IDCases最新文献_第10页

A case report of human primary renal cystic echinococcosis 人类原发性肾囊棘球蚴病病例报告

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02042

Zhuoma Dawa , Chuanchuan Liu , Haining Fan

引用次数: 0

Cutaneous phaeohyphomycosis presenting as multiple ecthyma-like skin lesions caused by Curvularia lunata in a previously healthy man: A case report 一名先前健康的男子因月弧菌引起的多发性外皮瘤样皮肤病：病例报告

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02068

Sitthipong Jinawong , Chutika Srisuttiyakorn , Weranat Sookboon , Worapong Nasomsong

{"title":"Cutaneous phaeohyphomycosis presenting as multiple ecthyma-like skin lesions caused by Curvularia lunata in a previously healthy man: A case report","authors":"Sitthipong Jinawong , Chutika Srisuttiyakorn , Weranat Sookboon , Worapong Nasomsong","doi":"10.1016/j.idcr.2024.e02068","DOIUrl":"10.1016/j.idcr.2024.e02068","url":null,"abstract":"<div><p>Ecthyma grangrenosum is an unusual condition, mostly related to <em>Pseudomonas</em> septicemia. Ecthyma-like skin lesions caused by cutaneous phaeohyphomycosis are extremely rare. Here, we report a case of a 20-year-old Thai man, previously healthy, presenting multiple ecthyma-like skin lesions in both arms and both legs for 2 months. Physical examination revealed ill-defined erythematous plaque with central necrotic crust at both arms and both legs. Tissue biopsy showed a neutrophil collection identified by GMS stain revealing septate hyphae organisms in the vascular lumen. The skin culture was positive for <em>Curvularia lunata</em>, while the final diagnosis was cutaneous phaeohyphomycosis caused by <em>Curvularia lunata</em>. He was empirically treated with amphotericin B and then voriconazole. Itraconazole was administered as a definitive regimen, resulting in complete resolution after 2 months of treatment. Cutaneous phaeohyphomycosis is also an uncommon cause of ecthyma-like lesions and should be considered for investigation when initial results do not demonstrate a bacterial etiology.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02068"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001446/pdfft?md5=4df979cc66c23c3795209c2f28cc45b9&pid=1-s2.0-S2214250924001446-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142096879","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 culprit: Ralstonia pickettii in a deep neck space infection 罕见的罪魁祸首深颈椎间隙感染中的皮氏沙雷氏菌

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02071

Tara Shahrvini , Matthew McCullough

引用次数: 0

A rare case of disseminated rhinosporidiosis mimicking tuberculosis 一例罕见的模仿结核病的播散性鼻孢子虫病病例

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02009

Mohamad Firdaus Ahmad , Shafora Bibi Samri , Wan Aireene Wan Ahmed , Nur Asyilla Che Jalil , Nur Asma Sapiai

{"title":"A rare case of disseminated rhinosporidiosis mimicking tuberculosis","authors":"Mohamad Firdaus Ahmad , Shafora Bibi Samri , Wan Aireene Wan Ahmed , Nur Asyilla Che Jalil , Nur Asma Sapiai","doi":"10.1016/j.idcr.2024.e02009","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02009","url":null,"abstract":"<div><p>Rhinosporidiosis is one of the granulomatous diseases endemic in Asia, Africa, and Europe, with Southern India and Sri Lanka having the greatest prevalence rates. It is typically understood to affect the upper respiratory system. Involvement of the lungs beyond the trachea is infrequent as compared to the upper respiratory tract. We revealed an uncommon case of disseminated rhinosporidiosis in a diabetic patient, who initially presented with shortness of breath associated with cough and fever. Two months prior to these symptoms, he was having oral ulcer and dysphagia and, subsequently, loss of weight. Chest radiograph and CT thorax revealed military nodules with multiple suppurative neck and mediastinal lymphadenopathy and bilateral adrenal lesions. He was initially investigated for tuberculosis, metastatic malignancy, or lymphangitic carcinomatosis before a biopsy revealed Rhinosporidiosis. Hence, histopathological or laboratory evidence is frequently crucial to back up imaging concerns so the appropriate treatment can be given.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e02009"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000854/pdfft?md5=82f2b3500967910d48a1e4a4935c6ec9&pid=1-s2.0-S2214250924000854-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285978","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

Post covid seizure 科维德发作后

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01982

Abhijnya K. Renukaprasad , Prithvi Basu Roy , Akshay Rao

{"title":"Post covid seizure","authors":"Abhijnya K. Renukaprasad , Prithvi Basu Roy , Akshay Rao","doi":"10.1016/j.idcr.2024.e01982","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01982","url":null,"abstract":"<div><h3>Introduction</h3><p>Coronaviruses have been suspected to be associated with neurological manifestations in patients with respiratory tract infections. Corona Virus disease (COVID-19) develop seizures as a consequence of hypoxia, metabolic derangements, organ failure, or even cerebral damage that may happen in people with COVID-19. There is scarce data about the development of seizures after recovery from acute COVID-19 illness, especially in those who have had a mild disease.</p></div><div><h3>Case</h3><p>A thirty three year old male patient with recent history of mild COVID-19 disease, with no known comorbidities, no history of substance abuse, presented with history of transient loss of consciousness. On examination had no lateralising signs, tongue bite was present. Inflammatory markers were found to be raised. MRI brain showed no significant abnormality. EEG done showed bilateral intermittent slowing.</p></div><div><h3>Conclusion</h3><p>Post COVID-19 infection, the post-infectious inflammatory response can give rise to many neurological complication, seizure being one among them, as noted in our patient.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01982"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000581/pdfft?md5=94002112f24a346cb79267c9a6fb7b19&pid=1-s2.0-S2214250924000581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905272","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

Staphylococcal tricuspid valve infective endocarditis complicated by refractory sepsis and bilateral lung abscesses successfully treated with adjunctive mechanical aspiration 辅助机械抽吸术成功治疗葡萄球菌性三尖瓣感染性心内膜炎并发难治性败血症和双侧肺脓肿

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02092

Hatim Al Lawati , Kamla Al Wuhaibi , Zsolt L. Nagy , Ahmed Reza Bagheri , Mohammed Gamal El Hadad , Ahmed Shams

引用次数: 0

Undiagnosed AIDS in a 13-year-old boy in rural Gabon 加蓬农村地区一名 13 岁男孩未确诊的艾滋病

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02103

Saskia Dede Davi , Ayodele Alabi , Lillian Rene Endamne , Teite Rebecca Hildebrandt , Anita Lumeka , Dearie Glory Okwu , Rella Zoleko-Manego , Ghyslain Mombo-Ngoma , Selidji Todagbe Agnandji , Michael Ramharter

{"title":"Undiagnosed AIDS in a 13-year-old boy in rural Gabon","authors":"Saskia Dede Davi , Ayodele Alabi , Lillian Rene Endamne , Teite Rebecca Hildebrandt , Anita Lumeka , Dearie Glory Okwu , Rella Zoleko-Manego , Ghyslain Mombo-Ngoma , Selidji Todagbe Agnandji , Michael Ramharter","doi":"10.1016/j.idcr.2024.e02103","DOIUrl":"10.1016/j.idcr.2024.e02103","url":null,"abstract":"<div><h3>Introduction</h3><div>To date, 38.4 million people live with the Human Immunodeficiency virus (HIV) amongst whom 1.7 million are children below fourteen years of age. The highest burden of HIV is in sub-Saharan Africa. Children living with HIV acquired the infection mostly by mother-to-child transmission (MTCT), however the diagnosis is often delayed.</div><div>In malaria-endemic countries, fever is one of the most frequent symptoms for seeking medical care and it is often primarily suspected as the onset of malaria or respiratory bacterial infections. Here, we report a case of late-onset undiagnosed AIDS in a 13-year-old boy living in rural Gabon in the Gabonese tropical rainforest in the province of Ngounié.</div></div><div><h3>Case</h3><div>A 13-year-old orphan child presented at our routine consultation for fever screening at the Institut de Santé de Sindara (ISSA) in 2021 due to remittent fever episodes, paleness, chronic fatigue and cough. His medical history documented repeated consultations and hospitalisations over the past years, establishing various diagnoses and treatments without significantly improving his condition. Serologic testing established the diagnosis of HIV-1 infection, classifying it as CDC stage 3 AIDS. Given the family history, late-onset symptomatic HIV infection 13 years after mother-to-child transmission was the most likely transmission mode.</div></div><div><h3>Discussion</h3><div>HIV infection may occur in older children and young adolescents and should be considered as an important differential diagnosis of reappearing fevers in regions of malaria transmission. Early diagnosis of HIV, particularly in children and adolescents, improves health outcomes. highlighting the need for HIV testing in children and adolescents.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02103"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552899","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

Massive rectorrhage due to pulmonary and intestinal tuberculosis: A case report 肺结核和肠结核导致的大面积再出血：病例报告

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02099

Jose Luis Estela-Zape , Leonardo Arzayus Patiño , Valeria Sanclemente-Cardoza

引用次数: 0

A rare case of scedosporium apiospermum osteomyelitis in an immunocompetent patient 免疫功能正常患者患上杏孢子菌骨髓炎的罕见病例

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01929

Aayushi J. Rajani, Darshankumar Raval, Rohit Chitale, Ravindra Durvasula, Justin Oring, Ross Powers

{"title":"A rare case of scedosporium apiospermum osteomyelitis in an immunocompetent patient","authors":"Aayushi J. Rajani, Darshankumar Raval, Rohit Chitale, Ravindra Durvasula, Justin Oring, Ross Powers","doi":"10.1016/j.idcr.2024.e01929","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01929","url":null,"abstract":"<div><p>Scedosporium, a widespread filamentous fungus found in diverse environments, has experienced a rise in cases due to escalating malignancies and chronic immunosuppression. Clinical manifestations span mycetoma, airway involvement, and various infections, with osteomyelitis being a notable complication. We present a case of a 77-year-old female initially displaying cutaneous Scedosporium signs, which progressed to osteomyelitis. The patient, with a history of trauma, chronic low dose steroid use, and underlying conditions, presented with a foot injury caused by her dog. Despite initial management, worsening symptoms led to the identification of Scedosporium. A comprehensive approach involving debridement, antimicrobial therapy, and reduction of immunosuppression resulted in clinical improvement. The rarity of zoonotic transmission, diagnostic challenges, and antifungal efficacy are also discussed. The patient's positive trajectory emphasizes early diagnosis, targeted treatment, and vigilance in managing immunosuppression. An adaptable treatment protocol is proposed based on risk factors. Considering the rising opportunistic fungal infections and delayed culture results, initiating empirical antifungals based on clinical judgment and regional prevalence is vital for favorable outcomes.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"35 ","pages":"Article e01929"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000052/pdfft?md5=4d3bc0fbb3252dfcd33fd6ab5abcf682&pid=1-s2.0-S2214250924000052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674670","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 true challenge: Disseminated tuberculosis with tuberculous meningitis in a patient with underlying chronic liver disease 真正的挑战一名患有慢性肝病的散播性肺结核患者合并结核性脑膜炎

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02065

Harika Kalangi , Laura Rivera Boadla , David C. Perlman , Stanley R. Yancovitz , Vani George , Nadim Salomon

{"title":"A true challenge: Disseminated tuberculosis with tuberculous meningitis in a patient with underlying chronic liver disease","authors":"Harika Kalangi , Laura Rivera Boadla , David C. Perlman , Stanley R. Yancovitz , Vani George , Nadim Salomon","doi":"10.1016/j.idcr.2024.e02065","DOIUrl":"10.1016/j.idcr.2024.e02065","url":null,"abstract":"<div><p>Tuberculous meningitis (TBM) is a potentially life-threatening form of tuberculosis (TB) that affects the central nervous system. Its management in patients with concomitant chronic liver disease (CLD) presents unique challenges due to altered drug metabolism with potentially impaired spinal fluid drug penetration and hepatotoxicity. The standard regimen for TBM includes isoniazid (INH) and rifampin (RIF), and Pyrazinamide (PZA) which are metabolized by the liver and may cause hepatotoxicity, which can exacerbate preexisting liver disease. Thus, careful consideration is required to balance therapeutic efficacy with potential drug-induced hepatotoxicity. Regular monitoring of liver function tests and clinical response is essential to minimize adverse effects and optimize treatment outcomes. Further research is needed to establish evidence-based guidelines for the tailored management of TBM in this vulnerable patient subset. Overall, the treatment of TBM in patients with severe liver disease should be individualized and closely monitored.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02065"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001410/pdfft?md5=694caf2408e303338c6e808c9e7b7578&pid=1-s2.0-S2214250924001410-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049721","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