IDCases最新文献

{"title":"A case report of using gauze packing to treat postoperative chest bleeding after left pneumonectomy for secondary rifampicin-resistant tuberculosis","authors":"Qibin Liu ,&nbsp;Xiaoman Zhou ,&nbsp;Li Yao,&nbsp;Feng Xu,&nbsp;Penggang Tang,&nbsp;Ting Li,&nbsp;Di Yang,&nbsp;Fang Liu,&nbsp;Jian Sheng ,&nbsp;Yuhui Jiang ,&nbsp;Xiyong Dai ,&nbsp;Xianxiang Chen","doi":"10.1016/j.idcr.2024.e01953","DOIUrl":"10.1016/j.idcr.2024.e01953","url":null,"abstract":"<div><p>One patient with rifampin-resistant tuberculosis underwent emergency left pneumonectomy and thoracic gauze packing for hemoptysis due to recurrent hemoptysis after transcatheter arterial embolization. Vital signs were maintained by mechanical ventilation and medication. Tracheotomy and anti-tuberculosis treatment were performed. After half a year of follow-up, the patient's condition was stable.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01953"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000295/pdfft?md5=cd5c9da1aac650fa5ba7ce5ad8816c96&pid=1-s2.0-S2214250924000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140764450","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":"An unusual case of Brodie’s abscess in the humerus of an adult female","authors":"Priya Samuel ,&nbsp;Andrew Brack ,&nbsp;John C. Lam","doi":"10.1016/j.idcr.2024.e01977","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01977","url":null,"abstract":"<div><p>Brodie’s abscess is a manifestation of subacute to chronic osteomyelitis, characterized as intraosseous abscess formation, usually on the metaphysis of the long tubular bones in the lower extremities of male pediatric patients. Clinically, Brodie’s abscess presents with atraumatic bone pain of an insidious onset, with absence of systemic findings. Delay in diagnosis is common, as diagnostic imaging, followed by biopsy for culture and histologic examination are generally required to secure a diagnosis of Brodie’s abscess. Treatment of Brodie’s abscess is non-standardized, and usually consists of surgical debridement and antibacterial therapy. Despite the variability in therapeutic approaches, outcomes of Brodie’s abscess treated with surgery and antibiotics are favourable. Herein we report a case of a delayed diagnosis of Brodie’s abscess in the upper extremity of an adult female. While she improved with treatment of Brodie’s abscess, the case serves to remind clinicians to consider this entity in adult individuals who present with atraumatic bone pain.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01977"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000532/pdfft?md5=7685bd3d4b8eb379db6eee674dd2f53c&pid=1-s2.0-S2214250924000532-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140815147","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":"Insight into ocular complications of West Nile Virus: A case report of chorioretinal scarring","authors":"Hamza Inayat ,&nbsp;Anna Branch ,&nbsp;James J. Armstrong ,&nbsp;Verena Juncal ,&nbsp;Courtney Casserly","doi":"10.1016/j.idcr.2024.e02095","DOIUrl":"10.1016/j.idcr.2024.e02095","url":null,"abstract":"<div><h3>Purpose</h3><div>This case report aims to emphasize the significance of the ocular manifestations in individuals with West Nile Virus (WNV) infection, with primary neurological involvement. By presenting a case of chorioretinal scarring secondary to WNV, we highlight the importance of a thorough ophthalmological evaluation in suspected cases of WNV to identify potential sight-threatening complications.</div></div><div><h3>Observations</h3><div>A 63-year-old woman presented with neurological symptoms following a trip to Denver, USA, including headaches, fever, and decreased consciousness. Despite initial treatment for suspected meningoencephalitis, her condition deteriorated, leading to focal seizures and profound weakness. Ophthalmological examination revealed chorioretinal lesions consistent with WNV retinopathy.</div></div><div><h3>Conclusions</h3><div>and Importance: WNV can present with neurological symptoms, and ocular complications can lead to significant visual impairment. This case report highlights the importance of asking individuals with suspected WNV about ocular symptoms. Despite the absence of a preventive treatment for ocular manifestations, clinicians must stay attentive to ocular symptoms in patients to mitigate potential complications, such as chorioretinal neovascularization, which can be treated with anti-vascular endothelial growth factor therapy injections.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02095"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432920","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":"Disseminated Ureaplasma infection: A case report of septic polyarthritis in a patient on Rituximab therapy","authors":"Michael Axenhus ,&nbsp;Jesper Ericson ,&nbsp;Agata Rysinska ,&nbsp;Annelie Petterson ,&nbsp;Desiree Friis","doi":"10.1016/j.idcr.2024.e02101","DOIUrl":"10.1016/j.idcr.2024.e02101","url":null,"abstract":"<div><h3>Introduction</h3><div>Immunocompromised individuals, such as those undergoing Rituximab therapy, are susceptible to severe infections by these organisms. We present a rare case of polyarticular septic arthritis caused by disseminated Ureaplasma urealyticum in a Rituximab-treated patient.</div></div><div><h3>Presentation of case</h3><div>A 38-year-old male with a history of schizophrenia and multiple sclerosis presented with intense pain, swelling, and fever, along with limited joint mobility. Despite initial treatment with antibiotics and surgical intervention, the patient's condition deteriorated. PCR assays confirmed the presence of Ureaplasma urealyticum, prompting a change in antibiotic therapy. With focused antimicrobial treatment and supportive care, the patient exhibited gradual improvement, although reinfection occurred one month after discharge, necessitating additional surgical interventions and antibiotic therapy.</div></div><div><h3>Discussion</h3><div>Septic arthritis due to Ureaplasma urealyticum is exceedingly rare but can occur in immunocompromised patients undergoing Rituximab therapy. Accurate pathogen identification using PCR assays is crucial for optimizing therapeutic outcomes in such cases. Treatment typically involves a combination of surgical debridement and tailored antimicrobial therapy with agents effective against Ureaplasma species. Close monitoring for disease recurrence and joint function is essential for long-term management.</div></div><div><h3>Conclusion</h3><div>This case highlights the diagnostic challenges and therapeutic complexities of septic arthritis caused by Ureaplasma urealyticum in immunocompromised patients undergoing Rituximab treatment. Interdisciplinary collaboration and the use of PCR assays for accurate pathogen identification are crucial for successful outcomes in such cases. Clinicians should consider the unique susceptibility of immunocompromised individuals to rare pathogens and tailor antimicrobial therapy accordingly.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02101"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526845","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":"Herpes zoster ophthalmicus following recombinant zoster vaccine: A case report and brief literature review","authors":"Joshua M. Garcia,&nbsp;Ramez I. Haddadin","doi":"10.1016/j.idcr.2024.e02070","DOIUrl":"10.1016/j.idcr.2024.e02070","url":null,"abstract":"<div><h3>Purpose</h3><p>Immunizations have long been pivotal in preventing diseases like HZ (herpes zoster), caused by VZV (varicella zoster virus). This study aims to evaluate the efficacy and safety of the RZV (recombinant zoster vaccine) compared to the ZVL (zoster vaccine live) and to report rare adverse events following RZV administration.</p></div><div><h3>Observation</h3><p>Herein, we report an unusual case of a 59-year-old man who developed a V1-limited rash with a positive HZ PCR (polymerase chain reaction) test following administration of RZV in the United States.</p></div><div><h3>Conclusion</h3><p>The development of RZV has significantly improved the prevention of HZ compared to ZVL. Nevertheless, rare adverse events, such as dermatomal reactions, underscore the importance of ongoing monitoring and research into the immunomodulatory effects of RZV. Physicians should continue to administer the RZV to patients but be cognizant that reactivation may rarely subsequently occur.</p></div><div><h3>Case Presentation</h3><p>The patient with a history of benign prostatic hyperplasia was treated at an outside hospital two days after receiving the RZV complaining of paresthesia and a rash on his nasolacrimal area and forehead. The patient presented to the ED (emergency department), 9 days post-vaccination due to persistence of his symptoms despite use of amoxicillin, valacyclovir, and an unidentified eye drop. The dose of valacyclovir was increased, and he completed 1 g TID (three times a day) PO (per orally) for 10 days with subsequent resolution of symptoms. A positive PCR test confirmed the diagnosis of HZ. Topical mupirocin ointment was initiated and the patient was referred for ophthalmologic evaluation.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02070"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400146X/pdfft?md5=c7c4850a720b4f30bcabd8eacc5847ab&pid=1-s2.0-S221425092400146X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149645","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":"Metastatic community acquired Klebsiella pneumonia infection, secondary to skin and soft tissue infection: A case report","authors":"Mohammad Numan ,&nbsp;Joyal Mathew ,&nbsp;Wasfy Hamad ,&nbsp;Mohammad Abuhmaira ,&nbsp;Hassan Werah ,&nbsp;Almokhtar Khamkham","doi":"10.1016/j.idcr.2024.e02074","DOIUrl":"10.1016/j.idcr.2024.e02074","url":null,"abstract":"<div><p><em>Klebsiella pneumonia</em> is known to cause hospital-acquired infections, primarily in immunocompromised patients. Recently, a distinct syndrome of community-acquired invasive <em>Klebsiella pneumonia</em> infection has been observed, mainly in the Southeast Asian population. This syndrome is associated with disseminated infection and the formation of multiple organ abscesses. Affected organs include the liver, the meninges, the brain, the eyes, and rarely the skin and soft tissue. Most of the affected patients suffer from diabetes mellitus. We present a case of invasive community-acquired <em>Klebsiella pneumonia</em> infection with the skin as the primary source. The patient was found to have multiple abscesses involving the skin, the liver, the right lung, and the brain. Cultures from the wound, the liver abscess, and the blood all revealed <em>Klebsiella pneumonia</em>. The liver abscess was drained, and the patient received a prolonged course of antibiotics based on the sensitivity. One month later, the patient achieved full recovery. Our report highlights the emerging syndrome of invasive community-acquired <em>Klebsiella pneumonia</em> infection and the need for timely diagnosis and treatment to achieve favorable outcomes.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02074"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001501/pdfft?md5=6e6e3d8cd45aca2132c3a43f4098d99f&pid=1-s2.0-S2214250924001501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168580","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":"Community-acquired multidrug-resistant Enterobacter cloacae sepsis in a 25-month-old child in rural Gambia: A case report","authors":"Baleng Mahama Wutor ,&nbsp;Williams Oluwatosin Adefila ,&nbsp;Keita Modou Lamin ,&nbsp;Yusuf Abdulsalam O ,&nbsp;Ilias Hossain ,&nbsp;Minteh Molfa ,&nbsp;Ousman Barjo ,&nbsp;Rasheed Salaudeen ,&nbsp;Isaac Osei ,&nbsp;Grant Mackenzie","doi":"10.1016/j.idcr.2024.e02018","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02018","url":null,"abstract":"<div><p><em>Enterobacter cloacae</em> is the leading cause of morbidity and mortality in the genus <em>Enterobacter</em>. It mostly causes nosocomial infections, especially in children, the elderly and those with underlying diseases. However, cases of community-acquired bacteraemia caused by <em>E. cloacae</em> have been reported. The increasing inclination of <em>E. cloacae</em> to cause multidrug-resistant infections has made it particularly challenging to treat. A 25-month-old male child presented to a rural hospital in The Gambia with a one-week history of persistent high-grade fever, dyspnoea, and anorexia. Two days before presentation, he began to have generalized tonic-clonic seizures. On examination, he was found to be febrile, dyspnoeic, pale, and tachycardic. He had a modified Glasgow Coma Scale score of 9/15. Investigations revealed an elevated C-reactive protein, low haemoglobin, and elevated white blood cell count. Cerebrospinal fluid culture did not yield any growth. <em>E. cloacae</em> was isolated from a blood culture taken on the day of admission. The pathogen was resistant to all available antibiotics. He was transfused with whole blood and initially treated empirically with amoxicillin-clavulanic acid and gentamicin. The former was changed to cefuroxime because the child had not improved. The child died nine days after admission. Although <em>E. cloacae</em> is primarily known for causing nosocomial infections, fatal community-acquired infections also occur. This case report demonstrates the difficulty in treating multidrug-resistant <em>E. cloacae</em> in a low-resource setting and its propensity to cause fatal infections.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02018"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000945/pdfft?md5=29020e5bacc32d4a35172a2c738454e2&pid=1-s2.0-S2214250924000945-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487666","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":"Musculoskeletal and CNS coccidiomycosis in an individual with multiple sclerosis on fingolimod – A case report","authors":"Jacob Denton ,&nbsp;Hasan Ozgur ,&nbsp;Pantea Sazegar ,&nbsp;John Galgiani ,&nbsp;Talha Riaz","doi":"10.1016/j.idcr.2024.e02021","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02021","url":null,"abstract":"<div><p>We report the case of a 56-year-old female with a past medical history of multiple sclerosis on disease-modifying therapy of fingolimod who presented with disseminated <em>Coccidioides</em> infection, initially of the ankles bilaterally before progressing to the central nervous system. CNS coccidiomycosis has thus far not been associated with any pharmacological therapy for multiple sclerosis. Clinicians should have a high degree of suspicion for <em>Coccidioides</em> infection in immunosuppressed patients living in endemic areas.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02021"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000970/pdfft?md5=5b9b0026939e5d20eb9f586451c6cd25&pid=1-s2.0-S2214250924000970-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539293","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":"Fecal microbiota transplantation as a preventive treatment for recurrent acute cholangitis","authors":"Antonio Ramos-Martínez ,&nbsp;Elena Múñez ,&nbsp;Rosa Del-Campo ,&nbsp;Alberto Nieto-Fernández ,&nbsp;Mariano Gonzalez-Haba ,&nbsp;Jorge Calderón- Parra","doi":"10.1016/j.idcr.2024.e02025","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02025","url":null,"abstract":"<div><h3>Background</h3><p>Recurrent acute cholangitis (RAC) is a relatively uncommon entity that presents significant management difficulties. We present the case of a patient with RAC in whom the number of episodes was reduced after a novel therapeutic procedure.</p></div><div><h3>Case report</h3><p>A 93-year-old male who in June 2019 was admitted for chills without fever, shivering, epigastric abdominal pain and moderate jaundice. Both abdominal ultrasound and CT scan showed intrahepatic and extrahepatic duct dilatation up to the papilla with no evidence of mass at that level. Endoscopic retrograde cholangiopancreatography (ERCP) was performed and abundant biliary sludge was removed. E. coli was identified as the cause of several of the episodes. Some isolates were shown to produce extended spectrum beta-lactamase (ESBL). Papillotomy was performed and plastic prosthesis and later a metallic prosthesis were implanted. Several months later a surgical bypass of the biliary tract was performed due to persistent episodes of cholangitis. When the chronic suppressive antibiotic treatment subsequently instituted to prevent new episodes of cholangitis failed, it was decided to perform a fecal microbiota transplant from a healthy donor and to suspend the chronic suppressive treatment. Since then, she has not presented new episodes of RAC for more than 10 months of clinical follow-up. BLEE-producing E. coli in the gastrointestinal tract could not be eradicated.</p></div><div><h3>Comment</h3><p>Chronic colonization of the biliary tract by certain enterobacteria such as E. coli has been identified as a relevant pathogenic factor in cases of RAC. FMT may be a promising tool to improve the clinical course of patients with RAC.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02025"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400101X/pdfft?md5=bb5164f3853b8f0bba6c4681c6183e8b&pid=1-s2.0-S221425092400101X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596480","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":"Rapidly progressive locked-in syndrome secondary to atypical herpes simplex virus-1 rhombencephalitis in an immunocompromised individual","authors":"Jeffrey Xia,&nbsp;Rasha Ahmed","doi":"10.1016/j.idcr.2024.e02027","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02027","url":null,"abstract":"<div><p>HSV-1 encephalitis (HSE) is the most common cause of fatal sporadic encephalitis in the United States. HSE in adults is most commonly due to the reactivation of HSV in the central nervous system (CNS) which results in CNS necrosis leading to neurological compromise. The most common symptoms include altered mentation, fever, seizures, and focal neurological deficits. HSE most commonly involves damage to the temporal lobes however can rarely involve other CNS structures such as the brainstem and cerebellum. Immunocompromised status may increase the risk of atypical HSE. HSE involvement of the brainstem, particularly the pons, most commonly cause neuro-ocular and neuro-bulbar deficits. Rarely can HSV brainstem encephalitis cause quadriplegia or locked-in syndrome. We present a case of HSV-1 rhombencephalitis complicated by locked-in syndrome in a patient with CLL.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02027"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001033/pdfft?md5=1db84b00b313279883e1efbb823c5e74&pid=1-s2.0-S2214250924001033-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596510","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}