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A rare neurological complication of dengue: Guillain-Barré Syndrome in a dengue fever patient
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02160
Ibrahim Nagmeldin Hassan , Siddig Yaqub , Mohamed Ibrahim , Ghada Aljaili , Nagmeldin Abuassa
{"title":"A rare neurological complication of dengue: Guillain-Barré Syndrome in a dengue fever patient","authors":"Ibrahim Nagmeldin Hassan ,&nbsp;Siddig Yaqub ,&nbsp;Mohamed Ibrahim ,&nbsp;Ghada Aljaili ,&nbsp;Nagmeldin Abuassa","doi":"10.1016/j.idcr.2025.e02160","DOIUrl":"10.1016/j.idcr.2025.e02160","url":null,"abstract":"<div><h3>Background</h3><div>Dengue fever is a common viral illness in tropical and subtropical regions, typically presenting with fever, myalgia, and hemorrhagic symptoms. While neurological complications are rare, Guillain-Barré Syndrome (GBS) is a known but uncommon sequelae of viral infections, including dengue.</div></div><div><h3>Case presentation</h3><div>We report the case of a previously healthy 32-year-old male who developed acute flaccid paralysis secondary to GBS following a dengue fever infection. The patient initially presented with classic dengue symptoms—fever, severe headache, retro-orbital pain, and myalgia. Following resolution of the acute dengue phase, he developed ascending muscle weakness, areflexia, and numbness in both legs. Electromyography confirmed a diagnosis of GBS, and cerebrospinal fluid analysis revealed albuminocytologic dissociation. The patient was treated with intravenous immunoglobulin (IVIG), leading to significant clinical improvement, with gradual recovery of motor function.</div></div><div><h3>Discussion</h3><div>This case highlights the rare but significant neurological complication of GBS following dengue fever. Clinicians should maintain a high index of suspicion for GBS in patients recovering from dengue, especially in endemic regions. Early diagnosis and treatment with IVIG or plasmapheresis are critical for improving outcomes in these patients.</div></div><div><h3>Conclusion</h3><div>Dengue fever can lead to severe neurological sequelae such as GBS, and early recognition and intervention can prevent long-term disability. This case underscores the need for vigilance in identifying such complications in patients recovering from viral infections.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02160"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158932","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
Otomyiasis caused by Lucilia Sericata: A case report
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02163
Makram Tbini , Chaima Ben Ammar , Ines Riahi , Mabrouk Chamakh , Mamia Ben Salah
{"title":"Otomyiasis caused by Lucilia Sericata: A case report","authors":"Makram Tbini ,&nbsp;Chaima Ben Ammar ,&nbsp;Ines Riahi ,&nbsp;Mabrouk Chamakh ,&nbsp;Mamia Ben Salah","doi":"10.1016/j.idcr.2025.e02163","DOIUrl":"10.1016/j.idcr.2025.e02163","url":null,"abstract":"<div><div>Otomysis is the infestation of human ears with dipterous larvae. It is a rare medical issue, primarily observed in individuals with underlying vulnerabilities residing in tropical and subtropical regions.</div><div>A 56-year-old farmer, with a history of chronic otitis media, presented to our emergency department for otalgia and pruritus of the right ear. Otoscopic examination revealed numerous whitish larvae. Management was based on abundant irrigation using saline solution</div><div>Otomyiasis is a rare disease that should be considered in the differential diagnosis of patients presenting with unexplained otological symptoms, particularly in rural areas.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02163"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550857","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
Unusual findings in diarrheal disease: Detection of a microscopic entity of unclear significance
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02189
J. Zintgraff , M. Peña , V. Di Matteo , R. Astesana , A. Fernández Garcés , G. Astudillo
{"title":"Unusual findings in diarrheal disease: Detection of a microscopic entity of unclear significance","authors":"J. Zintgraff ,&nbsp;M. Peña ,&nbsp;V. Di Matteo ,&nbsp;R. Astesana ,&nbsp;A. Fernández Garcés ,&nbsp;G. Astudillo","doi":"10.1016/j.idcr.2025.e02189","DOIUrl":"10.1016/j.idcr.2025.e02189","url":null,"abstract":"<div><div>A 70-year-old woman presented with abdominal pain and diarrhea, with negative stool tests for common pathogens. Microscopy revealed a unique round structure with hyaline pseudopod-like extensions and a double membrane. While literature suggests a potential link to Urbanorum, a debated entity first reported in the 1990s, its classification remains uncertain. This case highlights the importance of rigorous methodologies to establish the clinical significance of such findings.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02189"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535131","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
Intracellular but not undetectable: A case of Francisella tularensis pericarditis
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02145
Nicholas P. Bergeron , Cameron G. Gmehlin , Haris Akhtar , Kemar O. Barrett , Sara S. Inglis , Lawrence J. Sinak , Charanjit S. Rihal , Daniel C. DeSimone
{"title":"Intracellular but not undetectable: A case of Francisella tularensis pericarditis","authors":"Nicholas P. Bergeron ,&nbsp;Cameron G. Gmehlin ,&nbsp;Haris Akhtar ,&nbsp;Kemar O. Barrett ,&nbsp;Sara S. Inglis ,&nbsp;Lawrence J. Sinak ,&nbsp;Charanjit S. Rihal ,&nbsp;Daniel C. DeSimone","doi":"10.1016/j.idcr.2024.e02145","DOIUrl":"10.1016/j.idcr.2024.e02145","url":null,"abstract":"<div><div><em>Francisella tularensis</em> is a facultatively intracellular, gram-negative bacillus and a rare cause of infection in the United States. We report a case of a 45-year-old male who presented with ongoing fever, shortness of breath, and was found to have a pericardial effusion and pulmonic infiltrates due to <em>F. tularensis</em>. Though tularemia is classically associated with rabbits and rodents, we note the patient in our case had no clear infectious exposure. Tularemia pericarditis is extremely rare, and this will be only the second report since 1957. We highlight the possible benefits of microbial cell-free DNA next generation sequencing when infection is suspected without obvious cause to reduce the morbidity and mortality from underlying infection.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02145"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048154","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 : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02123
Hao Wang , Hongna Yang
{"title":"A case of acute community-acquired pneumonia caused by Tropheryma whipplei in pregnant woman without predisposing medical conditions","authors":"Hao Wang ,&nbsp;Hongna Yang","doi":"10.1016/j.idcr.2024.e02123","DOIUrl":"10.1016/j.idcr.2024.e02123","url":null,"abstract":"<div><div><em>Tropheryma whipplei</em> (<em>T. whipplei</em>) is extensively known as the etiological bacterium of Whipple’s disease (WD). Here, we reported a case of community-acquired pneumonia caused by <em>T. whipplei</em> in a young pregnant woman without predisposing medical conditions. This case indicated that <em>T. whipplei</em> might be also transmitted via respiratory droplet.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02123"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907780","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
Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02185
Cameron G. Gmehlin , Nicholas P. Bergeron , Vaishnavi Ramesh , Haris Akhtar , Zelalem Temesgen
{"title":"Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis","authors":"Cameron G. Gmehlin ,&nbsp;Nicholas P. Bergeron ,&nbsp;Vaishnavi Ramesh ,&nbsp;Haris Akhtar ,&nbsp;Zelalem Temesgen","doi":"10.1016/j.idcr.2025.e02185","DOIUrl":"10.1016/j.idcr.2025.e02185","url":null,"abstract":"<div><div>Empyema necessitans is a rare complication of empyema and often associated with chronic, untreated infections. Here we report a case of a 28-year-old male who presented with cough, fever, pleuritic chest pain, and left chest wall mass who was found to have empyema necessitans caused by <em>Blastomycosis dermatiditis</em>. He was neither immunocompromised nor had exposures to soil or freshwater sources. Empyema necessitans caused by Blastomyces is rare, with only three other case reports published in the literature. We write to raise awareness of this phenomenon and highlight the importance of maintaining strong clinical suspicion for fungal etiologies of chronic constitutional and pulmonary symptoms, especially when unresponsive to empiric antibiotics.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02185"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396274","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
Two patients with endometriosis require peripregnancy surgical treatment for pelvic abscesses after egg collection and embryo transfer
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02184
Tatsunori Shiraishi , Masafumi Toyoshima , Masao Ichikawa , Shigeo Akira
{"title":"Two patients with endometriosis require peripregnancy surgical treatment for pelvic abscesses after egg collection and embryo transfer","authors":"Tatsunori Shiraishi ,&nbsp;Masafumi Toyoshima ,&nbsp;Masao Ichikawa ,&nbsp;Shigeo Akira","doi":"10.1016/j.idcr.2025.e02184","DOIUrl":"10.1016/j.idcr.2025.e02184","url":null,"abstract":"<div><div>Assisted reproductive technology procedures infrequently cause pelvic abscesses, but the risk is higher in patients with endometriosis. If antibiotic treatment of a pelvic abscess is unsuccessful, surgery is required—even during pregnancy. We report two patients with endometriosis who suffered from pelvic abscesses formed after egg collection and embryo transfer. Patient 1 underwent laparoscopic resection of the left adnexa and right ovarian cystectomy after diagnosis of the implantation failure. Surgical findings showed severe adhesions in the pelvis due to endometriosis. Patient 2 underwent open drainage surgery at 11 weeks of pregnancy due to pan-peritonitis caused by a pelvic abscess. The patient delivered at 36 weeks of gestation. We conclude that egg collection and embryo transfer in patients with endometriosis confers a high risk for pelvic infection. An accurate diagnosis and appropriate treatment, including surgery, are mandatory in case of severe pelvic abscesses during pregnancy to save both mother and fetus.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02184"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386998","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
The cruciality of increasing index of suspicion for atypical Bartonella henselae in pediatric patients: A case series
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2025.e02192
Victoria Vazquez , Lorraine Bermudez-Rivera , Arino Neto , Vanessa Perez , Adriana Cadilla , Linette Sande
{"title":"The cruciality of increasing index of suspicion for atypical Bartonella henselae in pediatric patients: A case series","authors":"Victoria Vazquez ,&nbsp;Lorraine Bermudez-Rivera ,&nbsp;Arino Neto ,&nbsp;Vanessa Perez ,&nbsp;Adriana Cadilla ,&nbsp;Linette Sande","doi":"10.1016/j.idcr.2025.e02192","DOIUrl":"10.1016/j.idcr.2025.e02192","url":null,"abstract":"<div><div><em>Bartonella henselae</em>, a gram-negative rod, is the etiologic agent of cat scratch disease, which may manifest as a self-limiting local infection or as an atypical, invasive disease. Establishing <em>B. henselae</em> as the causative organism can be challenging as it is a fastidious organism that does not grow on traditional media. Diagnosis is generally performed with serology, which has variable turnaround times, or microbial cell-free DNA (mcfDNA) sequencing, which has a high cost. Therefore, a high index of suspicion is necessary for timely diagnosis and management of these invasive infections. We depict a case series of nine atypical Bartonella infections in children. By highlighting these presentations, their diagnostic testing, and treatment, we emphasize the significance of an elevated index of suspicion of atypical bartonellosis for accurate diagnosis and timely antibiotic management. Our invasive Bartonella cases entail culture-negative subacute endocarditis, osteomyelitis, neuroretinitis, encephalitis, hepatosplenic disease, and lymphadenopathy with splenic involvement.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"40 ","pages":"Article e02192"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593429","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 fatal case of disseminated Cladophialophora bantiana infection in a renal transplant recipient 肾移植受者弥散性班提亚氏克氏菌感染1例死亡。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02128
Kali Maniam , Rabeeya Sabzwari , Daniel Carlsen
{"title":"A fatal case of disseminated Cladophialophora bantiana infection in a renal transplant recipient","authors":"Kali Maniam ,&nbsp;Rabeeya Sabzwari ,&nbsp;Daniel Carlsen","doi":"10.1016/j.idcr.2024.e02128","DOIUrl":"10.1016/j.idcr.2024.e02128","url":null,"abstract":"<div><div>Dematiaceous molds often cause noninvasive disease but have the potential to cause disseminated infection, particularly in immunosuppressed hosts. <em>Cladophialophora bantiana</em> is the most neurotropic of dematiaceous molds and is associated with brain abscesses, but disseminated infection is quite rare. Here we present a case of disseminated <em>C. bantiana</em> in a 67-year-old renal transplant recipient with multifocal soft tissue, bone and presumed central nervous system involvement. <em>C. bantiana</em> infections have been associated with significant mortality and our patient had progression of his disease despite intensive dual antifungal therapy with close therapeutic drug monitoring. There was a delay in diagnosis and initiation of antifungal therapy as the multifocal disease was presumed to represent a malignant process. This case review highlights the importance of having a high index of suspicion for disseminated fungal infection in immunocompromised patients and the need for tissue biopsy to aid in the prompt and timely diagnosis and initiation of empiric antifungal therapy, with concomitant surgical management whenever possible to improve patient outcomes.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02128"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979898","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
Pulmonary hydatid cyst misdiagnosed as lung cancer 肺水瘤囊肿被误诊为肺癌。
IF 1.1
IDCases Pub Date : 2025-01-01 DOI: 10.1016/j.idcr.2024.e02133
Houssem Messaoudi , Imen Ben Ismail , Wafa Ragmoun , Mokhles Lajmi , Bochra Zayène , Islam Mejri , Saber Hachicha
{"title":"Pulmonary hydatid cyst misdiagnosed as lung cancer","authors":"Houssem Messaoudi ,&nbsp;Imen Ben Ismail ,&nbsp;Wafa Ragmoun ,&nbsp;Mokhles Lajmi ,&nbsp;Bochra Zayène ,&nbsp;Islam Mejri ,&nbsp;Saber Hachicha","doi":"10.1016/j.idcr.2024.e02133","DOIUrl":"10.1016/j.idcr.2024.e02133","url":null,"abstract":"<div><div>Hydatid disease is endemic in Tunisia. Whereas uncomplicated pulmonary hydatid cysts are easily diagnosed on radiological findings, complicated and atypical forms may be misdiagnosed and confused with other pulmonary lesions, mainly lung malignancies. We report a case of a 47-year-old woman, who presented with a 3-month history of hemoptysis. Physical examination was normal. Chest x-ray and CT scan of the chest revealed a mass with speculated margins and central necrosis, located in the apical segment of the right lower lobe moderately contrast-enhanced. The scan guided biopsy showed inflammatory pulmonary parenchyma with no signs of malignancy. Fiberoptic bronchoscopy revealed significant bleeding from the superior segmental bronchus of right lower lobe. Pathology examination of the bronchial aspiration revealed a suggestive aspect of malignant cells. Regarding those findings, lung carcinoma was highly suspected and the importance of hemoptysis motivated an urgent hemostasis lobectomy. The patient underwent a right lower lobectomy with radical lymph node dissection via a right posterolateral thoracotomy. Histological examination showed a laminated membrane lined by a proligerous membrane made up of a layer of eosinophilic cells confirming the diagnosis of pulmonary hydatid cyst. It should be kept in mind that pulmonary hydatid disease can clinically, radiologically mimic lung cancer. Exceptionally, even cytology can lead to a diagnosis pitfall.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"39 ","pages":"Article e02133"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980026","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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