IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e01984
Jacob Beery , Kevin Roberston , Ashley Hynes , Adam Douglas , John Peters , Ryan Freedle , Robin Chamberland , Kevin Reilly , Getahun Abate
{"title":"Campylobacter gastroenteritis and bacteremia in an asplenic patient with a recent history of Yersinia Enterocolitis: Case report and literature review","authors":"Jacob Beery , Kevin Roberston , Ashley Hynes , Adam Douglas , John Peters , Ryan Freedle , Robin Chamberland , Kevin Reilly , Getahun Abate","doi":"10.1016/j.idcr.2024.e01984","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01984","url":null,"abstract":"<div><p>In this case report, we present a patient with a history of splenectomy and two recent hospital admissions for severe gastroenteritis with sepsis. The first hospital admission was for <em>Yersinia enterocolitica</em> and the second admission was for <em>Campylobacter fetus</em> gastroenteritis with bacteremia. During both admissions, the patient was treated with a prolonged course of antibiotics and later discharged with full recovery. In our review, we address the risk of enterocolitis in splenectomized patients.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400060X/pdfft?md5=019e3a8b6ab8cda2abd88e7f8467b869&pid=1-s2.0-S221425092400060X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906479","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}
{"title":"Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report","authors":"Taku Harada , Toshiyuki Nakanishi , Satoshi Kutsuna , Mori Nakai","doi":"10.1016/j.idcr.2024.e01975","DOIUrl":"10.1016/j.idcr.2024.e01975","url":null,"abstract":"<div><p>Helicobacter cinaedi, a gram-negative spiral bacterium, has historically been associated with infections primarily in immunocompromised patients. Recently, however, its potential to cause infections in immunocompetent individuals has been recognized. We report a unique case of a man in his 20 s who reported having sex with men. He presented with symptoms of fever and throat discomfort and was diagnosed with a peritonsillar abscess. While the rapid antigen test for Group A Streptococcus was positive and antibiotics were administered, a puncture fluid from the peritonsillar abscess taken the day after antibiotic treatment revealed the presence of Group C Streptococcus. By the fifth day, the blood culture taken on the first day detected a gram-negative spirochete, which was subsequently identified H. cinaedi. The patient had engaged in oral sex with his male partner, suggesting a potential transmission route. This is significant as H. cinaedi was initially identified from rectal cultures in men who have sex with men (MSM), raising the possibility of pharyngeal transmission through oral sex. In our patient, although H. cinaedi was not isolated from the aspirate of the peritonsillar abscess, its presence in the blood culture and lack of other potential sources of bacteremia make the abscess a likely primary site of infection. This case highlights the importance of considering H. cinaedi as a potential pathogen in immunocompetent patients, particularly in cases of MSM. The potential for H. cinaedi transmission through oral sex and its role in the development of peritonsillar abscesses, a previously unreported association, requires further investigation.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000519/pdfft?md5=ce98e108a58df550be5bf17587a78983&pid=1-s2.0-S2214250924000519-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759788","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}
{"title":"Acquired bedaquiline and fluoroquinolones resistance during treatment follow-up in Oromia Region, North Shewa, Ethiopia","authors":"Getu Diriba , Ayinalem Alemu , Betselot Zerihun Ayano , Bazezew Yenew , Michael Hailu , Bedo Buta , Amanuel Wondimu , Zigba Tefera , Zerihun Ababu , Yerosen Ebisa , Shewki Moga , Gemechu Tadesse","doi":"10.1016/j.idcr.2024.e01988","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01988","url":null,"abstract":"<div><h3>Background</h3><p>Bedaquiline (BDQ) is an effective drug currently used for multidrug-resistant or rifampicin-resistant TB (MDR/RR-TB) and pre-extensively drug-resistant TB (pre-XDR-TB) treatment. However, resistance to this new drug is emerging. We discussed the characteristics of the first patient in Ethiopia who acquired BDQ and fluoroquinolones (FQs) resistance during treatment follow-up.</p></div><div><h3>Case report</h3><p>In this case report, we present the case of a 28-year-old male pulmonary TB patient diagnosed with MDR-TB who is a resident of the Oromia Region of North Shewa, Mulona Sululta Woreda, Ethiopia. Sputum specimen was collected initially and for treatment monitoring using culture and for phenotypic drug susceptibility testing (DST) to first-line and second-line TB drugs. Initially, the patient was infected with a mycobacterial strain resistant to the first-line anti-TB drugs Rifampicin (RIF), Isoniazid (INH), and Pyrazinamide (PZA). Later, during treatment, he acquired additional drug resistance to ethambutol (EMB), ofloxacin (OFX), levofloxacin (LFX), moxifloxacin (MFX), and BDQ. The patient was tested with MTBDR<em>plus</em> and MTBDR<em>sl</em> to confirm the presence of resistance-conferring mutation and mutation was detected in <em>rpoB, katG,</em> and <em>gyrA</em> genes. Finally, the patient was registered as having extensively drug-resistant tuberculosis (XDR-TB) and immediately started an individualized treatment regimen.</p></div><div><h3>Conclusion</h3><p>This case report data has revealed the evolution of BDQ resistance during treatment with a BDQ-containing regimen in Ethiopia. Therefore, there is a need for DST to new second-line drugs to monitor and prevent the spread of DR-TB.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000647/pdfft?md5=66283ef993a21b78e32db7140ead6942&pid=1-s2.0-S2214250924000647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948454","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}
IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e01968
Ashton D. Hall , Laura Victoria Medina Rodriguez , Jared Vearrier , Kavya Patel , Bryan C. Hambley , Moises A. Huaman
{"title":"The great imitator: Tuberculosis with lymphadenopathy and splenomegaly","authors":"Ashton D. Hall , Laura Victoria Medina Rodriguez , Jared Vearrier , Kavya Patel , Bryan C. Hambley , Moises A. Huaman","doi":"10.1016/j.idcr.2024.e01968","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01968","url":null,"abstract":"<div><p>Tuberculosis (TB) is a leading infectious killer worldwide. Over two-thirds of new TB diagnoses in the United States occur among first-generation immigrants, especially within a year of migration. Hodgkin lymphoma (HL) accounts for a minority of lymphoma cases but presents similarly to disseminated or extrapulmonary TB. Clinical overlap between TB and HL increases patient risk of misdiagnosis. Concomitant presentation of both diseases is not uncommon but infrequently reported. We present a case of isoniazid-resistant TB with progressively worsening lymphadenopathy and splenomegaly despite appropriate TB treatment. The patient was diagnosed with HL following PET/CT and axillary lymph node biopsy.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000441/pdfft?md5=bd3ca549060c8ac8c507148049fda40e&pid=1-s2.0-S2214250924000441-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140607080","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}
{"title":"Malignant syphilis requiring differentiation from Kaposi's sarcoma","authors":"Mieko Tokano , Norihito Tarumoto , Kazuo Imai , Hiroshi Yamaguchi , Masaaki Takeji , Fumito Inayoshi , Keita Okamoto , Nobuhito Okumura , Shigefumi Maesaki","doi":"10.1016/j.idcr.2024.e01943","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01943","url":null,"abstract":"<div><p>Malignant syphilis (MS) is a rare variant of secondary syphilis. Also known as rupioid syphilis, MS is characterized by the presence of multiple papules, papulopustules, black lamellate crust that may resemble an oyster shell, or nodules with ulceration lacking central clearing. MS is often associated with immunodeficiency and frequently co-occurs with HIV infection. We here report a case of MS in a patient with HIV infection. HIV infection can cause atypical clinical symptoms of syphilis. In this case, unlike previous cases, cutaneous lesions of MS were limited to the face, making the diagnosis challenging based on clinical findings alone. However, his laboratory findings, appearance of the Jarisch-Herxheimer reaction, and a dramatic response to antibiotic therapy are characteristic of MS, making the diagnosis even more certain. Our case suggests the importance of physicians considering the possibility of MS when observing black-crusted lesions.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000192/pdfft?md5=e43924ef738e4b4587de17471db24f03&pid=1-s2.0-S2214250924000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140607102","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}
IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e01967
Ayemane Salif , Ferdinand Bigirimana , Sophie Willems , Gina Reichman , Johanna Noels , Sigi Van Den Wijngaert , Sophie Lecomte , Evelyne Maillart , Philippe Clevenbergh
{"title":"Bacillus Calmette-Guérin (BCG) prostato-epididymitis in a patient treated for a non-invasive urothelial cancer: A case report","authors":"Ayemane Salif , Ferdinand Bigirimana , Sophie Willems , Gina Reichman , Johanna Noels , Sigi Van Den Wijngaert , Sophie Lecomte , Evelyne Maillart , Philippe Clevenbergh","doi":"10.1016/j.idcr.2024.e01967","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01967","url":null,"abstract":"<div><h3>Introduction</h3><p>The Bacillus Calmette-Guérin (BCG) used as anti-tuberculous vaccine is also a well-known therapy for superficial urothelial cancer. Local or general side effects can occur, although it is generally well tolerated.</p></div><div><h3>Case</h3><p>We present the case of a 65 year-old caucasian man consulting for gross hematuria and lower urinary tract symptoms. Magnetic resonance imaging (MRI) demonstrated a non-invasive urothelial carcinoma (NMIBC) and Prostate Imaging–Reporting and Data System (PIRADS) IV lesions. Transurethral resection of the bladder tumor revealed a non-invasive transitional cell carcinoma. Intravesical Bacillus Calmette Guerin (BCG) therapy was provided. After 6 intravesical instillations, the patient presented with prostato-epididymitis. Forthcoming BCG instillations were canceled, and cancer treatment was switched to epirubicine. Treatment with ethambutol, rifampicin and isoniazid was started with rapid resolution of the symptoms. Urinary and semen cultures grew <em>Mycobacterium tuberculosis</em> complex strain BCG. As prostate specific antigen (PSA) rose, prostate’s biopsies were performed showing extensive necrosis boarded by granulomas without signs of malignancy.</p></div><div><h3>Discussion</h3><p>BCGitis is a rare complication in patients treated for non-invasive urothelial cancer. Several risk factors, local and systemic, should be considered prior to this immunotherapy. BCGitis (local or disseminated) or hypersensitivity reactions to BCG must be included in the differential diagnosis even if therapy was administered several years before the symptoms. Adequate treatment must be started as fast as possible to avoid serious complications.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400043X/pdfft?md5=5ce31518f8239a15483b9921ab561dbc&pid=1-s2.0-S221425092400043X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140644331","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}
IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e02106
Qing Wang , Shijie Duan , Shikun Deng , Shenghui Yu
{"title":"Isolated retrobulbar optic neuritis after Klebsiella pneumoniae infection: A rare case report and literature review","authors":"Qing Wang , Shijie Duan , Shikun Deng , Shenghui Yu","doi":"10.1016/j.idcr.2024.e02106","DOIUrl":"10.1016/j.idcr.2024.e02106","url":null,"abstract":"<div><div>A new invasive Klebsiella pneumoniae liver abscess syndrome (IKPLAS) has been described. It is often described as primary liver abscess and metastatic infection in multiple systems. Patients often develop endogenous endophthalmitis (EE), when the infection affects the eyes. Isolated optic neuritis (ON) is an unusual manifestation of Klebsiella pneumoniae (<em>K</em>. pneumoniae) infection associated ocular complications. We report a rare case of isolated retrobulbar optic neuritis in a 33-year-old young man on the 4th day of admission with severe pneumonia as the first symptom. Cerebrospinal fluid (CSF) analysis showed higher protein levels (1.12 g/l) but aquaporin-4 (AQP4) & myelin oligodendrocyte glycoprotein (MOG) antibodies were negative. Pulse therapy with intravenous methylprednisolone (1 g daily for 3 days, followed by tapering for a total of 2 months) and immunoglobulin (37.5 g daily for 5 days) was effective on his ON. We suggest that this was a form of para-infectious optic neuritis (PON) triggered by <em>K</em>. pneumoniae infection. <em>K.</em> pneumoniae antigens induced para-infectious demyelination of the optic nerve may be involved in visual impairment.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142539108","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}
IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e02049
Adam Cewers , Torgny Sunnerhagen , Patrik Gilje , Fredrik Wannheden , Jonas Bläckberg , Per Wierup , Mårten Larsson , Magnus Rasmussen
{"title":"Even a single positive blood culture may matter – A case of prosthetic valve infective endocarditis caused by Corynebacterium kroppenstedtii","authors":"Adam Cewers , Torgny Sunnerhagen , Patrik Gilje , Fredrik Wannheden , Jonas Bläckberg , Per Wierup , Mårten Larsson , Magnus Rasmussen","doi":"10.1016/j.idcr.2024.e02049","DOIUrl":"10.1016/j.idcr.2024.e02049","url":null,"abstract":"<div><p><em>Corynebacterium</em> is a skin commensal bacterium that can contaminate blood cultures. It is however also a rare cause of infective endocarditis (IE). Here we report a case of <em>Corynebacterium kroppenstedtii</em> aortic prosthesis IE in a 76-year-old man where only a single blood culture bottle was positive initially. <em>C. kroppenstedtii</em> is a very rare cause of IE, only reported two times previously. The diagnosis in our case was confirmed by repeated blood culture positivity and eventually by detection of DNA from <em>C. kroppenstedtii</em> on heart valves after valve exchange surgery. At surgery an aortic root abscess was detected and the valve was replaced by a homograft. Recovery was complicated by antibiotic-induced nephrotoxicity and treatment was concluded with moxifloxacin in combination with rifampicin. Recovery was uneventful. This case demonstrates that growth in even a single blood culture bottle may be important in patients with prosthetic heart valves.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001252/pdfft?md5=a4b5a56a62d82aa038dbdb247a4c5abc&pid=1-s2.0-S2214250924001252-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951667","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}
IDCasesPub Date : 2024-01-01DOI: 10.1016/j.idcr.2024.e02039
Md. Mehedi Hasan, Fariha Fairouz, Amit Banik, Md. Jubaidul Islam, Jamal Uddin Ahmed
{"title":"Salmonella infective endocarditis in a young diabetic lady with device closure of PDA and VSD: A rare case report","authors":"Md. Mehedi Hasan, Fariha Fairouz, Amit Banik, Md. Jubaidul Islam, Jamal Uddin Ahmed","doi":"10.1016/j.idcr.2024.e02039","DOIUrl":"10.1016/j.idcr.2024.e02039","url":null,"abstract":"<div><p>The risk of infective endocarditis remains a major concern in patients with congenital heart disease; nevertheless, use of devices and prostheses in corrective surgery may have contributed to an increased incidence. Infective endocarditis due to Salmonella species are infrequently reported, therefore, their clinical presentations, prognosis and optimal treatment guideline are poorly described in literature. Here, we report a case of an 18-year-old diabetic lady with history of device closure of Patent ductus arteriosus and closure of peri-membranous small Ventricular septal defect in the year of 2005 and 2018 respectively who presented to us with high-grade fever for 10 days without any focal symptom. She was initially diagnosed as a case of Enteric fever based on serological tests for Salmonella species, later Transesophageal echocardiography confirmed infective endocarditis. The patient was treated with combination of antibiotics for a total 6-week duration. Although very rare, Salmonella have a predilection for the heart valves, particularly mitral and aortic valves. Diagnosis may be difficult, blood culture is often negative and a Transesophageal echocardiography should be performed without delay particularly in high risk patients. In most cases Salmonella endocarditis can be successfully treated with antimicrobials alone<em>.</em></p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400115X/pdfft?md5=1ea3c31bf7ad0c2f9c078e9c8195e60a&pid=1-s2.0-S221425092400115X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951669","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}