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Capnocytophaga cynodegmi bacteremia associated with a cat bite in a patient with systemic lupus erythematosus on hemodialysis: A case report 血透患者系统性红斑狼疮伴猫咬伤伴红细胞吞噬菌血症1例
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02240
Masahiko Nakao , Naoto Hosokawa , Wang Ziren , Takeru Yamamoto , Yosuke Ebisu , Naoki Watanabe , Tomohisa Watari , Yoshihito Otsuka , Ryosuke Osawa
{"title":"Capnocytophaga cynodegmi bacteremia associated with a cat bite in a patient with systemic lupus erythematosus on hemodialysis: A case report","authors":"Masahiko Nakao ,&nbsp;Naoto Hosokawa ,&nbsp;Wang Ziren ,&nbsp;Takeru Yamamoto ,&nbsp;Yosuke Ebisu ,&nbsp;Naoki Watanabe ,&nbsp;Tomohisa Watari ,&nbsp;Yoshihito Otsuka ,&nbsp;Ryosuke Osawa","doi":"10.1016/j.idcr.2025.e02240","DOIUrl":"10.1016/j.idcr.2025.e02240","url":null,"abstract":"<div><div>The genus <em>Capnocytophaga</em>, which is part of the oral microbiome of both humans and animals, has the potential to cause severe infections in humans following animal bites. A 59-year-old man with systemic lupus erythematosus (SLE) on hemodialysis presented with cellulitis of the left upper limb after being bitten by his cat and was admitted to our hospital. Blood cultures were obtained, and empiric treatment with ampicillin/sulbactam was initiated. The patient developed a non-severe drug eruption on the 3rd hospital day, prompting a switch to ceftriaxone. Thin spindle-shaped Gram-negative bacilli were isolated from the blood cultures 127 h (5 days and 7 h) after obtained blood sample, and the patient completed a 2-weeks course of ceftriaxone with complete recovery. The isolate was identified as <em>Capnocytophaga cynodegmi</em> by MALDI-TOF MS and 16S rRNA gene sequencing. This case highlights the importance of considering <em>C. cynodegmi</em> in cat bite-associated infections. Obtaining blood cultures and extending incubation periods may be crucial for identifying the causative pathogen and guiding appropriate treatment in such cases.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"40 ","pages":"Article e02240"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aeromonas veronii biovar sobria intestinal infection in a child girl after eating freshwater fish and drinking from a natural river in Southern Fars Province, Iran 伊朗法尔斯省南部,一名女童在食用淡水鱼和饮用天然河流水源后感染维罗氏气单胞菌
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02245
Maryam Akbari , Nahal Hadi , Farhad Moradi
{"title":"Aeromonas veronii biovar sobria intestinal infection in a child girl after eating freshwater fish and drinking from a natural river in Southern Fars Province, Iran","authors":"Maryam Akbari ,&nbsp;Nahal Hadi ,&nbsp;Farhad Moradi","doi":"10.1016/j.idcr.2025.e02245","DOIUrl":"10.1016/j.idcr.2025.e02245","url":null,"abstract":"<div><div>Due to infrequent detection and reporting of enteric infections caused by <em>Aeromonas</em> species compared to other enteric bacteria, this report describes a case of enteric infection caused by <em>Aeromonas</em> species in a child girl after eating fresh fish and drinking from a river near her village in southern Fars province, Iran. In this case, a rectal swab culture and stool examination were requested for investigation due to diarrhea. Bacteriological laboratory tests revealed an intestinal infection with <em>Aeromonas</em> species. Confirmation was therefore carried out using the automated BD Phoenix system and biochemical reactions. The results showed <em>Aeromonas veronii</em> biovar <em>sobria</em>. Fortunately, in our cases, the intestinal infection was self-limiting and no antibiotics were given. This case highlights a rare occurrence of <em>Aeromonas</em> intestinal infection and demonstrates the risk of river and freshwater fish in transmitting <em>Aeromonas</em> to humans, especially in infants and child, which can be dangerous for this age group. It highlights the potential health risks associated with drinking water from natural sources, especially in rural areas or in underserved areas where the quality of the water may be compromised. To understand the prevalence of <em>Aeromonas</em> infections in similar settings and develop targeted prevention strategies, we recommend further epidemiological studies and healthcare providers should be vigilant and consider <em>Aeromonas</em> as a potential pathogen in patients with gastrointestinal symptoms, especially after exposure to contaminated water.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"40 ","pages":"Article e02245"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis of cystoisosporiasis in a patient with HIV and modestly decreased CD4 counts 诊断囊异孢子虫病的患者与艾滋病毒和适度降低CD4计数
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02259
Kevin Kurator , Leona Mason , David Bruckner , Hongying Tan , Glenn Mathisen
{"title":"Diagnosis of cystoisosporiasis in a patient with HIV and modestly decreased CD4 counts","authors":"Kevin Kurator ,&nbsp;Leona Mason ,&nbsp;David Bruckner ,&nbsp;Hongying Tan ,&nbsp;Glenn Mathisen","doi":"10.1016/j.idcr.2025.e02259","DOIUrl":"10.1016/j.idcr.2025.e02259","url":null,"abstract":"<div><div>Cystoisosporiasis is caused by a coccidian parasite that is found worldwide and can cause diarrheal illness. It is more common in the immunocompromised, in whom it can cause extended and severe disease courses. Diagnosis is not always straightforward as oocytes are not always present in routine stool samples, but it is possible to visualize the organism with specialized staining techniques as well as within enterocytes on intestinal biopsies. We present a case in which this mode of diagnosis was crucial for determining the cause of diarrhea in a patient with HIV and CD4 count above 200 cells/mm<sup>3</sup>.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"40 ","pages":"Article e02259"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe fever with thrombocytopenia syndrome (Dabie bandavirus infection) 发热伴血小板减少综合征(大别班达病毒感染)
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02254
Zhuo Wang
{"title":"Severe fever with thrombocytopenia syndrome (Dabie bandavirus infection)","authors":"Zhuo Wang","doi":"10.1016/j.idcr.2025.e02254","DOIUrl":"10.1016/j.idcr.2025.e02254","url":null,"abstract":"<div><div>This paper introduced the diagnosis and treatment of a case of severe Dabie bandavirus infection. The disease is called severe fever with thrombocytopenia syndrome (SFTS). The disease is an acute natural epidemic disease. The disease is usually endemic in mountainous and hilly areas, in summer and autumn. Most often associated with tick bites. The main clinical manifestations of SFTS are fever, leukopenia and/or thrombocytopenia, lymphadenopathy, fatigue and gastrointestinal symptoms. The most of the prognosis is good. Aged, with underlying diseases or delay seeking medical attention, the disease can progress to a severe state. In severe cases, death can result from multiple organ failure.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"40 ","pages":"Article e02254"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual case of varicella zoster encephalitis mimicking a glioblastoma on magnetic resonance imaging and magnetic resonance spectroscopy 一个不寻常的水痘带状疱疹脑炎模拟胶质母细胞瘤的磁共振成像和磁共振波谱。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02124
Brenden Nago , Jeffrey E. Liu
{"title":"An unusual case of varicella zoster encephalitis mimicking a glioblastoma on magnetic resonance imaging and magnetic resonance spectroscopy","authors":"Brenden Nago ,&nbsp;Jeffrey E. Liu","doi":"10.1016/j.idcr.2024.e02124","DOIUrl":"10.1016/j.idcr.2024.e02124","url":null,"abstract":"<div><div>The authors report a case of varicella zoster encephalitis, mimicking a glioblastoma on Magnetic Resonance Imaging (MRI) and Magnetic Resonance Spectroscopy (MRS). The limitations of MRI/MRS, may lead to delayed treatment with antiviral agents, which can result in increased morbidity and mortality. The possibility of viral encephalitis should remain in the differential diagnosis of all patients presenting with headaches and confusion, even when imaging results are indicative of a neoplastic process.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02124"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886292","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 Gardnerella vaginalis spondylodiscitis 罕见的阴道加德纳菌性脊柱炎1例。
IF 1.1
IDCases Pub 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,&nbsp;Kassem Hammoud","doi":"10.1016/j.idcr.2024.e02126","DOIUrl":"10.1016/j.idcr.2024.e02126","url":null,"abstract":"<div><div>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 <em>Gardnerella vaginalis</em>. IV antimicrobials were stopped, and oral Metronidazole was started. He completed 10 weeks of Metronidazole therapy, with significant clinical improvement.</div><div><em>G. vaginalis</em> 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 <em>G. vaginalis</em> osteomyelitis or prosthetic joint infection, especially in males. <em>G. vaginalis</em> 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.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02126"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","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
Unmasking tuberculous arthritis in a prosthetic joint: Diagnostic and therapeutic challenges 揭露结核性关节炎在假体关节:诊断和治疗的挑战。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02134
Asbah Rahman, Aastha Randhawa, Yu Shia Lin
{"title":"Unmasking tuberculous arthritis in a prosthetic joint: Diagnostic and therapeutic challenges","authors":"Asbah Rahman,&nbsp;Aastha Randhawa,&nbsp;Yu Shia Lin","doi":"10.1016/j.idcr.2024.e02134","DOIUrl":"10.1016/j.idcr.2024.e02134","url":null,"abstract":"<div><div>An 85-year-old woman with a history of total knee replacements for osteoarthritis in the past, presented with left knee swelling and pain that persisted for 14 months. An initial diagnosis of synovial cyst was made, and she underwent multiple aspirations and symptomatic treatments without improvement. Repeat arthrocentesis showed a WBC of 56,000/μL with 61 % neutrophils and 34 % lymphocytes. Synovial fluid bacterial and fungal cultures were negative. The acid-fast bacilli (AFB) culture revealed the Mycobacterium tuberculosis complex and was confirmed by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) Mass Spectrometry. This case highlights the challenges of diagnosing tuberculous prosthetic joint infection in an elderly individual with knee pain.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02134"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11722171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972588","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
Diagnosis of disseminated cryptococcosis via iliac bone marrow aspirate analysis 髂骨髓抽吸分析诊断播散性隐球菌病。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02136
Weibu Chen, Xueyan Chen
{"title":"Diagnosis of disseminated cryptococcosis via iliac bone marrow aspirate analysis","authors":"Weibu Chen,&nbsp;Xueyan Chen","doi":"10.1016/j.idcr.2024.e02136","DOIUrl":"10.1016/j.idcr.2024.e02136","url":null,"abstract":"<div><div>HIV infection frequently affects multiple systems, with hematological manifestations being the most prevalent. In some cases, cryptococcosis serves as the initial manifestation and a cause of infection involving HIV-positive patients. This case report describes a patient with thrombocytopenia who incidentally discovered <em>Cryptococcus</em> infiltrating the bone marrow upon bone marrow smear examination, highlighting that examining bone marrow is essential in diagnosing pancytopenia resulting from opportunistic fungal infections like cryptococcosis, especially in individuals with compromised immune systems.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02136"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979803","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
Emergence of Coccidioides posadasii in an asymptomatic Ecuadorian patient with diabetes: A case report 厄瓜多尔无症状糖尿病患者出现波萨达球虫一例报告。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02137
Zanny Bastidas , Jeannete Zurita , Gabriela Sevillano , Jesus-Elias Dawaher , Pablo Cáceres , César Delgado
{"title":"Emergence of Coccidioides posadasii in an asymptomatic Ecuadorian patient with diabetes: A case report","authors":"Zanny Bastidas ,&nbsp;Jeannete Zurita ,&nbsp;Gabriela Sevillano ,&nbsp;Jesus-Elias Dawaher ,&nbsp;Pablo Cáceres ,&nbsp;César Delgado","doi":"10.1016/j.idcr.2024.e02137","DOIUrl":"10.1016/j.idcr.2024.e02137","url":null,"abstract":"<div><div>Coccidioidomycosis is a potentially serious but poorly studied mycosis in Ecuador. It is not a notifiable infection; therefore, its true incidence and prevalence in Ecuador remain unknown. Because primary lung disease due to coccidioidomycoses is typically self-limiting, it does not usually require treatment. Here, we present the first case of <em>Coccidioides posadasii</em> infection in an asymptomatic patient with diabetes without a history of travel to an endemic area. This is the first case reported in Ecuador in the last half-century.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02137"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980024","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
Fatal case of sepsis caused by Raoultella ornithinolytica: A rare opportunistic pathogen 一种罕见的机会致病菌——溶鸟粪拉乌尔菌致败血症致死亡病例。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02156
Rifah Anwar Assadi , Husain Abdulaziz AlAwadhi , Nageeb Hussein Abdulla Hasson , Rizah Anwar Assadi
{"title":"Fatal case of sepsis caused by Raoultella ornithinolytica: A rare opportunistic pathogen","authors":"Rifah Anwar Assadi ,&nbsp;Husain Abdulaziz AlAwadhi ,&nbsp;Nageeb Hussein Abdulla Hasson ,&nbsp;Rizah Anwar Assadi","doi":"10.1016/j.idcr.2025.e02156","DOIUrl":"10.1016/j.idcr.2025.e02156","url":null,"abstract":"<div><div>We present a rare case of sepsis caused by <em>Raoultella ornithinolytica</em>, a gram-negative, encapsulated bacterium. The patient, a 46-year-old male, was admitted to the intensive care unit with severe diabetic ketoacidosis, acute renal failure, and sepsis. Despite aggressive management, including continuous renal replacement therapy and high-dose inotropes, the patient's condition deteriorates rapidly, ultimately resulting in a fatal outcome. This case highlights the importance of considering <em>Raoultella ornithinolytica</em> in the differential diagnosis of sepsis, particularly in cases where the source of infection is unknown. The patient's clinical course underscores the challenges of managing sepsis in the intensive care unit and the need for continued research into the diagnosis, treatment, and prevention of sepsis caused by this rare opportunistic pathogen.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02156"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081514","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
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