IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02023

Johny Salem , Fadi Fares , Rana El-Haddad , Mirna Fares , Gilbert El-Helou

{"title":"Legionella lymphadenitis in immunocompetent adult: Case report","authors":"Johny Salem , Fadi Fares , Rana El-Haddad , Mirna Fares , Gilbert El-Helou","doi":"10.1016/j.idcr.2024.e02023","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e02023","url":null,"abstract":"<div><h3>Introduction</h3><p>Extrapulmonary legionella disease is rare and occasionally reported in immunocompromised patients; it includes lymphadenitis, panniculitis, hepatitis, atrio-ventricular block, arthritis, prosthetic valve endocarditis and myocarditis. In this article, we report a rare case of legionella suppurative lymphadenitis in an immunocompetent patient.</p></div><div><h3>Case</h3><p>53-year-old female patient from the Philippines, non-smoker, previously healthy who presented to our facility for chills and respiratory distress following a course of corticosteroid intake. She was admitted for respiratory failure and septic shock, and was diagnosed with legionella infection associated with extrapulmonary dissemination (lymphadenitis) leading to her death 72 h after admission.</p></div><div><h3>Discussion</h3><p>Legionella is an important cause of community acquired pneumonia (CAP) and a delay in appropriate antibiotic therapy was associated with an increased mortality rate. Since legionnaire’s disease is indistinguishable from other forms of pneumonia without diagnostic testing, empiric antibiotic therapy regimen should cover legionella species. In unfortunate cases, a delay in the diagnosis and treatment may lead to extrapulmonary manifestations such as lymphadenitis and will be associated with worse patient outcomes.</p></div><div><h3>Conclusion</h3><p>Legionella is an important cause of community acquired pneumonia which if left untreated can become complicated with extrapulmonary manifestations such as lymphadenitis and become eventually fatal to patients. A prompt early diagnosis and appropriate antimicrobial therapy covering legionella should be considered whenever treating community acquired pneumonia.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02023"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000994/pdfft?md5=06c637ad3b87cb893fcf39845b5a1e53&pid=1-s2.0-S2214250924000994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605811","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

Secondary hemophagocytic lymphohistiocytosis triggered by Staphylococcus aureus bacteremia: A case report and systemic review 金黄色葡萄球菌菌血症引发的继发性嗜血细胞淋巴组织细胞增多症：病例报告和系统回顾

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02031

Shih-Hao Chung , Yen-Yu Liu , Shih-Ya Huang , Meng-Ta Sung , Alice Ying-Jung Wu

引用次数: 0

Escherichia coli ST1193 O75 H5: A rare cause of native valve endocarditis with multifocal emboli to brain and spleen 大肠杆菌 ST1193 O75 H5：一种罕见的原发性瓣膜心内膜炎病因，伴有脑和脾脏多灶性栓塞

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02052

Diana M. Villanueva , John R. Lonks , Sara Geffert , Sophia Panaccione , Jerome Larkin , Swapna Charla , Jennifer Li , Tao Hong

引用次数: 0

Primary tubercular osteomyelitis of zygoma: A literature review and case report 颧骨原发性结核性骨髓炎：文献综述和病例报告

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02044

Nitin Bhola, Chetan Gupta, Nikhar Wadhwani

{"title":"Primary tubercular osteomyelitis of zygoma: A literature review and case report","authors":"Nitin Bhola, Chetan Gupta, Nikhar Wadhwani","doi":"10.1016/j.idcr.2024.e02044","DOIUrl":"10.1016/j.idcr.2024.e02044","url":null,"abstract":"<div><h3>Purpose</h3><p>This study presents a rare case of primary tubercular osteomyelitis of the zygoma, and addresses how combined surgical and medical treatments are effective managing rare presentations of tubercular osteomyelitis in facial bones.</p></div><div><h3>Methods</h3><p>A 57-year-old man presented with pain and purulent discharge from the right malar region following trauma. Initial treatments with empirical antibiotics had poor response, hence further investigations were done. Comprehensive diagnostic workup included lab tests, Computed tomography with contrast, and histopathological examination. The patient underwent surgical debridement of the zygomatic bone through an intraoral approach, and debrided tissue was sent for microbiological and histopathological examination, which confirmed tubercular osteomyelitis. Post-surgery, the patient was treated with a four-drug anti-tubercular regimen.</p></div><div><h3>Results</h3><p>Following anti-tubercular therapy, the patient showed significant improvement, with no signs of disease recurrence after a year of follow-up.</p></div><div><h3>Conclusion</h3><p>Primary tubercular osteomyelitis of the zygoma is extremely rare but should be considered in differential diagnoses of facial swellings and discharging sinuses. This case underscores the importance of a multidisciplinary approach in treating rare presentations of tubercular osteomyelitis.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"37 ","pages":"Article e02044"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924001203/pdfft?md5=27f21d32c72bba80d52c1001f0743965&pid=1-s2.0-S2214250924001203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952606","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

Antibiotic Lock Therapy (ALT) for the prevention of Catheter Related Blood Stream Infection (CRBSI) in neurological patients treated with Therapeutic Plasma Exchange (TPE) 抗生素锁定疗法（ALT）用于预防接受治疗性血浆置换术（TPE）治疗的神经科患者的导管相关血流感染（CRBSI）。

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02054

Mohammad Alsultan , Marwa Kliea, Qussai Hassan

引用次数: 0

Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report 体外受精和胚胎移植后出现急性血行播散性肺结核和结核性脑膜炎：病例报告

IF 1.1

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e02096

Mingyi Li , Xuejuan Yang , Qi Zhou , Jinxiu Wang , Xicheng Wang , Lin Mao

{"title":"Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report","authors":"Mingyi Li , Xuejuan Yang , Qi Zhou , Jinxiu Wang , Xicheng Wang , Lin Mao","doi":"10.1016/j.idcr.2024.e02096","DOIUrl":"10.1016/j.idcr.2024.e02096","url":null,"abstract":"<div><div>With the extensive development of assisted reproductive technology, in vitro fertilization and embryo transfer (IVF-ET) have enabled successful pregnancies for some infertility patients. However, pregnancy leads to endocrine and immune function changes that result in decreased immunity, providing an opportunity for mycobacterium tuberculosis infection or reactivation. Hematogenous disseminated pulmonary tuberculosis is a dangerous complication of pregnancy after IVF-ET, which can lead to adverse outcomes. In this case report, we present a patient with normal immune function who developed hematogenous disseminated tuberculosis after IVF-ET. We retrospectively analyzed the clinical manifestations, test results and imaging findings of the patient while reviewing relevant literature. We recommend conducting genital tuberculosis screening and screening for latent tuberculosis infection before IVF-ET. Healthcare providers should maintain high vigilance for active tuberculosis during pregnancy when unexplained high fever, cough with sputum production, early vaginal bleeding occurs despite repeated broad-spectrum antibiotic treatment.</div></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"38 ","pages":"Article e02096"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652430","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

Tuberculosis and Takayasu's arteritis: An enigmatic association 肺结核与高安氏动脉炎：神秘的关联

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01938

Gawahir A. Ali, Wael Goravey

引用次数: 0

Invasive pneumococcal serotype 3 infection following pneumococcal vaccination in a hematopoietic stem cell transplant patient: A case report 造血干细胞移植患者接种肺炎球菌疫苗后感染侵袭性肺炎球菌血清 3 型：病例报告

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01936

Kazuhiro Ishikawa, Nobuyoshi Mori

{"title":"Invasive pneumococcal serotype 3 infection following pneumococcal vaccination in a hematopoietic stem cell transplant patient: A case report","authors":"Kazuhiro Ishikawa, Nobuyoshi Mori","doi":"10.1016/j.idcr.2024.e01936","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01936","url":null,"abstract":"<div><p>Given the high mortality rate of invasive pneumococcal disease (IPD) in hematopoietic stem cell transplant (HSCT) recipients, vaccination is recommended. These recipients respond to most vaccines; however, their immune response is typically weaker during the first months or years after transplantation, compared with that of healthy individuals. Here, we report a case of IPD with serotype 3 pneumonia and empyema in an HSCT recipient who had received three doses of the 13-valent pneumococcal conjugate vaccine (PCV) and one dose of the 23-valent pneumococcal polysaccharide vaccine; furthermore, the recipient had no relapse, graft-versus-host disease, or use of immunosuppressive agents after allogeneic HSCT for acute myeloid leukemia. Moreover, we discussed the characteristics of serotype 3 <em>Streptococcus pneumoniae</em>, a case series of breakthrough infections with <em>S. pneumoniae</em> in HSCT recipients who received pneumococcal vaccines, and the potential implications for the upcoming PCV15 and PCV20 vaccines for serotype 3.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01936"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221425092400012X/pdfft?md5=ab24d60201e4aea11dadac120dbe38fc&pid=1-s2.0-S221425092400012X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638657","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 non-surgical approach: Ampicillin's success in Listeria monocytogenes endocarditis 非手术疗法：氨苄西林成功治疗单核细胞增多性李斯特菌心内膜炎

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01965

Natalia Ramos-Ospina , Pablo Andrés Moncada-Vallejo

{"title":"A non-surgical approach: Ampicillin's success in Listeria monocytogenes endocarditis","authors":"Natalia Ramos-Ospina , Pablo Andrés Moncada-Vallejo","doi":"10.1016/j.idcr.2024.e01965","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01965","url":null,"abstract":"<div><h3>Background</h3><p><em>Listeria monocytogenes</em>, a Gram-positive bacillus, primarily affects immunocompromised individuals. Endocarditis is a rare but severe complication of <em>L. monocytogenes</em> bacteremia, irrespective of native or prosthetic valves. While there is no standardized treatment, the use of ampicillin proves effective in most cases. Surgical intervention is reserved for cases involving valve dehiscence, heart failure, or myocardial abscess.</p></div><div><h3>Case presentation</h3><p>A 54-year-old female, with mitral valve replacement, presented with fever, chest pain and dyspnea at rest. Patient was initially diagnosed with bacterial pneumonia; however, subsequent evaluation revealed <em>L. monocytogenes</em> bacteremia, resulting in endocarditis. Surgical management was contraindicated due to multiple prior valve replacement surgeries. Symptoms resolution, along with improvements in echocardiographic and clinical parameters, was achieved through extended antibiotic treatment only with no surgical intervention.</p></div><div><h3>Conclusion - key takeaways</h3><p>This case underscores the critical importance of individualized treatment approaches in endocarditis, particularly in patients with surgery approach contraindication, and emphasized the success achieved through ampicillin-based management.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01965"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000416/pdfft?md5=a1ada8d1b2477d8f27fba33604e6140a&pid=1-s2.0-S2214250924000416-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638661","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 prosthetic valve endocarditis and aortic abscess due to Bacillus cereus 一例由蜡样芽孢杆菌引起的人工瓣膜心内膜炎和主动脉脓肿病例

IF 1.5

IDCases Pub Date : 2024-01-01 DOI: 10.1016/j.idcr.2024.e01940

Akina Fukushima , Takaaki Kobayashi , Yoshihito Otsuka , Naoto Hosokawa , Sandra Moody , Miyu Takagi , Akihito Yoshida

{"title":"A case of prosthetic valve endocarditis and aortic abscess due to Bacillus cereus","authors":"Akina Fukushima , Takaaki Kobayashi , Yoshihito Otsuka , Naoto Hosokawa , Sandra Moody , Miyu Takagi , Akihito Yoshida","doi":"10.1016/j.idcr.2024.e01940","DOIUrl":"https://doi.org/10.1016/j.idcr.2024.e01940","url":null,"abstract":"<div><p><em>Bacillus cereus (B. cereus)</em> is commonly found in the environment and is often considered a blood culture contaminant. However, in patients with specific risk factors such as intravenous drug use, central venous access catheters, immunosuppression, or prosthetic valves, <em>B. cereus</em> can cause severe infections. Herein, we present a case of prosthetic valve endocarditis (PVE) caused by <em>B. cereus</em> in an 84-year-old woman with a history of aortic valve replacement for aortic stenosis five years earlier. She presented with anorexia, and her physical examination revealed tenderness in the left upper quadrant of the abdomen. Blood culture grew <em>B. cereus</em>, and a CT scan showed splenic infarction, raising suspicion of PVE. Transesophageal echocardiogram (TEE) revealed an abscess around the left coronary cusp of the aortic valve and a 15 mm vegetation. Due to the patient's high risk for post-operative complications and her unwillingness to undergo surgery, the surgery was deferred. Instead, she was successfully treated with six weeks of intravenous vancomycin and discharged home. Follow-up TEE demonstrated resolution of the vegetation and valvular abscess. At her six-month post-discharge evaluation, no signs of active infection were noted including fever or worsening heart failure. Although surgery is typically recommended for most cases of PVE, conservative treatment can be considered as an alternative option for selected patients.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":"36 ","pages":"Article e01940"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000167/pdfft?md5=d27fb3f86b378affa50836a8b4c04969&pid=1-s2.0-S2214250924000167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140622624","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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