IDCases最新文献

{"title":"Malignant syphilis requiring differentiation from Kaposi's sarcoma","authors":"Mieko Tokano ,&nbsp;Norihito Tarumoto ,&nbsp;Kazuo Imai ,&nbsp;Hiroshi Yamaguchi ,&nbsp;Masaaki Takeji ,&nbsp;Fumito Inayoshi ,&nbsp;Keita Okamoto ,&nbsp;Nobuhito Okumura ,&nbsp;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":"36 ","pages":"Article e01943"},"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}

{"title":"Tracheostomy wound myiasis in a patient with hypoxic encephalopathy","authors":"Kazuhiro Itoh ,&nbsp;Atsushi Kuwata ,&nbsp;Chiyo Kiriba ,&nbsp;Yukari Kuwata ,&nbsp;Tooru Enomoto ,&nbsp;Yukie Yoshioka ,&nbsp;Michie Nakayama ,&nbsp;Hiroshi Tsutani ,&nbsp;Yasuhiko Mitsuke ,&nbsp;Hiromichi Iwasaki","doi":"10.1016/j.idcr.2024.e01969","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01969","url":null,"abstract":"","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01969"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000453/pdfft?md5=f56d9f7c0ed335153a2d9f4e593e7fb4&pid=1-s2.0-S2214250924000453-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140631776","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":"Bacillus Calmette-Guérin (BCG) prostato-epididymitis in a patient treated for a non-invasive urothelial cancer: A case report","authors":"Ayemane Salif ,&nbsp;Ferdinand Bigirimana ,&nbsp;Sophie Willems ,&nbsp;Gina Reichman ,&nbsp;Johanna Noels ,&nbsp;Sigi Van Den Wijngaert ,&nbsp;Sophie Lecomte ,&nbsp;Evelyne Maillart ,&nbsp;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":"36 ","pages":"Article e01967"},"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}

{"title":"Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report","authors":"Taku Harada ,&nbsp;Toshiyuki Nakanishi ,&nbsp;Satoshi Kutsuna ,&nbsp;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":"36 ","pages":"Article e01975"},"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":"Unilateral dystrophic circumferential calcified ureteral stenosis with hydronephrosis associated with multisystem inflammatory syndrome in adults following coronavirus disease 2019","authors":"Makoto Hibino,&nbsp;Yuta Kasai,&nbsp;Hikari Higa,&nbsp;Shigehiro Watanabe,&nbsp;Riko Kamada,&nbsp;Shunichi Tobe,&nbsp;Kazunari Maeda,&nbsp;Tetsuri Kondo","doi":"10.1016/j.idcr.2024.e02082","DOIUrl":"10.1016/j.idcr.2024.e02082","url":null,"abstract":"","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02082"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001586/pdfft?md5=fe3c270a1e9d09730b87ab1c52ea0e03&pid=1-s2.0-S2214250924001586-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241732","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":"Miliaria crystallina complicating infectious spondylodiscitis","authors":"Olfa Jomaa,&nbsp;Mouna Brahem,&nbsp;Habib Hajji,&nbsp;Mahbouba Ardhaoui,&nbsp;Rihab Sarraj,&nbsp;Mohamed Younes,&nbsp;Rebeh Bougossa,&nbsp;Fatma Elarbi","doi":"10.1016/j.idcr.2024.e02076","DOIUrl":"10.1016/j.idcr.2024.e02076","url":null,"abstract":"<div><p>We report the case of miliaria crystallina complicating infectious spondylodiscitis in the lumbar region in a 66-year old woman. The eruption was concomitant with a persistent malignant fever and consisted of diffuse vesicular lesions spread all over the body with regress after resolution of fever.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02076"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001525/pdfft?md5=8a644529830cc3d9666d96a086546171&pid=1-s2.0-S2214250924001525-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271645","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":"Severe meningitis and infectious aneurysm rupture of the middle cerebral artery following mechanical thrombectomy in infective endocarditis: A case report","authors":"Yeting Luo,&nbsp;Zhijuan Lu,&nbsp;Yunhui Zhu,&nbsp;Zhaohui Lai","doi":"10.1016/j.idcr.2024.e02086","DOIUrl":"10.1016/j.idcr.2024.e02086","url":null,"abstract":"<div><h3>Introduction</h3><div>Infective endocarditis (IE) is known to precipitate several severe complications, often culminating in dire outcomes. In this report, we present the case of a 33-year-old female with IE, which was further complicated by the occurrence of brain infarction, meningitis, and infectious aneurysm.</div></div><div><h3>Case report</h3><div>A 33-year-old female patient, presenting with left limb weakness persisting for a duration of 15 h, was admitted to our medical facility. A head MRI scan disclosed the presence of an acute cerebral infarction located in the left hemisphere, and subsequent CT angiography confirmed an occlusion of the M1 segment of the left middle cerebral artery. Consequently, the patient underwent mechanical thrombectomy as an intervention. Several days later, echocardiography revealed the presence of a 6.5 × 3.2 mm vegetation on the anterior mitral valve cusp, while blood cultures returned positive for Streptococcus mitis. A diagnosis of IE was established, and antibiotic therapy tailored to the microbiological sensitivities was promptly initiated. However, on the ninth day of her hospitalization, the patient's clinical condition deteriorated significantly due to the emergence of critical complications, including meningitis and a infectious aneurysm. Despite the implementation of aggressive antibiotic therapy, her condition continued to worsen, ultimately resulting in her demise on the sixteenth day of hospitalization, precipitated by the rupture of the infectious aneurysm.</div></div><div><h3>Conclusions</h3><div>The occurrence of infective endocarditis alongside brain infarction, meningitis, and infectious aneurysm in a single patient represents a rare, intricate, and gravely serious clinical scenario. In such instances, the responsibility for management should be vested in a multidisciplinary team of healthcare professionals.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02086"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526847","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":"Pulmonary coccidioidomycosis in China: Case reports and literature review","authors":"Huanhuan Bi ,&nbsp;Feng Hou ,&nbsp;Weizhong Han ,&nbsp;JiaXing Sun ,&nbsp;DunQiang Ren ,&nbsp;Min Zhuang ,&nbsp;Chunling Zhang ,&nbsp;Hongmei Wang","doi":"10.1016/j.idcr.2024.e02102","DOIUrl":"10.1016/j.idcr.2024.e02102","url":null,"abstract":"<div><div>Coccidioidomycosis is a fungal infection commonly found in the tropical regions of southwestern United States, such as Arizona, the Central Valley of California, parts of New Mexico, and western Texas. The endemic regions also extend into northern Mexico and include focal endemic areas in sections of Central America and Argentina. Coccidioides species have also been reported in central and southern Utah, Nevada, and the central part of Washington State., the pathogenic bacteria commonly colonize the lungs. China, which is outside the traditionally established endemic area, is witnessing a rise in reported cases of pulmonary coccidioidomycosis. Meanwhile, the comorbidities of the disease began to become complicated. We reported two Chinese patients with pulmonary coccidioidomycosis complicated by organizing pneumonia and reviewed 42 cases of Chinese patients in the literature from 1958 to 2024. Out of the 44 patients from 13 different provinces (Including Hong Kong Special Administrative Region and Taiwan), the average age was (43.08 ± 3.03) years. Among them, 34 (76.7 %) were male, while 10 (23.3 %) were female, cough/sputum (81.8 %) are the most common symptoms, the cases are concentrated in coastal areas. 27(61.4 %) were Imported and 17(38.6 %) were domestic primary cases, showing a higher proportion of imported cases compared to domestic primary cases. Misdiagnosis and mistreatment have a significant impact on patients, the combination of new technologies and traditional pathology diagnosis have substantially promoted precise diagnosis for clinician in non-endemic areas. Interestingly, the histopathological findings of the two patients we report showed evident organizing pneumonia and an increased eosinophil count, the application of corticosteroid drugs notably improved the patients' conditions. Overall, at least 84.1 % of patients had a favorable prognosis. Considering the changing epidemiology of pulmonary coccidioidomycosis, Chinese healthcare providers should be cautious about their patients' travel history, particularly among male individuals.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02102"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526784","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":"Isolated retrobulbar optic neuritis after Klebsiella pneumoniae infection: A rare case report and literature review","authors":"Qing Wang ,&nbsp;Shijie Duan ,&nbsp;Shikun Deng ,&nbsp;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) &amp; 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":"38 ","pages":"Article e02106"},"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}

{"title":"Turicella otitidis hypoglossal nerve stimulator device associated infection","authors":"Angela McGaugh ,&nbsp;William Russell ,&nbsp;Erin Boswell","doi":"10.1016/j.idcr.2024.e01979","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01979","url":null,"abstract":"<div><p>71-year-old male with history of obstructive sleep apnea presented with persistent drainage from the surgical incision site over the recently implanted hypoglossal nerve stimulator. Wound cultures from device pocket identified the pathogen as <em>Turicella otitidis</em>. Clinical course included treatment with broad-spectrum intravenous antibiotics and device explantation. This case is the first known <em>T. otitidis</em> device associated infection.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01979"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000556/pdfft?md5=bf57345589c0cf2864c8355022845aaf&pid=1-s2.0-S2214250924000556-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893385","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}