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Nyla Manning, Patrick Wu, Jana Preis, Hector Ojeda-Martinez, Michael Chan
An antrolith is a calcified mass found in the nasal cavity or sinus, usually maxillary, described in literature as a rare phenomenon. Its presenting symptoms are variable and include symptoms associated with chronic sinusitis. We describe a 66 year old man with chronic sinusitis who presented with facial pain and epistaxis and upon further evaluation was found to have an antrolith of the left maxillary sinus.
2018: IDCases
Kiyozumi Suzuki, Tetsuo Yamaguchi, Mitsuru Yanai
Emphysematous prostatic abscess is a rare clinical entity of uncomplicated urinary tract infections with high mortality rate. Here we report a case of hypermucoviscous Klebsiella pneumoniae causing emphysematous prostatic abscess, emphysematous cystitis, and renal abscess simultaneously in a 75-year-old Japanese male with diabetes mellitus and advanced gastric cancer. The patient was successfully treated with prolonged intravenous antimicrobial agents.
2018: IDCases
Fabian K Berger, Nadine Schwab, Matthias Glanemann, Rainer M Bohle, Barbara Gärtner, Heinrich V Groesdonk
Flavonifractor plautii (formerly Eubacterium plautii ) is an anaerobic gram positive rod shaped bacterium belonging to the family of Clostridiales, and a common member of the human gut microbiome. However, it is very rarely isolated from clinical human specimens, so data about its clinical significance are scarce. Here we report of a bloodstream infection due to F. plautii following gangrenous cholecystitis in a 69 year old man. After cholecystectomy and empirical antimicrobial treatment with ceftriaxone and metronidazole the patient recovered...
2018: IDCases
William Lorson, Gayathri Baljepally
No abstract text is available yet for this article.
2018: IDCases
Mohamed Eisa, Kibrewessen Tefera, Anahita Alvanpour
We are presenting a case of Listeria monocytogenes spontaneous bacterial peritonitis (SBP) monomicrobial non-neutrocytic bacterascites (MNS) in a patient with malignant ascites secondary to cholangiocarcinoma who underwent peritoneal catheter placement. Listeria peritonitis is uncommon, with cancer patients at a higher risk. Listeria infection should be suspected in susceptible patients once there is no response to empiric antibacterial or if the initial culture report shows gram positive bacilli, the antibacterial of choice is ampicillin...
2018: IDCases
Adin Cila, Simon Smith, Mark Robin Armstrong, Stephanie Jane Hendry, Josh Hanson
We describe a case of Campylobacter fetus bacteremia with endovascular involvement in an immunocompetent female patient. The patient was treated with high dose ciprofloxacin as an outpatient and recovered well.
2018: IDCases
Siripan Sangmala, Thanadon Eksomtramage, Kumpol Aiempanakit, Kanokphorn Chiratikarnwong, Sauvarat Auepemkiate
Chikungunya fever is a mosquito-borne viral disease classically characterized by an acute onset of fever, arthralgia, and skin rash. In this article, we report the acute febrile illness of an adult female with arthropathy and morbilliform eruptions. The patient developed panniculitis lesions on both shins. This report aims to describe an infrequent cutaneous presentation of chikungunya fever.
2018: IDCases
Yong Chuan Chee, Chong Hong Lim
Infective sacroiliitis is a rare disease with misleading clinical signs that often delay diagnosis. We report a case of pyogenic sacroiliac joint septic arthritis caused by Klebsiella pneumoniae that has not been reported in the literature highlighting it as one of the important etiologies of infective sacroiliitis especially among diabetics.
2018: IDCases
Yassaman Alipour Tehrany, Emmanuel Laffitte
No abstract text is available yet for this article.
2018: IDCases
Miriams Teresita Castro-Lainez, Miguel Sierra-Hoffman, Victoria Valladares, Tywaun Tillman, Oscar A Iznaloa-Esquivel, Alan Howell, Robert Fader, Richard Winn, Chetan Jinadatha
Treatment of enterococcal endocarditis in patients with history of renal transplantation is complicated. Treatment failure and/or drug toxicities are not uncommon. Treatment with ampicillin and daptomycin in a renal transplant patient has been rarely reported. Here we report a patient who was successfully treated with this novel combination.
2018: IDCases
Yu-Ling Pan, Hsien-Tzung Liao
No abstract text is available yet for this article.
2018: IDCases
Antonella Frattari, Vincenzo Savini, Ennio Polilli, Donatella Cibelli, Silvia Talamazzi, Donatella Bosco, Augusta Consorte, Paolo Fazii, Giustino Parruti
Extensively drug resistant Pseudomonas aeruginosa (XDR-PA) strains with limited or absent residual antimicrobial susceptibility cause a growing burden of difficult-to treat infections. Treatment options are even more limited for patients with central nervous system (CNS) involvement, as colistin-based regimens are hampered by poor blood brain barrier penetration, being often associated with insufficient clinical and microbiological success. New treatment options are awaited, but evidence from prospective evidence-based evaluations is still lacking...
2018: IDCases
Shontreal Cooper, Hyacinth Norris, Joy Lander-Roe, Gregg Alleyne
We report a case of a 22-year-old G1P0010 African-American female with poorly controlled perinatally acquired HIV/AIDS and recent diagnosis of progressive multifocal leukoencephalopathy (PML) by magnetic resonance imaging (MRI). She presented to a tertiary care facility for prenatal care and direct observation therapy after poor medication adherence during pregnancy. After multiple attempts at outpatient ART management, the patient was admitted at 35 weeks' gestation for direct observation therapy for both antiretroviral therapy and anti-seizure medication...
2018: IDCases
B Nachmias, E Orenbuch-Harroch, C Makranz, H Nechusthan, R Eliahou, D Ben-Yehuda, A Lossos
Listeria monocytogenes is a gram-positive bacterium with a predilection to infect the central nervous system, often affecting immunocompromised or elderly patients. The most common manifestations are meningitis and rhomboencephalitis. We report two cases of Listeria meningitis complicated by acute hydrocephalus several days after presentation and we further review the literature of similar cases. We conclude that acute hydrocephalus is a significant, not often recognized, complication of Listeria meningitis, usually occurring several days from onset when coverage did not include anti-Listeria antimicrobials...
2018: IDCases
Adarsh Barwad, Shamresh Kumar Singh, Ravi Phulware
Filariasis is a global health problem and is a major social and economical burden in tropical countries in Asia, Africa and few of the South American countries [1,2]. In india, filariasis endemic in number of states including Bihar, Kerala, Uttar Pradesh, Andhra Pradesh and Tamil Nadu is found chiefly along the banks of rivers and sea coastal areas. We present a case of 28 year female patient who presented with lump in her left breast for three months and was not associated with pain or discharge from nipple...
2018: IDCases
Tyler D Oostra, Lynn R Schoenfield, Thomas F Mauger
A 45-year-old female with history of contact lens wear presented with a persistent corneal ulcer that was unresponsive to topical moxifloxacin. The patient's exam was concerning for fungal keratitis. Cultures were obtained, and the patient was started on fortified amphotericin B drops and oral voriconazole. The cultures identified Candida dubliniensis as the causative organism. The patient's exam worsened despite treatment, and the decision was made for surgery. At the time of surgery, her cornea was found to have unexpectedly perforated...
2018: IDCases
Alena Janda, Mather R D Jogendra
Daptomycin is a lipopeptide antimicrobial used to treat gram positive organisms including multi-drug resistant infections. It has been shown to occasionally cause abnormalities in liver function but more commonly is associated with elevations in serum creatinine phosphokinase (CK) (Hair and Keam, 2007) [1]. We describe a case where a patient being treated for methicillin-resistant Staphylococcus aureus (MRSA) bacteremia with daptomycin developed asymptomatic elevated transaminases without evidence of multiorgan failure, hyperbilirubinemia or elevation of CK levels...
2018: IDCases
Thomas Lofaro, Aritra Saha, Kavita Raj, Richard Dillon
Patients with haematological malignancy are often profoundly immune suppressed, and more so if they require more than one line of therapy. Infection should always be considered when they become unwell. We discuss the differential diagnoses of a young man with multiply-relapsed Philadelphia chromosome-positive B-cell acute lymphoblastic leukaemia who presented with neurological symptoms and cerebrospinal fluid lymphocytosis. The diagnostic approach needs to be rapid and structured, and may require microbiology and neurology support...
2018: IDCases
Sarah Nangle, Subhashis Mitra, Steven Roskos, Daniel Havlichek
Cytomegalovirus (CMV) infection in immunocompetent patients generally resolves with few sequelae. However, it can cause severe and relapsing symptoms that can last for several weeks. Due to the self-limiting nature of CMV disease in immunocompetent individuals, criteria for specific antiviral therapy in this cohort are not well established. Additionally the adverse effect profile of currently available anti-CMV therapy limits its use in specific patient populations .We describe 3 immunocompetent adults who developed symptomatic CMV infection and were ill for several weeks...
2018: IDCases
Abu-Sayeef Mirza, Vivian Vega Rodriguez
[This corrects the article DOI: 10.1016/j.idcr.2018.03.020.].
2018: IDCases
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