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Takehiro Nakai, Masahiro Kimura, Keizo Yoshiyama, Takashi Matono
Here, we present a 76-year-old diabetic man who was diagnosed as having endogenous endophthalmitis caused by Streptococcus agalactiae that finally developed globe rupture, which is a rare endogenous endophthalmitis complication. This case highlight that endogenous endophthalmitis is an ophthalmological emergency with poor prognosis, thereby requiring prompt diagnosis and aggressive intervention.
2019: IDCases
Yoshikazu Mutoh, Tomohisa Kobe, Tomoya Hirano, Toshihiko Ichihara, Hiroyuki Takenaka, Takuro Niinomi, Takumi Umemura, Masanori Kuroiwa
Introduction: Kluyvera ascorbata is a gram-negative, catalase-positive, oxidase-negative, aerobic fermentative bacterium with flagella. This organism colonizes in the human body and its pathogenicity is extremely low; few clinical cases of K. ascorbata infection have been reported. Presentation of case: We report on a patient who experienced severe sepsis and acute cholangitis due to K. ascorbata bacteremia and was treated with levofloxacin following antibiotic susceptibility testing...
2019: IDCases
Bryan Weichelt, Elisabeth Hooper, Brian Chow
Introduction: Human parechovirus (HPeV) infections appear common across age groups, and transmission is likely fecal-oral and through respiratory secretions. Cyclical and seasonal patterns have been described; however, HPeV has likely been previously underdiagnosed due to lack of commercially available diagnostic testing. Presentation of Case: We present identical triplets contracting HPeV Type 3. Discussion: The clinical presentation, similar to echoviruses, is broad and includes asymptomatic shedding, severe pulmonary and neurologic disease, and disseminated intravascular coagulation...
2019: IDCases
Francisco Almeida, André Santos Silva, André Silva Pinto, António Sarmento
Prostatitis is a clinical condition of difficult management and with limited antimicrobial options, especially in the setting of antimicrobial resistance. Recurrences are frequent and can be severe. Limited reports support the use of fosfomycin for chronic prostatitis by ESBL-producing bacteria. We reported a case of a patient with chronic prostatitis caused by ESBL-producing Escherischia coli with several relapses after prolonged periods of treatment with broad-spectrum intravenous antibiotic therapy and with recurring urinary symptoms after transuretheral prostatic resection...
2019: IDCases
Maria C M Pedroso, Amanda B de Araújo, Agrício N Crespo, Marcelo H Sampaio, Eulália Sakano
Histoplasmosis is an infection caused by the dimorphic fungus Histoplasma capsulatum , which is saprophyte of contaminated soil. In the immunocompetent host, the symptoms of histoplasmosis tend to be mild or even non-existent. In immunocompromised patients, the manifestations may be more severe and the disease manifests itself in a disseminated form, with high mortality rates. Isolated mucosal lesions are infrequent and the purpose of this report is to describe an unusual case of nasal septum ulcer as an isolated clinical manifestation of the disease...
2019: IDCases
Arsalan Alvi, Sonali Gupta, Pradeep Goyal, Jose Pichardo, Joseph Mattana
No abstract text is available yet for this article.
2019: IDCases
Mauricio A Arias, John Clark
Introduction: Paracoccus yeei is a Gram-negative coccobacilli which is often an environmental organism. However, infection of patients usually with underlying immunosuppression has been described in the last decades, mainly due to the emergence of diagnostic molecular methods. Case presentation: We describe here a case of P. yeei peritonitis in a patient undergoing peritoneal dialysis. Turbidity of the peritoneal dialysate was the sole clinical manifestation. Inflammatory markers were not raised...
2019: IDCases
Dima Ibrahim, Helene Dabbous, Yasmine Abi Aad, George F Araj, Nesrine A Rizk
Infection with Brucella spp. is endemic to the Middle East and the eastern Mediterranean basin. Brucellosis can mimic infectious and non-infectious febrile illnesses and therefore it can pose a diagnostic challenge. A wide range of deep-seated infections have been ascribed to brucellosis including breast abscesses and infections of prosthetic endovascular devices. The latter are usually rare but difficult to treat short of excision of the infected device. Here, we present the case of a middle-aged Lebanese woman who presented with simultaneous breast abscesses and a pacemaker infection due to brucellosis...
2019: IDCases
Mariana Guedes, Rita Filipe, Andreia Costa, Carolina Soares, António Sarmento, Margarida Tavares
Central nervous system (CNS) vasculopathy associated with Varicella Zoster Virus (VZV) infection, usually manifesting as stroke due to ischemic lesions by involvement of small arteries, is frequently misdiagnosed. Immunocompromised patients have a particularly higher risk of severe disease and also CNS involvement during or following VZV presentations. We report a case of an 84-year-old man, with myelodysplastic syndrome, who presented with herpes zoster ophthalmicus complicated with left periocular cellulitis and an abnormal neurological exam...
2019: IDCases
Daniel Jarovsky, Thais Grodzicki Ambrus, Mariana Galvão Gurgel, Marcelo Jenné Mimica, Mariana Volpe Arnoni, Flávia Jacqueline Almeida, Marco Aurélio Palazzi Sáfadi, Eitan Naaman Berezin
Spontaneous bacterial peritonitis is an uncommon manifestation of invasive pneumococcal disease and frequently occurs when an underlying hepatic disease is present. Bacterial identification through culture can be particularly challenging in patients with prior or concurrent antimicrobial use. DNA amplification detects very few copies of target DNA under ideal conditions in CSF or pleural effusion and, therefore, can be useful in selected infections. A culture-negative spontaneous pneumococcal peritonitis without preexisting peritoneal disease diagnosed by qPCR is herein described...
2019: IDCases
Frederico Duarte, Sara Moreira Pinto, Ana Catarina Trigo, Filipa Guimaraes, Ricardo Pereira, Miguel Neno, Ricardo Correia de Abreu, Isabel Neves
Listeria monocytogenes is a ubiquitous, rapidly growing, gram-positive bacterium causing infections in humans and animals. It is responsible for a variety of symptoms depending on the infection site and the integrity of the host's immune system. Case reports of skin and soft tissues infections by Listeria are rare. The authors present a case of a 65-year-old diabetic male with recurrent skin abscess diagnosed with a perianal abscess due to Listeria monocytogenes associated with lumbar spine osteitis. At the time of this publication and to our knowledge, this case represents the first Listeria monocytogenes infection involving skin and bone in a diabetic man with recurrent skin abscess...
2019: IDCases
Adam Stewart, David Sowden, Michael Caffery, Michael Bint, Jennifer Broom
Rhodococcus equi is a gram positive bacterium most commonly presenting clinically as pneumonia, however can disseminate to cause disease in virtually any human tissue. Although it is predominantly an opportunistic pathogen, a number of case series have described infection occurring among individuals with a normal immune system. We describe two cases of Rhodococcus equi infection which highlight the diversity of disease presentations of this rare organism.
2019: IDCases
Waiel Abusnina, Mena Shehata, Emhemmid Karem, Zeynep Koc, Elie Khalil
Of the 200 Clostridium spp. known to exist, approximately 30 have been associated with human disease. Commonly found in soil, marine sediment and mammalian intestinal tracts, these gram-positive bacilli are known to cause infections ranging from cellulitis to septicemia. Isolates that are identified by clinical microbiology laboratories include Clostridium perfrigens species in 20-40% of cases. However, when Clostridium sporogenes is identified, is rarely considered to be pathogenic. We present a case of Clostridium sporogenes bacteremia secondary to lower limb cellulitis and osteomyelitis in an immunocompetent patient...
2019: IDCases
Mahmoud Khodabandeh, Saeed Shakiba, Soroosh Alizadeh, Hamid Eshaghi
Non-traumatic subluxation of atlanto-axial joint known as Grisel's syndrome is a rare condition. The pathogenesis of Grisel syndrome in not clear but it seems laxity of cervical ligaments in children and an inflammatory process in neck might cause the syndrome. Here we present a case of Grisel's syndrome, a 9 -year- old boy presented with torticollis and discuss about clinical radiological and treatment aspects of the syndrome.
2019: IDCases
Yang Jiao, Mark S Rasnake, Michael T McCormack, J Francis Turner
We report a patient with Ehlers-Danlos syndrome and mitral valve infective endocarditis. The case was complicated due to multiorgan involvement and initially diagnosed as hand-foot-and-mouth disease. The patient was transferred to our hospital with cerebral septic emboli and bilateral lower extremity emboli requiring early surgery. Complications of this syndrome and surgical risks are discussed in this report.
2019: IDCases
Saqib Walayat, M Asghar, Emily Horvath, John J Farrell
Pasturella multocida is a gram negative encapsulated facultative bacillus that has been reported to cause a wide variety of infections in humans. Empyema is rarely reported complication of P. multocida infection. Infection is usually acquired by inhalation or bite from a domestic animal, with cats and dogs being the most common sources. Isolation of organisms on culture remains gold standard for diagnosis. We describe a case of P. multocida related empyema in a patient who subsequently developed trapped lung requiring video assisted thoracoscopic surgical decortication...
2019: IDCases
Walter A Eyer-Silva, José Eduardo Brandão Campos, Ricardo de Souza Carvalho, Isabelle de Carvalho-Rangel, Rivelino Trindade-Azevedo, Rogério Neves-Motta
No abstract text is available yet for this article.
2019: IDCases
Igor Dumic, Danilo Vitorovic, Scott Spritzer, Erik Sviggum, Janki Patel, Poornima Ramanan
Acute transverse myelitis (ATM) is a rare, potentially devastating neurological syndrome that has variety of causes, infectious being one of them. Lyme disease (LD) is the most common vector borne zoonosis in the United States (U.S.). While neurologic complications of LD are common, acute transverse myelitis is an exceedingly rare complication. We present a case of a previously healthy 25-year-old man who presented with secondary erythema migrans, aseptic meningitis and clinical features of transverse myelitis including bilateral lower extremity motor and sensory deficits manifesting as weakness and numbness, urinary retention and constipation...
2019: IDCases
Stephanie Stephanie, Sarah A Schmalzle
Salmonella osteomyelitis is known to occur in immunocompromised and sickle cell disease patients. It rarely occurs in other hosts. We present a case of chronic femoral osteomyelitis due to S. enterica serovar Typhi seen in a Maryland resident. Potential risk factors included traveling to an endemic area as well as a newly diagnosed sickle cell trait and thalassemia trait. It is postulated that less severe hemoglobinopathies may also contribute to an elevated risk of Salmonella osteomyelitis.
2019: IDCases
T Santosh, Kanchan Kothari, Mona Agnihotri
Cysticercosis is a zoonotic disease, caused by the larval form of pork tapeworm Taenia solium . This disease is a public health problem in a country such as India, but its incidence is likely underestimated. With the advent of fine needle aspiration cytology (FNAC) with rapid on-site evaluation (ROSE), early detection of this disease is possible, especially when the lesion is in anatomically approachable superficial locations. We report a case of cysticercosis confirmed by FNAC in the Department of Pathology where ROSE using toluidine blue was done as a part of routine cytology procedure...
2019: IDCases
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