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Stanislas Abrard, Benoit Cousin, Thomas Reydel, Myriam Ammi, Laurent Beydon
Introduction: Aortitis is rare. The etiological diagnosis is difficult but essential for treatment. Even with appropriate treatment mortality remains high. We present a case of pneumococcal aortitis followed by a brief review of the literature. Presentation of Case: In this case, the aortic disease was characterized by multiple inflammatory aneurysms. Blood cultures were negative but urine was tested for the presence of pneumococcal urinary antigen postoperatively was positive...
2018: IDCases
Hidenori Nakagawa, Masato Nishihara, Takashi Nakamura
No abstract text is available yet for this article.
2018: IDCases
David H Priest, Thomas H Grote, Sallie L Staley, William S Berger, Elizabeth S Norman, Brian S Smith
Immune thrombocytopenia (ITP) is a heterogeneous autoimmune disease characterized by low platelet count that has been associated with a number of chronic infections but rarely described as a manifestation of Whipple's disease (WD). We present a case of Whipple's disease in a patient initially diagnosed with ITP. A 46-year old male in the fifth decade of life presented with presumed idiopathic ITP and was treated with several therapies including corticosteroids, rituximab, and thrombopoietin receptor agonists...
2018: IDCases
Zui Tao, Zhengqin Yin, Tongtao Zhao, Shiying Li
No abstract text is available yet for this article.
2018: IDCases
Kohta Katayama, Harumi Gomi, Taijiro Shirokawa, Hiromitsu Akizuki, Hiroyuki Kobayashi
A 52-year-old Japanese man with a history of type 2 diabetes mellitus (DM) presented with mild dizziness. On admission, the physical examination only revealed tachycardia and right sided cervical lymphadenopathy. On the fifth day of admission, his mental status slightly worsened. Urgent Computed Tomography (CT) of the head and neck revealed multiple abscesses spreading from the right temporal bone to the right sternocleidomastoid muscle. Bezold's abscess was diagnosed. Streptococcus pneumoniae was isolated from middle ear fluid and blood cultures...
2018: IDCases
Vidhu Sharma, Darwin Kaushal, Poonam Elhence
We present the clinical image of a 56-year old male who presented with chronic multiple craniofacial discharging sinuses with lytic, sclerotic destruction of facial bones on radiology causing gross facial deformity. He remained undiagnosed for years. The diagnosis was clinched on histopathology as a chronic granulomatous osteomyelitis showing Actinomyces.
2018: IDCases
Jason Chen, Phyllis Flomenberg
No abstract text is available yet for this article.
2018: IDCases
Angela Chiang, Nadim Salomon, Rahul Gaikwad, Jonathan Kirshner
Cutaneous metastasis is a rare occurrence and often is confused with infectious etiology most commonly herpes zoster rash. We present a case 49 year old male with history of metastatic colon cancer with persistent dermatomal vesicular rash that thought to be due to herpes zoster. A skin biopsy eventually revealed malignant cells.
2018: IDCases
Kavin M Patel, Jennie E Johnson, Jerrold L Boxerman, Gerard J Nau
Acute otitis media affects 700 million people each year with children being disproportionately affected relative to adults. Group A streptococcus is a pathogen implicated in a broad array of human pathology. It is, however, a rare cause of acute otitis media and neuroinvasive disease in older adults with only 2-3 cases occurring per year in the United States. We describe two such cases from a single institution in Rhode Island in 2017. The clinical presentation, neuroimaging and management are reviewed. The mechanism of intracranial spread may have involved dehiscence of the bony tegmen of the roof of the middle ear cavity...
2018: IDCases
Daniel O Griffin
Despite much focus on moving toward a cure to end the epidemic human immunodeficiency virus (HIV) epidemic there are still thousands of new infections occurring every year in the United States. Although there is ongoing transmission of HIV in the United States and a growing population of people living with HIV, the acute presentation of HIV infection can be challenging to diagnose and is often not considered when patients present to healthcare providers. Although in certain states there are HIV testing laws that require that all persons between the ages of 13 and 64 be offered HIV testing in an opt-out approach, many patient presenting with an acute illness, that would warrant diagnostic testing for HIV, leave without having an HIV test performed for either diagnostic or screening purposes...
2018: IDCases
Burke A Cunha, Gregory L Fear, Karishma Chawla
Influenza A in hospitalized adults uncommonly may present with neurologic manifestations, e.g., encephalitis. Encephalitis is the most common influenza related neurologic complication in adults, However, seizures in hospitalized adults due to influenza are extremely rare. This is a case of a 58 year old female hospitalized for influenza A. On admission, she was confused and obtunded. Her EEG showed diffuse global slowing indicative of encephalitis. On hospital day (HD) #2, she had a seizure. She had no history of a seizure disorder, and was not febrile at the time of the seizure...
2018: IDCases
Ricardo Leon de la Fuente, Alejandra P Sanchez
We present a fatal case of a 17-year-old male patient who was hospitalized for febrile seizures and generalized skin rash.
2018: IDCases
Lei Yuan, Qingsong Xiong, Bo Wang
No abstract text is available yet for this article.
2018: IDCases
Regev Cohen, Frida Babushkin, Maurice Shapiro, Ronen Ben-Ami, Talya Finn
We present a case of a 74 years old male with cutaneous cryptococcosis of the right forearm. Cryptococcus neoformans var . neoformans was cultivated from the skin and from the bloodstream. He was diagnosed with nephrotic syndrome (focal segmental glomerulosclerosis) 21 months prior to admission, which was steroid-dependent. He was treated with prednisone and cyclosporine A. Concurrently with his renal disease he was also diagnosed as having disseminated severe tinea mannum, tinea corporis and tinea cruris; onychomycosis, skin eczema and psoriasis...
2018: IDCases
Mohammed Raja, Jose Armando Gonzales Zamora, Ingrid Roig
No abstract text is available yet for this article.
2018: IDCases
Naoya Itoh, Hanako Kurai
We report a case of Pasteurella multocida pneumonia. A 71-year old Japanese woman with pulmonary infiltration of the lingual division of left lung 3 years before, which was thought to be caused by non-tuberculous mycobacteriosis (NTM) was referred to our clinic on account of chronic cough, sputum, dyspnea, and left pulmonary infiltration. Although she owned over 10 cats, no bites or scratches were mentioned. Pasteurella multocida was confirmed by the culture of the patient's bronchoalveolar lavage (BAL) fluid...
2018: IDCases
Yoshiro Hadano, Yusuke Kinugasa, Kiyofumi Ohkusu, Kazushige Ishibashi, Miwako Isoda
We describe a case of Gemella haemolysans septic shock in a 75-year old Japanese male with a duodenal perforation and secondary peritonitis. Blood cultures on admission were positive for Gram-positive and Gram-variable cocci, and G. haemolysans was identified using whole cell matrix-assisted laser desorpition/ionization mass spectrometry (MALDI-TOF MS), with a score value of 2.12. The 16S rRNA sequencing was difficult to use as a diagnostic test because there was more than 99% sequence homology with related bacterial strains...
2018: IDCases
Thanadon Eksomtramage, Kumpol Aiempanakit
Cutaneous larva migrans (CLM) is a common skin infestation in tropical countries. The classic presentation is a serpiginous, migratory track on the feet. Local and systemic reactions, as well as secondary bacterial infections, are rarely reported. The authors report two cases of CLM with a blister and pustular response on uncommon body locations. The patients were treated with anthelmintic therapy, and a topical corticosteroid was used to relieve their severe reactions. This report aims to describe an infrequent presentation of a common disease and review treatment plans...
2018: IDCases
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