Bookani, Rachel Marcus, Eyad Cheikh, Monireh Parish, Usman Salahuddin
Diphtheroids are gram-positive pleomorphic bacilli in the family of Coryneform bacteria. These organisms are present as part of the human flora. Past practice habits had been to consider them as contaminants when isolated from clinical samples. Corynebacterium jeikeium is one of the most clinically important nondiphtherial Corynebacteria that can cause different forms of infections specifically in patients with underlying risk factors and co-morbidities including immunocompromised subjects. Through this article, we present a 67-year-old gentleman with extensive co-morbidities including heart failure with reduced ejection fraction and ESRD on hemodialysis through a femoral catheter who presented with chest pain and fatigue...
2018: IDCases
https://www.readbyqxmd.com/read/29619319/first-reported-case-of-vertebral-osteomyelitis-due-to-erysipelothrix-rhusiopathiae
#15
Matthew L Lorenz, Tara C Bouton, Angela M Caliendo
We describe a case of acute vertebral osteomyelitis with associated prevertebral abscess due to Erysipelothrix rhusiopathiae in an immunocompetent adult with recent known traumatic inoculation from the barb of a fish.
2018: IDCases
https://www.readbyqxmd.com/read/29560314/a-rare-cause-of-healthcare-associated-infective-endocarditis-enterobacter-cloacae
#16
Omer Karasahin, Zıya Yildiz, Onur Unal, Umit Arslan
We report a case of infective endocarditis secondary to healthcare-associated bloodstream infection caused by an uncommon etiologic agent, multidrug-resistant Enterobacter cloacae . The patient was treated with a combination of antimicrobial therapy and surgery, but could not be saved. With this case, we discuss the prevalence, risk factors, treatment options, and outcomes of the rarely encountered Enterobacter cloacae -associated infective endocarditis.
2018: IDCases
https://www.readbyqxmd.com/read/29560313/tigecycline-associated-hypofibrinogenemia-a-case-report-and-review-of-the-literature
#17
Pei-Chun Wu, Chien-Chih Wu
Tigecycline, a glycylcycline-derived antibacterial that has been approved for the treatment of various infections, is widely used for multi-drug resistant bacteria. Coagulopathy is an uncommon side effect during tigecycline treatment and is easily overlooked when it occurs. We reported the effect of tigecycline (50 mg every twelve hours) treatment in an 87-year-old man, with Gram negative bacillary pneumonia and respiratory failure. After 7 days of tigecycline treatment, a significant drop of hemoglobin and patchy ecchymosis over both thighs were suddenly observed despite stable clinical condition...
2018: IDCases
https://www.readbyqxmd.com/read/29552493/concomitant-human-herpes-virus-6-and-nivolumab-related-pneumonitis-potential-pathogenetic-insights
#18
Periklis G Foukas, Sotirios Tsiodras, Panagiota Economopoulou, Aris Spathis, Maria Mademli, Konstantinos Leventakos, Amanda Psyrri, Petros Karakitsos, Ioannis G Panayiotides
The development of immune system modulating agents, such as immune checkpoint inhibitors (ICIs), has revolutionized cancer treatment. Nivolumab, a human monoclonal antibody against PD-1, has emerged as an efficient treatment for various malignancies, including non-small cell lung cancer (NSCLC); however, it is associated with important immune related side-effects, attributed to organ-specific inflammation, such as immune-mediated pneumonitis, a relatively uncommon, albeit potentially fatal adverse event. We herein present the unique case of severe interstitial pneumonitis with concomitant detection of Human Herpes Virus 6 (HHV-6) in a nivolumab treated patient with NSCLC...
2018: IDCases
https://www.readbyqxmd.com/read/29552492/-campylobacter-fetus-meningitis-associated-with-eating-habits-of-raw-meat-and-raw-liver-in-a-healthy-patient-a-case-report-and-literature-review
#19
Ayaka Ishihara, Etaro Hashimoto, Haruhiko Ishioka, Hiroyuki Kobayashi, Harumi Gomi
Meningitis caused by the zoonotic pathogen Campylobacter fetus in immunocompetent adults is rare. We report a 48-year-old Japanese woman with no underlying disease who was found to have meningitis caused by C. fetus . Both C. fetus subsp. fetus and C. fetus subsp. venerealis were isolated from the cerebrospinal fluid culture. The mode of infection in our patient was considered to be associated with the consumption of raw beef and raw cattle liver on a regular basis. Public awareness and education to avoid the consumption of raw or undercooked meat might help prevent C...
2018: IDCases
https://www.readbyqxmd.com/read/29552491/-edwardsiella-tarda-associated-cholangitis-associated-with-lemmel-syndrome
#20
Shinji Miyajima, Go Yamakawa, Masaya Ohana
Edwardsiella tarda is an unusual human pathogen. Gastroenteritis is the most frequently reported manifestation of E.tarda infection and extraintestinal infection including cholangitis has rarely been reported. The overall mortality rate for E.tarda bacteremia is, however, reported to be up to 50% (Janda and Abbott, 1993). We describe a 80-year-old diabetic woman with cholangitis and E.tarda bacteremia with a biliary obstruction associated with a large juxtapapillary duodenal diverticulum (Lemmel syndrome) in the setting of past partial hepatectomy and cholecystectomy...
2018: IDCases
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