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JMM Case Reports

Matthew S Chorost, Nancy C Smith, Jack N Hutter, Ann C Ong, Jason A Stam, Patrick T McGann, Mary K Hinkle, Kurt E Schaecher, Edwin Kamau
Introduction: Microbacterium spp. are yellow-pigmented Gram-positive coryneform rods found in various environmental sources, such as soil and water samples. They rarely cause human infection, mostly infecting immunocompromised patients and catheter insertion sites, making them challenging to identify in clinical settings. Case presentation: We report a case of a 61-year-old female on long-term prednisone therapy for sarcoidosis with minimal exposure to environmental sources, who presented with an overtly infected Hickman catheter site and presyncope...
November 2018: JMM Case Reports
M Bauer, C Wickenhauser, A Haak, N Pazaitis, U Siebolts, C Mawrin, C Strauss, V Rickerts, D Stoevesandt, O A Cornely, J F Meis, F Hagen
Introduction: Cryptococcosis in immunocompetent adults is a rare disease in Europe, mostly induced by members of the Cryptococcus gattii species complex. The diagnosis can be challenging due to its rarity, unspecific symptoms and long symptomless latency. Case presentation: A 49-year-old woman with a three weeks history of headache was admitted to the hospital due to discrete ataxia and impaired vision. Cranial magnetic resonance imaging (MRI) showed a contrast-enhancing mass in the cerebellum...
October 2018: JMM Case Reports
Sanem Eren Akarcan, Neslihan Edeer Karaca, Guzide Aksu, Ayca Aykut, Deniz Yilmaz Karapinar, Funda Cetin, Yesim Aydinok, Elif Azarsiz, Eleonora Gambineri, Ozgur Cogulu, Ezgi Ulusoy Severcan, Hudaver Alper, Necil Kutukculer
Introduction: LPS-responsive beige-like anchor (LRBA) protein deficiency is a disease of immune dysregulation with autoimmunity affecting various systems. Case Presentation: Two male siblings with a novel LRBA mutation had different primary findings at admission: the younger sibling had chronic early-onset diarrhoea and the elder one had autoimmune haemolytic anaemia. During long-term follow-up for IPEX phenotype, both developed hypogammaglobulinaemia, enteropathy and lung involvement...
October 2018: JMM Case Reports
Sandra L Currie, Lucy Denvir, Busi Mooka, Kali Perrow, Claire L Alexander
Introduction: Schistosomiasis, a travel-related trematode infection, can cause a range of symptoms with potentially life-threatening complications. In this report, we describe an outbreak of schistosomiasis in a Scottish school group that had travelled to Uganda. We discuss the requirement for robust and accurate pre-travel advice, and the importance of raising awareness in travellers, particularly due to the asymptomatic nature of the disease. In addition, we highlight the need to submit a serum sample for laboratory testing on return from endemic regions where freshwater exposure has occurred...
October 2018: JMM Case Reports
Priyatam Khadka, Pratap Khadka, Januka Thapaliya, Dhana Bikram Karkee
Introduction: Strongyloidiasis is a neglected tropical disease with global prevalence. Under some cases of immune suppression (especially with corticosteroid administration), the nematode involved disseminates, leading to an amplified, possibly lethal hyper-infection syndrome. Case presentation: A 56-year-old Nepalese man presenting with chief complaints of nausea, vomiting, joint pain and abdominal cramps was admitted to Sumeru Hospital. His past history revealed: chronic obstructive pulmonary disease (COPD), systemic hypertension and previously treated pulmonary tuberculosis...
September 2018: JMM Case Reports
Stephanie L Buzzard, Brittany D Bissell, Melissa L Thompson Bastin
Introduction: Ehrlichia are obligate intracellular pathogens transmitted to vertebrates by ticks. Case presentation: We report the case of a 59-year-old man who presented to the University of Kentucky Albert B. Chandler Medical Center (Lexington, KY, USA) after being found fallen down in the woods. A lumbar puncture revealed what appeared to be bacterial meningitis, yet cerebrospinal fluid cultures, Gram stains and a meningitis/encephalitis panel were inconclusive...
September 2018: JMM Case Reports
Stephen D Cole, Shannon M Palermo, Shelley C Rankin
Introduction: In people, Salmonella is a common agent of gastroenteritis, but it can also cause extraintestinal disease such as urinary tract infections. In addition, Salmonella is often linked to the post-infection development of reactive arthritis. In canines, cases that document extraintestinal Salmonella infections or diseases similar to reactive arthritis have not been thoroughly described. Case presentation: A case of a 5-year-old German shepherd dog with Salmonella bacteriuria during treatment for immune-mediated polyarthritis (IMPA) is described...
September 2018: JMM Case Reports
Claudia M Barberis, Eduardo Montalvo, Soledad Imas, Germán Traglia, Marisa N Almuzara, Carlos Hernán Rodriguez, Angela Famiglietti, Octavio Mazzocchi, Carlos Vay
Introduction: Corynebacterium coyleae is a Gram-stain-positive non-lipophilic coryneform rod first described in blood samples and pleural fluid. There is scarce information about the clinical relevance of C. coyleae and none on complicated urinary tract infections has been described so far. Case presentation: A 36-year-old woman with a history of chronic kidney failure, under thrice-weekly haemodialysis since 2014 due to polycystic kidney disease, presented with hypogastric pain, lower left quadrant pain and nausea...
September 2018: JMM Case Reports
Nargis Sabir, Aamer Ikram, Adeel Gardezi, Gohar Zaman, Luqman Satti, Abeera Ahmed, Tahir Khadim
Introduction: Infective endocarditis (IE) is an important clinical condition with significant morbidity and mortality among the affected population. A single etiological agent is identifiable in more than 90 % of the cases, however, polymicrobial endocarditis (PE) is a rare find, with a poor clinical outcome. Here we report a case of native valve dual pathogen endocarditis caused by Burkholderia cepacia and Aspergillus flavus in an immunocompetent individual. It is among unique occurrences of simultaneous bacterial and fungal etiology in IE...
September 2018: JMM Case Reports
Ageng Wiyatno, E S Zul Febrianti, Aghnianditya Kresno Dewantari, Khin Saw Myint, Dodi Safari, Nikmah Salamia Idris
Introduction: Myocarditis, inflammation of the heart muscle, can be caused by infections, autoimmune disease or exposure to toxins. The major cause of myocarditis in the paediatric population is viral infection, including coxsackievirus B3, adenovirus, herpesvirus, parvovirus, influenza A and B, and hepatitis. Here, we report the detection of rhinovirus C in a boy with a clinical presentation of myocarditis, suggesting a possible causative role of this virus in this case. Case presentation: A previously well 4...
September 2018: JMM Case Reports
Mehdi Khorshidi, Sepehr Navid, Davood Azadi, Darioush Shokri, Hasan Shojaei
Introduction: Nocardia are Gram-positive partially acid-fast bacilli capable of inducing a wide range of infections in patients with immunodeficiency, AIDS, cancer, lupus erythematous and diabetes. Nocardia cyriacigeorgica was first isolated in 2001 from a patient with chronic bronchitis. Since then, there have been reports on the clinical significance of this organism in patients with bronchitis, brain abscess and lung diseases. We, herein, report a case of brain abscess in an elderly diabetic patient from Iran...
September 2018: JMM Case Reports
Kerry J Roulston, Tehmina Bharucha, Jane F Turton, Katie L Hopkins, Damien J F Mack
Introduction: Hypervirulent capsular type K1 Klebsiella pneumoniae strains of clonal complex 23 (CC23) are associated with severe community-acquired pyogenic liver abscesses, often complicated by metastatic infections and significant mortality. The majority of hypervirulent strains reported are susceptible to most antibiotics except ampicillin. To the best of our knowledge, this is the first case of New Delhi metallo-β-lactamase ( bla NDM )-producing hypervirulent K. pneumoniae from the UK...
September 2018: JMM Case Reports
Karmel Webb, Pradhib Venkatesan
Introduction: Guillain Barré Syndrome (GBS) has rarely been associated with tuberculosis and has been previously reported after Bacille Calmette Guérin (BCG) vaccination, but we report an association of GBS with intra-vesical BCG instillations followed by the clinical picture of disseminated BCGosis. Case presentation: A 68-year-old man with bladder carcinoma had a transurethral tumour resection followed by repeated BCG instillations. Catheterization for his eighth dose was traumatic, causing frank haematuria...
August 2018: JMM Case Reports
Hans Linde Nielsen, Irene Harder Tarpgaard, David Fuglsang-Damgaard, Philip Kjettinge Thomsen, Sylvain Brisse, Michael Dalager-Pedersen
Introduction: Elizabethkingia anophelis is a Gram-negative, aerobic, non-motile rod belonging to the family Flavobacteriaceae . Over the last 5 years, it has emerged as an opportunistic human pathogen involved in neonatal meningitis and sepsis, as well as nosocomial outbreaks. It has been isolated from the midgut of the Anopheles gambiae mosquito, but there is no evidence for a role of the mosquito in human infections, and very little is known regarding the routes of transmission to humans...
August 2018: JMM Case Reports
C Gustavo De Moraes, Michele Pettito, Juan B Yepez, Anavaj Sakuntabhai, Etienne Simon-Loriere, Mussaret B Zaidi, Matthieu Prot, Claude Ruffie, Susan S Kim, Rando Allikmets, Joseph D Terwilliger, Joseph H Lee, Gladys E Maestre
[This corrects the article DOI: 10.1099/jmmcr.0.005145.].
August 2018: JMM Case Reports
Pauline Treguier, Marion David, Gilles Gargala, Vincent Camus, Aspasia Stamatoullas, Anne-Lise Menard, Pascal Lenain, Nathalie Contentin, Emilie Lemasle, Helene Lanic, Hervé Tilly, Fabrice Jardin, Stéphane Lepretre
Introduction: We present what is believed to be the first report of candidaemia caused by Cyberlindnera ( Pichia ) jadinii (teleomorph of Candida utilis ) in a patient with an aplastic anaemia. Case presentation: The patient, a 21-year-old male, presented with hepatic cytolysis, cutaneous and pulmonary involvement, and septic shock. Cyberlindnera jadinii was identified by aerobic blood culture and MS. The patient initially received multiple and combined antifungal therapy, but continued to have persistent skin lesions and fever...
August 2018: JMM Case Reports
Sajal Gupta, Alison Johnson, Simon Meyrick, Angharad P Davies, R Chalmers
Introduction: Cryptosporidium infection is known to cause hepato-biliary involvement, mainly in association with T-cell immune deficiency. Hepato-biliary involvement in association with milder immunosuppression is less well described. We describe the first case, to our knowledge, of Cryptosporidium hominis hepato-biliary infection associated with tacrolimus in a patient with nephrotic syndrome. Case presentation: A 14 year old girl who had been on tacrolimus for nephrotic syndrome presented with diarrhea due to C...
August 2018: JMM Case Reports
Ann-Claire Gourinat, Cécile Cazorla, Anne Pfannstiel, Thomas Tran
Introduction: Dengue fever is a major public health problem in New Caledonia, like in many Pacific Islands Countries and territories. In 2017 New Caledonia faced multiple circulations of arboviruses with a major outbreak of dengue and a co-circulating Zika virus. New Caledonia is considered as a non-endemic territory for measles since the mid 1990's. Case presentation: A 41-year-old male presented fever, headache, sinusitis and exanthematous maculopapular rash. A clinical diagnosis of arbovirus was first suspected due to the local epidemic context...
August 2018: JMM Case Reports
Guillaume St-Jean, Carl A Gagnon, Hafid Soualhine, Manon Tremblay, Andrée-Anne Beaulieu, Doris Sylvestre
Introduction: Mycobacterium xenopi is a rare opportunistic pathogen mainly causing infections in immunocompromised human patients or those with underlying chronic structural lung disease. Cases of disease in veterinary medicine remain scarce. Few animal species, including birds, are suspected of being vectors of the disease and there has not yet been a report of clinical disease in birds. We report the first case, to our knowledge, of systemic infection in a domestic bird. Case presentation: A female fiery-shouldered conure was submitted after death for necropsy following episodes of heavy breathing...
July 2018: JMM Case Reports
Christina Pindar, Roberto A Viau
Introduction: Although more often recognized as a culprit in female urinary tract infection, coagulase-negative staphylococci (CoNS) can cause severe genitourinary infections in men. While positive blood cultures with CoNS are usually thought to be contaminants, in the setting of a severe genito-urinary infection they can represent true infection. Case presentation: We present the case of a 70-year-old male without a central venous catheter or urinary catheter who developed Staphylococcus haemolyticus bloodstream infection secondary to epididymo-orchitis...
July 2018: JMM Case Reports
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