Case Reports in Infectious Diseases最新文献

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Broviac Catheter-Related Aortic Valve Infective Endocarditis Complicated With Massive Aortic Regurgitation Requiring Emergency Surgery: A Case Report. Broviac 导管引起的主动脉瓣感染性心内膜炎并发大面积主动脉瓣反流,需要紧急手术:病例报告。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1093820
Małgorzata Wilawer, Waldemar Elikowski, Natalia Fertała, Arkadiusz Włodarski, Patryk Szczęśniewski, Paulina Anna Ratajska, Paweł Bugajski
{"title":"Broviac Catheter-Related Aortic Valve Infective Endocarditis Complicated With Massive Aortic Regurgitation Requiring Emergency Surgery: A Case Report.","authors":"Małgorzata Wilawer, Waldemar Elikowski, Natalia Fertała, Arkadiusz Włodarski, Patryk Szczęśniewski, Paulina Anna Ratajska, Paweł Bugajski","doi":"10.1155/2024/1093820","DOIUrl":"10.1155/2024/1093820","url":null,"abstract":"<p><p><b>Introduction:</b> Broviac catheter is a type of central venous catheter (CVC) used for long-term parenteral nutrition in specific patients, e.g., diagnosed with intestinal failure as short bowel syndrome (SBS). The way of the catheter insertion is conceived to minimalize the risk of infections. However, CVC-related blood stream infections (CVC-BSIs), including infective endocarditis (IE), remain most important complications associated with Broviac catheter. <i>Staphylococcus epidermidis</i> stands out as a prevalent pathogen. The increasing number of CVCs results in an increased incidence of healthcare-associated IE. Complete parenteral treatment is an independent risk that increases the likelihood of IE. Treatment of IE is mainly based on antibiotic therapy, but in certain cases, surgical treatment is needed. <b>Presentation of Case:</b> A 71-year-old female with SBS who had been receiving total parenteral nutrition through the Broviac catheter for several months was admitted in a serious condition with significant weakness, increasing shortness of breath, deteriorating cough, fever, low blood pressure, and heart palpitations. Echocardiography revealed severe aortic valve IE with a large, longitudinal, highly mobile vegetation (up to 40 mm) and massive aortic regurgitation with pulmonary edema. Fast pathogen detection in the patients' blood (<i>S. epidermidis</i>) was obtained using PCR-based multiplex test. Due to life-threatening conditions, emergency surgery with aortic valve replacement was performed. Consistent rehabilitation resulted in good condition achievement. Follow-up echocardiography showed normal function of the aortic valve bioprosthesis. <b>Conclusion:</b> The use of CVC, including Broviac catheter, is associated with an increased risk of infections, including IE. Treatment-resistant severe HF complicating IE requires emergency surgery.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557258","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
An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient. 伟大模仿者的罕见表现:一名艾滋病毒阳性患者的肝脏梅毒性树胶肿
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6571155
Nadia Solomon, Tom Heller, Tommaso Manciulli, Paola Del Giacomo, Katleen de Gaetano Donati, Enrico Brunetti, Francesco Taccari
{"title":"An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient.","authors":"Nadia Solomon, Tom Heller, Tommaso Manciulli, Paola Del Giacomo, Katleen de Gaetano Donati, Enrico Brunetti, Francesco Taccari","doi":"10.1155/2024/6571155","DOIUrl":"https://doi.org/10.1155/2024/6571155","url":null,"abstract":"<p><p>Syphilis is a sexually transmitted infection caused by <i>Treponema pallidum</i>. It progresses in phases and undiagnosed disease can cause considerable morbidity. Tertiary syphilis causes the formation of gummas. Liver involvement is rarely described and usually limited to transaminase elevation during primary syphilis. We present a case of tertiary syphilis in an HIV patient. Microbiological, clinical, and radiological information were retrieved from the patient's record. Gummatous syphilis is rarely described in the literature, and practicing physicians should be aware of its existence and include this manifestation in the differential diagnosis of patients with a positive serology and focal liver lesions.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543892","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
Vaginal Cuff Infection Caused by Ureaplasma parvum After Hysterectomy for Uterine Cervical Cancer: A Case Report. 子宫颈癌子宫切除术后由副溶脲原体引起的阴道袖口感染:病例报告。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4114954
Hayato Chikamatsu, Mana Taki, Sachiko Kitamura, Masumi Sunada, Koji Yamanoi, Ryusuke Murakami, Ken Yamaguchi, Akihito Horie, Yasuhiro Tsuchido, Junzo Hamanishi, Masaki Mandai
{"title":"Vaginal Cuff Infection Caused by <i>Ureaplasma parvum</i> After Hysterectomy for Uterine Cervical Cancer: A Case Report.","authors":"Hayato Chikamatsu, Mana Taki, Sachiko Kitamura, Masumi Sunada, Koji Yamanoi, Ryusuke Murakami, Ken Yamaguchi, Akihito Horie, Yasuhiro Tsuchido, Junzo Hamanishi, Masaki Mandai","doi":"10.1155/2024/4114954","DOIUrl":"https://doi.org/10.1155/2024/4114954","url":null,"abstract":"<p><p><i>Ureaplasma parvum</i> is one of the most common endemic mycoplasmas in the genitourinary tract and can cause amniotic fluid infection leading to preterm labor. We report a rare case of <i>Ureaplasma parvum</i> infection ascending from the vagina to the abdominal cavity after hysterectomy, causing vaginal cuff infection, postoperative peritonitis, and small bowel obstruction. A 29-year-old nulliparous woman presented with infected uterine cervical cancer. After radical hysterectomy for uterine cervical cancer, the patient had paralytic ileus with ascites and fever. Peritonitis was suspected; however, all cultures were negative, making it difficult to identify the causative organism. Polymerase chain reaction (PCR) of the ascites revealed <i>Ureaplasma parvum</i>, which could be treated with levofloxacin (LVFX). Open drainage to control the infection revealed a necrotic tissue around vaginal cuff and the small intestine encased in cocoon-like fibers like sclerosing encapsulating peritonitis. After the infection was improved, the bowel obstruction was also improved. <i>Ureaplasma</i> spp. can be difficult to culture. PCR testing for <i>Ureaplasma</i> infection should be considered when urogenital infection is suspected in patients prone to opportunistic infections, such as those with malignant tumors.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543893","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
Severe Cytomegalovirus Congenital Infection With Neurological Compromise a Case Series Study in Mexico: Severe CMV and Neurological Compromise. 重症巨细胞病毒先天性感染与神经系统损害--墨西哥病例系列研究:严重巨细胞病毒感染和神经系统功能损害。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/7510447
Saúl Flores-Medina, Ricardo Figueroa Damian, Gabriela Arreola-Ramírez, Noemi Plazola-Camacho, Graciela Villeda-Gabriel, Sara A Ochoa, Ariadnna Cruz-Córdova, Juan Xicohtencatl-Cortes, José Arellano-Galindo
{"title":"Severe Cytomegalovirus Congenital Infection With Neurological Compromise a Case Series Study in Mexico: Severe CMV and Neurological Compromise.","authors":"Saúl Flores-Medina, Ricardo Figueroa Damian, Gabriela Arreola-Ramírez, Noemi Plazola-Camacho, Graciela Villeda-Gabriel, Sara A Ochoa, Ariadnna Cruz-Córdova, Juan Xicohtencatl-Cortes, José Arellano-Galindo","doi":"10.1155/2024/7510447","DOIUrl":"https://doi.org/10.1155/2024/7510447","url":null,"abstract":"<p><p>Four cases of serious congenital cytomegalovirus (CMV) infections are described in this report. All cases were diagnosed postnatally using cerebrospinal fluid (3/4) or blood PCR (1/4) and histochemical study of the placenta (4/4). All infants were born prematurely. Maternal factors identified as significant were younger age at pregnancy and those from low-income social strata. The major clinical findings among patients with congenital CMV infection were hydrocephalus and persistent thrombocytopenia. The children's clinical condition did not improve over the course of the disease, leading to complications associated with extreme prematurity. Two of the children died, one of whom had severe brain malformations and showed neurological compromise at follow-up, seizures, motor impairment, and severe cognitive delay. It is essential to perform antenatal screening for possible CMV infection among pregnant women, even in countries with high population seropositivity, such as Mexico, to establish prenatal interventions to reduce the risk of fetal damage.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495741","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
Late Relapse of Previous Pulmonary Cryptococcosis With Symptoms Resembling Cerebral Infarction: A Case Report. 症状类似脑梗塞的肺隐球菌病晚期复发:病例报告。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3905985
Anatoli Pinchuk, Gernot Geginat, Volker Rickerts, Belal Neyazi, Klaus Peter Stein, Christian Mawrin, I Erol Sandalcioglu, Ali Rashidi
{"title":"Late Relapse of Previous Pulmonary Cryptococcosis With Symptoms Resembling Cerebral Infarction: A Case Report.","authors":"Anatoli Pinchuk, Gernot Geginat, Volker Rickerts, Belal Neyazi, Klaus Peter Stein, Christian Mawrin, I Erol Sandalcioglu, Ali Rashidi","doi":"10.1155/2024/3905985","DOIUrl":"https://doi.org/10.1155/2024/3905985","url":null,"abstract":"<p><p>Cryptococcosis, an infection caused by <i>Cryptococcus neoformans and Cryptococcus gattii</i>, predominantly targets the central nervous system (CNS) in patients with AIDS but is not limited to this group. The disease can also occur in individuals with various immunosuppressive conditions, frequently involving the brain or lungs. Cryptococcal meningitis (CM) is the most common form of fungal meningoencephalitis, leading to intracerebral infections, cerebral infarction, or hydrocephalus. The clinical presentation of CM is nonspecific, and imaging features can vary significantly. This case report presents a patient with cerebral infarction, who was HIV-negative but had been on long-term cortisone therapy. Notably, the patient had a history of pulmonary cryptococcosis 15 years prior to cerebral involvement. When initially at our clinic, histology and culture results from brain biopsies were negative and the earlier pulmonary cryptococcosis history was unknown. Subsequently, cryptococcal antigen was detected in both serum and cerebrospinal fluid (CSF), and <i>C. neoformans</i> was cultivated from CSF. This case highlights the critical importance of maintaining a high index of suspicion for CM, particularly in patients with a history of previous cryptococcal infections, and it also demonstrates the possibility of false-negative brain biopsy results due to secondary vascular events associated with CM.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458753","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
Capnocytophaga canimorsus Septicemia With Sepsis-Induced Coagulopathy and Endocarditis. Capnocytophaga canimorsus 败血症伴有败血症引起的凝血功能障碍和心内膜炎。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4010115
Jeannine L Kühnle, Maximilian Leitner, Vitalie Mazuru, Kai Borchardt, Sören L Becker, Franziska Roth, Robert Bals, Philipp M Lepper, Hans-Joachim Schäfers, Isabella T Jaumann
{"title":"<i>Capnocytophaga canimorsus</i> Septicemia With Sepsis-Induced Coagulopathy and Endocarditis.","authors":"Jeannine L Kühnle, Maximilian Leitner, Vitalie Mazuru, Kai Borchardt, Sören L Becker, Franziska Roth, Robert Bals, Philipp M Lepper, Hans-Joachim Schäfers, Isabella T Jaumann","doi":"10.1155/2024/4010115","DOIUrl":"https://doi.org/10.1155/2024/4010115","url":null,"abstract":"<p><p><i>Capnocytophaga canimorsus</i> is a rare cause of serious infections with a high mortality of 10% to 30%. It is usually found in the oral cavity of cats and dogs and can cause severe sepsis in immunocompromised patients. An 81-year-old female Caucasian patient presented with <i>C. canimorsus</i> sepsis after a dog bite in her finger three days before presentation to our emergency department. She initially was presented to us with sepsis, thrombopenia, and schistocytes in her laboratory findings, suggesting the differential diagnoses of the multiple subtypes of thrombotic microangiopathy. She was admitted to the medical intensive care unit of the University Hospital of Saarland because of septic shock with circulatory insufficiency. The patient received plasmapheresis, antibiotics, and dialysis, under which she improved significantly. The fingertip of the affected finger developed necrosis and had to be amputated. Furthermore, the patient was diagnosed with a mitral valve endocarditis, a very rare complication of <i>C. canimorsus</i> infection. It was treated conservatively with antibiotics and was no longer detectable 8 weeks after the diagnosis. Surgical intervention was not needed. The case describes well that it is still difficult to distinguish between thrombotic thrombocytopenic purpura (TTP), disseminated intravascular coagulation (DIC), and sepsis-induced coagulopathy (SIC), especially in the early phases of acute disease, especially in <i>C. canimorsus-</i>induced sepsis.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342256","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
Multifocal Osteomyelitis in an Adolescent Patient With Cat Scratch Disease. 一名青少年猫抓病患者的多灶性骨髓炎
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-09-07 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9562634
Burcu Topçu, Hale Usluer Gönüllü, Osman Yeşilbaş, Pınar Polat Suma, Ahmet Soysal
{"title":"Multifocal Osteomyelitis in an Adolescent Patient With Cat Scratch Disease.","authors":"Burcu Topçu, Hale Usluer Gönüllü, Osman Yeşilbaş, Pınar Polat Suma, Ahmet Soysal","doi":"10.1155/2024/9562634","DOIUrl":"https://doi.org/10.1155/2024/9562634","url":null,"abstract":"<p><p>Cat scratch disease (CSD) typically presents as a self-limiting lymphadenopathy associated with a cat bite or scratch and commonly affects children and young adults. Atypical manifestations, involving the eyes, nervous system, heart, liver, spleen, skin, and musculoskeletal system, could be severe and difficult to diagnose, and they could occur in 5%-20% of the cases. Herein, we report an unusual case of CSD with multifocal osteomyelitis. A 15-year-old girl presented with right axillary lymphadenopathy. Since she had a history of cat scratch, azithromycin was started for CSD. Two days later, she was readmitted to our hospital with severe back pain which required differential diagnosis. Lumbar spinal magnetic resonance imaging (MRI) revealed multifocal vertebral osteomyelitis. The patient was hospitalized, and then teicoplanin and cefotaxime were added to the azithromycin therapy. After excluding the possible other causes, the definitive diagnosis of osteomyelitis secondary to CSD was made upon the combination of the MRI scan findings of the vertebrae, histopathological investigation of excisional right axillary biopsy, positron-emission tomography/computed tomography (PET/CT), and <i>Bartonella henselae</i> serologies. Atypical manifestations of CSD are widely variable; therefore, it should be kept in mind in the differential diagnosis of severe musculoskeletal pain and osteomyelitis.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280674","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
Evaluation of Neutralizing Capacity of Tixagevimab plus Cilgavimab (AZD7442) against Different SARS-CoV-2 Variants: A Case Report Study with Comparison to a Vaccinated Population. 评估 Tixagevimab 加 Cilgavimab (AZD7442) 对不同 SARS-CoV-2 变体的中和能力:与接种疫苗人群进行比较的病例报告研究。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-08-31 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9163490
Constant Gillot, Jean-Louis Bayart, Vincent Maloteau, Jean-Michel Dogné, Jonathan Douxfils, Julien Favresse
{"title":"Evaluation of Neutralizing Capacity of Tixagevimab plus Cilgavimab (AZD7442) against Different SARS-CoV-2 Variants: A Case Report Study with Comparison to a Vaccinated Population.","authors":"Constant Gillot, Jean-Louis Bayart, Vincent Maloteau, Jean-Michel Dogné, Jonathan Douxfils, Julien Favresse","doi":"10.1155/2024/9163490","DOIUrl":"10.1155/2024/9163490","url":null,"abstract":"<p><p>AZD7442 (150 mg of tixagevimab plus 150 mg of cilgavimab) has been approved for the preexposure prophylaxis of COVID-19 and for the treatment of adults and adolescents with COVID-19 who do not require supplemental oxygen and who are at increased risk of severe COVID-19. Thus, the aim of the present study is to evaluate the neutralizing capacity of tixagevimab and cilgavimab across different SARS-CoV-2 variants in two patients who received AZD7442 for immunoprophylaxis. A cohort of subjects (<i>n</i> = 45) who had received the BNT162b2 mRNA COVID-19 vaccine has been included to compare these two preventive strategies. Neutralizing antibody (NAb) titers against several variants were assessed against the wild-type, alpha, beta, gamma, delta, omicron BA.5, and XBB.1.5 variants. Binding antibodies have also been measured. NAbs <i>T</i> <sub>1/2</sub> for AZD7442 was 8.1 days (95% CI: 5.1-19.5 days) and was 11.8 days (95% CI: 7.9-23.7 days) for the primo-vaccination cohort. The time to reach neutralization negativity was 108.3 days (95% CI: 66.9-130.7) for AZD7442 compared to 95.4 days (95% CI: 31.0-119.7 days) for the primo-vaccination cohort. The time to reach NAbs' negativity differs between variants with the maximum value obtained for alpha (i.e., 101.1 days (95% CI: 30.0-135.4 days)) and the minimum obtained for beta (i.e., 61.2 days (95% CI: 37.8-77.1 days)). Our results reinforce the need of reviewing the use of AZD7442 in relation to variants of concern and potentially adapting its administration schedule. AZD7442 could be indicated for short-term prophylaxis in frail patients who may be acutely exposed to SARS-CoV-2.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153190","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
Diagnosis of a Rare Rickettsia felis Infection Complicated with Unusual Pericardial Effusion and Cardiac Tamponade Using an mNGS Test. 使用 mNGS 检测诊断并发异常心包积液和心脏填塞的罕见立克次体感染。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8877876
Tien-Lung Po, Chien-Hsien Huang, Chia-Hsun Lin, Huei-Fong Hung
{"title":"Diagnosis of a Rare <i>Rickettsia felis</i> Infection Complicated with Unusual Pericardial Effusion and Cardiac Tamponade Using an mNGS Test.","authors":"Tien-Lung Po, Chien-Hsien Huang, Chia-Hsun Lin, Huei-Fong Hung","doi":"10.1155/2024/8877876","DOIUrl":"10.1155/2024/8877876","url":null,"abstract":"<p><p>The occurrence of sporadic rickettsial infections has been consistently undervalued and overlooked, primarily owing to a limited emphasis on routine examinations for rickettsioses in clinical practice. At present, the immunofluorescence assay is the prevailing diagnostic method for suspected rickettsioses that enables the detection of specific antibodies against rickettsia in human serum. Herein, we present an exceptional instance of rickettsial infection that was characterized by a rare manifestation of extensive pericardial effusion leading to dyspnea and cardiac tamponade. A diagnosis of chronic fibrosing pericarditis was established based on pericardium tissue obtained through pericardiotomy, and a conclusive metagenomic next-generation sequencing test confirmed the presence of <i>Rickettsia felis</i> infection. The cat flea, scientifically known as <i>Ctenocephalides felis</i>, is the predominant carrier of <i>R. felis</i>. An escalating incidence of human <i>R. felis</i> infections has raised concerns, particularly in light of the burgeoning population of domesticated animals in many contemporary societies.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010220","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
Swift Onset, Swift Recovery: Unusual Nonrheumatic Myocarditis in a Young Adult Post Group A Streptococcal Pharyngitis. 迅速发病,迅速恢复:A 组链球菌咽炎后一名年轻成人的非风湿性心肌炎。
IF 1
Case Reports in Infectious Diseases Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4942739
Andres Rios, Colby Wood, Ricardo Isaiah Garcia, Emily C Mitchell, Jacob Nichols
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