IDCases最新文献 - Book学术

A rare case of Gardnerella vaginalis spondylodiscitis.

IF 1.1

IDCases Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI: 10.1016/j.idcr.2024.e02126

Alex Belote, Kassem Hammoud

{"title":"A rare case of Gardnerella vaginalis spondylodiscitis.","authors":"Alex Belote, Kassem Hammoud","doi":"10.1016/j.idcr.2024.e02126","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02126","url":null,"abstract":"A 55-year-old-male with a chronic left uretero-pelvic junction (UPJ) obstruction managed with intermittent stent exchanges presented with low midline back pain. CT Abdomen/Pelvis revealed spondylodiscitis at L4-L5, further demonstrated on MRI Lumbar spine. Imaging also revealed the left nephro-ureteral stent was mispositioned, with some mild wall thickening of the left ureter. He was not systemically ill, and antimicrobials were held. He underwent a L4/5 disc biopsy, and pathology revealed acute discitis. Blood and biopsy cultures remained negative through hospital day 5. He then underwent repeat L4/5 disc biopsy. Cultures of repeat biopsy resulted in Gardnerella vaginalis. IV antimicrobials were stopped, and oral Metronidazole was started. He completed 10 weeks of Metronidazole therapy, with significant clinical improvement. G. vaginalis is a rare cause of bone and joint infections. It is difficult to culture and is less virulent than common bacteria associated with native vertebral osteomyelitis. There have been few case reports of G. vaginalis osteomyelitis or prosthetic joint infection, especially in males. G. vaginalis can rarely colonize the urethra in men and has been known to form biofilm on foreign material in the female genitourinary system. We suspect our patient had developed colonization of his ureteral stent, predisposing him to osteomyelitis. Were repeat biopsy not pursued in this case, our patient likely could have developed empiric treatment failure. Holding antibiotics after initial biopsy proved highly beneficial.","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"e02126"},"PeriodicalIF":1.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of acute community-acquired pneumonia caused by Tropheryma whipplei in pregnant woman without predisposing medical conditions. 一例由 Tropheryma whipplei 引起的急性社区获得性肺炎病例，孕妇无诱发疾病。

IF 1.1

IDCases Pub Date : 2024-12-06 eCollection Date: 2025-01-01 DOI: 10.1016/j.idcr.2024.e02123

Hao Wang, Hongna Yang

引用次数: 0

An unusual case of varicella zoster encephalitis mimicking a glioblastoma on magnetic resonance imaging and magnetic resonance spectroscopy.

IF 1.1

IDCases Pub Date : 2024-12-04 eCollection Date: 2025-01-01 DOI: 10.1016/j.idcr.2024.e02124

Brenden Nago, Jeffrey E Liu

引用次数: 0

Mycotic cyst: Case report.

IF 1.1

IDCases Pub Date : 2024-12-04 eCollection Date: 2025-01-01 DOI: 10.1016/j.idcr.2024.e02120

Oviya Selvam, Yogindher Singh R, M D Gowthaman, Manobalan K, K Subashree

引用次数: 0

Tuberculous pericarditis in a 71-year-old immunocompetent patient: Case report. 一名 71 岁免疫功能正常患者的结核性心包炎：病例报告。

IF 1.1

IDCases Pub Date : 2024-11-30 eCollection Date: 2025-01-01 DOI: 10.1016/j.idcr.2024.e02122

Carlos Mejia Irias, Odalis Cerrato, Estephany Díaz Mairena

{"title":"Tuberculous pericarditis in a 71-year-old immunocompetent patient: Case report.","authors":"Carlos Mejia Irias, Odalis Cerrato, Estephany Díaz Mairena","doi":"10.1016/j.idcr.2024.e02122","DOIUrl":"10.1016/j.idcr.2024.e02122","url":null,"abstract":"Tuberculosis is a transmissible disease caused by the bacterium Mycobacterium tuberculosis. It is the leading cause of mortality due to infectious diseases. Tuberculous pericarditis is one of the manifestations of extrapulmonary tuberculosis and represents the primary cause of pericardial effusion in developing countries. We present the case of a 71-year-old male patient with a history of 1 month of dyspnea, accompanied by paroxysmal nocturnal dyspnea and unintentional weight loss. An echocardiogram revealed the presence of severe pericardial effusion, for which pericardiocentesis was performed, and the pericardial fluid was analyzed using the Xpert MTB/RIF test, which confirmed the presence of Mycobacterium tuberculosis without resistance to Rifampicin. This is a case of Tuberculous Pericarditis as the cause of pericardial effusion, in which the etiological diagnosis was made possible through molecular biological analysis of the pericardial fluid. The importance of disseminating such cases lies in emphasizing that, even in the 21st century, in developing countries like Honduras, it is crucial not to dismiss tuberculosis infection, as it remains the leading cause of pericardial effusion in endemic regions.","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"e02122"},"PeriodicalIF":1.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disseminated histoplasmosis with oral involvement and co-infection with Pneumocystis in a patient with HIV: A case report

IF 1.1

IDCases Pub Date : 2024-11-26 DOI: 10.1016/j.idcr.2024.e02119

Susanne O Ajao , Nehar Damle , Michelle Zhao , Gabriela Ferreira , Keith K Kaye , John P Mills

{"title":"Disseminated histoplasmosis with oral involvement and co-infection with Pneumocystis in a patient with HIV: A case report","authors":"Susanne O Ajao , Nehar Damle , Michelle Zhao , Gabriela Ferreira , Keith K Kaye , John P Mills","doi":"10.1016/j.idcr.2024.e02119","DOIUrl":"10.1016/j.idcr.2024.e02119","url":null,"abstract":"<div><div>Oral manifestations of disseminated histoplasmosis are rare but can present in immunocompromised individuals. We report a case of disseminated Histoplasmosis presenting with presumed oral involvement and Pneumocystis jirovecii pneumonia in a seropositive HIV individual. A 32-year-old male with HIV presented to the emergency department for a two-week history of abdominal pain and a tongue ulcer in the setting of significant weight loss, blood-tinged sputum, and non-adherence with antiretroviral therapy for three years. Physical exam revealed a verrucous ulcer on the lateral aspect of the tongue. CT scan of the chest revealed diffuse bilateral pulmonary nodules and ground glass opacities. At presentation, his CD4 + count was 12 cells/mm3. During his hospitalization, he developed acute hypoxic respiratory failure requiring non-invasive ventilation. His urine histoplasma antigen was positive at greater than 25 ng/mL and liposomal amphotericin was started. Shortly thereafter, Pneumocystis jirovecii PCR on bronchoalveolar lavage returned positive prompting additional therapy with trimethoprim-sulfamethoxazole. At discharge, the patient had no respiratory symptoms and near-resolution of his tongue ulcer.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02119"},"PeriodicalIF":1.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clostridial gas gangrene involving the brain, gallbladder, heart, and soft tissue: A case report and literature review 累及大脑、胆囊、心脏和软组织的梭状芽孢杆菌气性坏疽：病例报告和文献综述

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02073

Ashton D. Hall , Joshua M. Ferreri , Jennifer E. Baker , Eleanor A. Powell , Imran Ahmed , Timothy T. Klostermeier , Keith M. Luckett

{"title":"Clostridial gas gangrene involving the brain, gallbladder, heart, and soft tissue: A case report and literature review","authors":"Ashton D. Hall , Joshua M. Ferreri , Jennifer E. Baker , Eleanor A. Powell , Imran Ahmed , Timothy T. Klostermeier , Keith M. Luckett","doi":"10.1016/j.idcr.2024.e02073","DOIUrl":"10.1016/j.idcr.2024.e02073","url":null,"abstract":"<div>Clostridial gas gangrene (CGG) is among the most rapidly spreading infections in humans, with mortality rates approaching 100 % if not treated promptly. Most cases follow traumatic inoculation, although spontaneous infections occur in a minority of patients with immunodeficiency. Spontaneous CGG is primarily caused by Clostridium septicum, whereas traumatic infection is associated with Clostridium perfringens. Patients with CGG present abruptly with rapidly progressive symptoms, underscoring the importance of early recognition, prompt surgical intervention, and appropriate antimicrobial therapy. We describe an illustrative case of spontaneous CGG caused by C. perfringens in a polymorbid 73-year-old female patient. Despite aggressive medical and surgical management, she succumbed to metastatic infection within 48 h of presentation.</div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02073"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001495/pdfft?md5=0f086d239b55083580bb1cff5f7ad56d&pid=1-s2.0-S2214250924001495-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142171761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of Bacillus subtilis variant natto-induced persistent bacteremia with liver and splenic abscesses in an immunocompetent patient 一例罕见的枯草芽孢杆菌变异纳豆诱发的持续性菌血症，免疫功能正常的患者伴有肝脾脓肿

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01925

Tetsuro Amemiya , Kiyofumi Ohkusu , Miku Murayama , Tomokiyo Yamamoto , Naoya Itoh

{"title":"A rare case of Bacillus subtilis variant natto-induced persistent bacteremia with liver and splenic abscesses in an immunocompetent patient","authors":"Tetsuro Amemiya , Kiyofumi Ohkusu , Miku Murayama , Tomokiyo Yamamoto , Naoya Itoh","doi":"10.1016/j.idcr.2024.e01925","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01925","url":null,"abstract":"<div>Bacillus subtilis var. natto, a low-pathogenic bacterium used in the traditional Japanese food \"natto\" (fermented soybeans), has rarely been reported as a pathogen of infectious diseases in humans. Herein, we report the first case of persistent bacteremia caused by B. subtilis var. natto in an immunocompetent patient without any gastrointestinal involvement. A 53-year-old Japanese woman who had been consuming natto every day was admitted to our hospital with complaints of fever and chills. B. subtilis was isolated from blood cultures collected during the initial visit. Abdominal contrast-enhanced computed tomography (CT) showed multiple low-absorption areas in the liver and spleen. Treatment commenced with vancomycin; however, Bacillus sp. was re-detected in the blood culture on day 4 after treatment initiation. The blood culture on day 8 was negative. Subsequently, the treatment was switched to ampicillin-sulbactam and oral amoxicillin-clavulanic acid, and the patient recovered after 28 days of treatment from the time the blood cultures became negative. Contrast-enhanced CT of the abdomen at the end of treatment showed that the multiple low-absorption areas in the liver and spleen had disappeared. Later, the variant of the bacteria was identified as B. subtilis var. natto by DNA analysis. B. subtilis var. subtilis and B. subtilis var. natto cannot be distinguished using matrix-assisted laser desorption/ionization-time of flight mass spectrometry or 16S rRNA analysis. Biotin auxotrophy of B. subtilis var. natto is used to distinguish between the two variants.</div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"35 ","pages":"Article e01925"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000015/pdfft?md5=a945a8508e139d40307a82fc0daf4b1d&pid=1-s2.0-S2214250924000015-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139487562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware 一例无脊柱硬件的表皮葡萄球菌骨髓炎病例

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01928

Erin Coonahan , Bita Shahrvini , Morgan Birabaharan , Nikdokht Farid , Annie Cowell

{"title":"A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware","authors":"Erin Coonahan , Bita Shahrvini , Morgan Birabaharan , Nikdokht Farid , Annie Cowell","doi":"10.1016/j.idcr.2024.e01928","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01928","url":null,"abstract":"<div>Staphylococcus epidermidis is a typically indolent pathogen that is often considered a blood culture contaminant. It is a rare and unexpected cause of osteomyelitis, especially in the absence of recent surgical intervention or orthopedic implants. We highlight a case in which a 90-year-old Caucasian male with no recent spine surgery was found to have osteomyelitis of the lumbar spine and repeat positive blood cultures for methicillin resistant Staphylococcus epidermidis (MRSE). Further investigation revealed a history of mitral valve replacement and a new diagnosis of endocarditis leading to persistent bacteremia and seeding of his lumbar vertebrae. This case demonstrates that S. epidermidis can cause vertebral osteomyelitis resulting in severe complications that are more similar to highly pathogenic bacteria. We describe the steps to diagnosing this chronic undetected infection and related comorbidities.</div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"35 ","pages":"Article e01928"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000040/pdfft?md5=cfdd5cb8158848fb335d83e108f2dd73&pid=1-s2.0-S2214250924000040-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Latent melioidosis activation presenting with urinary tract infection and bacteremia 以尿路感染和菌血症为表现的潜伏美拉德氏病激活症

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02007

Seohyeon Im , Ariane Paz y Mino , Estefany Garces , Sarah Altamimi

引用次数: 0