Enfermedades infecciosas y microbiologia clinica (English ed.)最新文献

{"title":"Travel-associated bacteremia caused by non-O1/non-O139 Vibrio cholerae","authors":"Elena Martín-Cleto, Eduardo Rubio-Mora, Guillermo Ruiz-Carrascoso, Emilio Cendejas-Bueno","doi":"10.1016/j.eimce.2026.503247","DOIUrl":"10.1016/j.eimce.2026.503247","url":null,"abstract":"","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"44 8","pages":"Article 503247"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glenohumeral septic arthritis due to Yersinia enterocolitica. Case report and literature review","authors":"Lucía Pasarín López, Ana Mateo Gestoso, Pablo Camacho Zamora, Hadrián Pernas Pardavila","doi":"10.1016/j.eimce.2026.503268","DOIUrl":"10.1016/j.eimce.2026.503268","url":null,"abstract":"","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"44 8","pages":"Article 503268"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhino-orbital-cerebral mycoses (Mucormycosis and Phaeohyphomycosis): A case series","authors":"Andrea Michelle Martínez-Cardona,&nbsp;Ana Laura Calderón-Garcidueñas,&nbsp;Sanjuana Berenice Treviño-Solís,&nbsp;Christian Edward Sánchez-Sánchez","doi":"10.1016/j.eimce.2026.503242","DOIUrl":"10.1016/j.eimce.2026.503242","url":null,"abstract":"<div><h3>Introduction</h3><div>Rhino-orbital-cerebral mycoses are caused by different type of fungus. Mucormycosis is frequently an acute, aggressive opportunistic infection associated with high morbidity and mortality, in immunocompromised patients. In contrast, some Phaeohyphomycosis such as <em>Drechslera hawaiiensis</em> can affect young, immunocompetent patients. In Mexico, the high prevalence of poorly controlled diabetes mellitus, and limited access to specialized healthcare, constitute risk factors for mucormycosis.</div></div><div><h3>Methods</h3><div>It was a retrospective study made up by a series of cases which are presented. All rhino-orbital-cerebral mycosis (excluding aspergillosis) diagnosed at our institution between 2019 and 2025 were included. Clinical, radiological and histopathological features were analyzed.</div></div><div><h3>Results</h3><div>Seven mucormycosis and one Phaeohyphomycosis cases were analyzed. Mucormycosis: Rhino-orbital-cerebral form (<em>n</em> <!-->=<!--> <!-->2), rhino-orbital form (<em>n</em> <!-->=<!--> <!-->4), and one, sino-nasal-suprasellar case. The clinical evolution was: Acute, rapidly progressing type (71.4%) and subchronic/chronic (28.6%). One chronic case presented as a pseudotumor. Mortality was 14.3% (1/7). Most patients required combined surgical debridement and systemic antifungal therapy. Phaeohyphomycosis: A 26-year-old immunocompetent male was infected by <em>D. hawaiiensis</em>; he had a heterogeneous lesion at the skull base; differential diagnoses included clival chordoma and esthesioneuroblastoma.</div></div><div><h3>Conclusion</h3><div>Rhino-orbital-cerebral fungal infections may exhibit a broad clinical spectrum; mucormycosis can present as a fulminant case or even as a pseudotumor with evolution over years. <em>D. hawaiiensis</em> can cause infection in immunocompetent individuals. Physicians and dentists should maintain a high index of suspicion for fungal infections in patients with progressive sinonasal or facial disease.</div></div>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"44 8","pages":"Article 503242"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish corporate microbiology and infectious diseases accounts on X (formerly Twitter®): A cross-sectional study","authors":"Javier Colomina-Rodríguez,&nbsp;Carlos Solano-Asunción,&nbsp;David Navarro-Ortega,&nbsp;Jorge Ligero-López","doi":"10.1016/j.eimce.2026.503224","DOIUrl":"10.1016/j.eimce.2026.503224","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media, particularly X (Twitter®), have become key tools for scientific communication in microbiology and infectious diseases. However, their use within the Spanish institutional context has not been well characterized.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive observational study was conducted on Spanish corporate accounts on X (&gt;1500 followers), identified through a systematic search. Publicly available data were analyzed, and ad hoc indicators of growth, activity, and digital influence were calculated.</div></div><div><h3>Results</h3><div>A total of 30 accounts were included (40% services/units, 33% study groups, and 20% scientific societies). Audience distribution was highly skewed, with 23.3% of accounts concentrating 50% of followers. Scientific societies led in audience size and influence, whereas services accounted for most of the activity and growth.</div></div><div><h3>Conclusions</h3><div>In Spain, scientific communication on X exhibits a heterogeneous ecosystem with a dual structure, depending on the type of institutional actor.</div></div>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"44 8","pages":"Article 503224"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When microscopy proves decisive: Subacromial bursitis of uncommon etiology","authors":"María Lezaun Andreu,&nbsp;Laura Valour,&nbsp;Paula López de Turiso Giner,&nbsp;Iván Páez Albitre,&nbsp;Antonina Arias Alonso,&nbsp;Juan Manuel García-Lechuz Moya","doi":"10.1016/j.eimce.2026.503219","DOIUrl":"10.1016/j.eimce.2026.503219","url":null,"abstract":"","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"44 8","pages":"Article 503219"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for sexually transmitted infections in the emergency department: beyond pooling.","authors":"Iván Agra Montava, Nagore Rojo Ruiz, Marta Padilla Sainz, Maria Jose Macias Reyes","doi":"10.1016/j.eimce.2026.503271","DOIUrl":"https://doi.org/10.1016/j.eimce.2026.503271","url":null,"abstract":"","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":" ","pages":"503271"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a surgical care bundle on the incidence of surgical site infection in hip arthroplasty: a quasi-experimental study.","authors":"Víctor Santiago Hernández-Múgica, Ana María Pedraza-Flechas, Gil Rodríguez-Caravaca, Antonio Checa-García, Diego Rodríguez-Villar, Pilar Cárdenas-Soriano","doi":"10.1016/j.eimce.2026.503269","DOIUrl":"https://doi.org/10.1016/j.eimce.2026.503269","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical site infections (SSI) remain a major source of complications following hip arthroplasty. The aim was to evaluate the effect of a surgical care bundle on the incidence of SSI in hip arthroplasty.</p><p><strong>Methods: </strong>We conducted a quasi-experimental before-after intervention study following the implementation of a surgical care bundle in 2011. Consecutive patients were selected from surgical scheduling lists and divided into two periods: pre-intervention (2008-2011) and post-intervention (2012-2019). SSI incidence was assessed after a 90-day postoperative surveillance period. The effect of the intervention was evaluated using adjusted odds ratios (OR).</p><p><strong>Results: </strong>A total of 2,044 patients were included, 57.1% of whom were women. 58 SSI were identified. The incidence of SSI decreased from 3.6% in the pre-intervention period to 2.6% in the post-intervention period without reaching statistical significance (OR = 0.70; 95% CI: 0.40-1.22; P = 0.206). Urgent surgery (OR = 2.45; 95% CI: 1.44-4.15; P = 0.001) and NHSN risk categories 2 (OR = 3.63; 95% CI: 1.71-7.72; P = 0.001) and 3 (OR = 14.61; 95% CI: 2.86-74.78; P = 0.001) were associated with a significantly higher risk of SSI.</p><p><strong>Conclusion: </strong>Implementation of a surgical care bundle reduced the incidence of SSI, although the reduction did not reach statistical significance. Urgent surgery and higher NHSN risk scores were associated with increased SSI risk. Length of hospital stay was reduced in the post-intervention period.</p>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":" ","pages":"503269"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and safety of daptomycin in pediatrics.","authors":"Fátima Mayo Olveira, José Manuel Caro Teller, Almudena Castro Frontiñán, Elena Bayón Fernández, María Del Carmen Jiménez León, Luis Manuel Prieto Tato, Cristina Epalza Ibarrondo, Cinta Moraleda Redecilla, José Miguel Ferrari Piquero","doi":"10.1016/j.eimce.2026.503272","DOIUrl":"https://doi.org/10.1016/j.eimce.2026.503272","url":null,"abstract":"<p><strong>Introduction: </strong>Antimicrobial resistance is an increasing challenge in Public Health, particularly due to the prevalence of methicillin-resistant Staphylococcus aureus (MRSA). Daptomycin is known to be useful in complicated infections caused by this microorganism, although the evidence in pediatrics is still limited. The objectives are to describe the clinical and microbiological effectiveness of daptomycin in the pediatric population of a tertiary care hospital. Furthermore, to detail the prescribed doses, microorganisms causing the infection, antibiotics used in synergy and the number of patients who presented elevated creatine phosphokinase (CK) and/or eosinophilia.</p><p><strong>Methods: </strong>This was a single-center, retrospective, observational study. Hospitalized pediatric patients who received at least one dose of daptomycin were included. Demographic, microbiological, pharmacological, and clinical variables were analyzed. Safety was assessed using CK and eosinophil levels before and after daptomycin treatment.</p><p><strong>Results: </strong>Forty-four patients were included (72.7% men; median age: 9.9 years). The main indications for which it was prescribed were skin and soft tissue infections (43.2%) and osteoarticular infections (27.3%), followed by endocarditis (11.4%) and catheter-associated bacteremia (11.4%). The median prescribed dose was 9.0 mg/kg. Daptomycin was used empirically in 52.3% of cases and as first-line treatment in 15.9%. Microbiological isolation was confirmed in 65.9% of patients, with methicillin-susceptible S. aureus (MSSA) being the most frequently isolated microorganism (48.3%), followed by MRSA (27.6%). Microbiological cure was confirmed in 34.5% of patients with isolation. Clinical improvement was observed in 84.1% of cases. No patients died. Regarding safety, in patients for whom CK levels were available, no elevations were observed and no treatment was discontinued due to toxicity.</p><p><strong>Conclusions: </strong>Daptomycin showed a high rate of clinical effectiveness. In patients for whom CK levels were available, no elevations were observed; however, the small number of patients monitored limits the interpretation of safety. Its use was largely empirical. These findings support its consideration as a therapeutic alternative in this group of patients, although prospective, controlled studies are needed to strengthen the evidence in the pediatric population.</p>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":" ","pages":"503272"},"PeriodicalIF":0.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined HIV prevention in female cis and trans sex workers: Clinical experience with PrEP, PEP and a comprehensive approach in an STI clinic.","authors":"Beatriz Pérez-Monte Mínguez, Maria Teresa Filigheddu, Carlos Sanz Sánchez, Fátima Rico Bazago, Oriol Martín Segarra, Juan Emilio Losa García","doi":"10.1016/j.eimce.2026.503267","DOIUrl":"https://doi.org/10.1016/j.eimce.2026.503267","url":null,"abstract":"<p><strong>Introduction: </strong>Implementing PrEP and PEP among cis and trans female sex workers remains a challenge, representing an underrepresented population in prevention programs in Spain.</p><p><strong>Methods: </strong>Retrospective descriptive study of HIV-negative cis and trans female sex workers managed at a Madrid clinic (December 2024-August 2025; n = 34).</p><p><strong>Results: </strong>Most (85.3%) were cis women (median age: 28 years); 85.3% were of Latin American origin and 88.2% had an irregular administrative status. Baseline STI prevalence was 32.4%, with low prior screening (20.6%). PEP was received by 16 patients (47.1%), and 9 transitioned to PrEP. PrEP was initiated by 17 patients (50.0%); 6 (35.3%) discontinued, primarily due to gastrointestinal intolerance within the first weeks. Vaccination reached 70.6% (24 patients).</p><p><strong>Conclusions: </strong>PEP was associated with significant PrEP uptake. High early discontinuation rates highlight the need to optimize follow-up and suggest long-acting injectable formulations as a strategic alternative for this vulnerable population.</p>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":" ","pages":"503267"},"PeriodicalIF":0.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fever and lymphadenopathy in a young man.","authors":"Juan Gabriel Sánchez-Cano, Ángeles Gabán Díez, Adrián Hidalgo Morales, Oriol Martín Segarra","doi":"10.1016/j.eimce.2026.503254","DOIUrl":"https://doi.org/10.1016/j.eimce.2026.503254","url":null,"abstract":"","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":" ","pages":"503254"},"PeriodicalIF":0.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}