Suranthaniy S Sivalingam, Virginie Prendki, Nicolas Garin
{"title":"<i>Aerococcus urinae</i> Spondylodiscitis: A Case Report and Review of the Literature.","authors":"Suranthaniy S Sivalingam, Virginie Prendki, Nicolas Garin","doi":"10.1155/crdi/1569042","DOIUrl":"10.1155/crdi/1569042","url":null,"abstract":"<p><p><b>Background:</b> <i>Aerococcus urinae</i>, a rare human pathogen, mainly causes urinary tract infection, endocarditis, and bacteremia. However, it is rarely the cause of other types of infection such as spondylodiscitis. Invasive <i>A. urinae</i> infection chiefly occurs in older men with underlying urinary tract disorders. The real incidence may be underestimated, as <i>Aerococci</i> grow in a CO2-containing atmosphere, and urine cultures are usually not incubated in this environment. There have been eight case reports of spondylodiscitis due to <i>A. urinae.</i> <b>Material and Methods:</b> We report a 9<sup>th</sup> case occurring in an 80-year-old Caucasian man with lower back pain. The patient had predisposing conditions (diabetes and a history of urological surgery). Spinal MRI showed signs of spondylodiscitis. Two computed tomography-guided biopsies targeting the intervertebral disc and psoas muscle were not diagnostic. One of 10 blood culture bottles grew <i>A. urinae</i>. <b>Results:</b> After worsening of an L2 fracture, and unsuccessful percutaneous sampling procedures, the patient underwent surgical stabilization of T12 to L4 with multiple biopsies. Biopsy cultures grew <i>Aerococcus urinae</i>. Amoxicillin was administered intravenously for 14 days, followed by oral levofloxacin for 3 months. <b>Conclusion:</b> <i>A. urinae</i> should be considered in spondylodiscitis with negative cultures, particularly in older men with diabetes and urological conditions.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"1569042"},"PeriodicalIF":0.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013954","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 Infection With <i>Mycobacterium genavense</i> in the Setting of HIV Infection Misdiagnosed as Sarcoidosis.","authors":"Alireza Eskandari, Mitra Rezaei, Minoosh Shabani, Mihan Pourabdoullah, Afshin Moniri, Majid Marjani","doi":"10.1155/crdi/2249985","DOIUrl":"10.1155/crdi/2249985","url":null,"abstract":"<p><p><i>Mycobacterium genavense</i> was first identified in a patient with HIV. Here, we describe a 40-year-old man with prolonged fever and mediastinal and abdominal lymphadenopathy, who was initially misdiagnosed with sarcoidosis. A molecular study was conducted after mycobacterium was isolated from a lymph node biopsy, leading to the identification of <i>M. genavense</i>. The identification of this microbe, along with recurrent oral candidiasis and varicella skin lesions, raised suspicion of an immunodeficiency disorder, which ultimately resulted in an HIV diagnosis. Concurrently, the patient experienced polyradiculopathy caused by cytomegalovirus. This case highlights that after identifying a granuloma in tissue, a comprehensive investigation to exclude infectious causes using microbiological and molecular methods is crucial.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"2249985"},"PeriodicalIF":0.8,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991736","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}
Anna Barbiero, Sasha Trevisan, Tommaso Manciulli, Jessica Mencarini, Annalisa Cavallo, Costanza Fiorelli, Alessandro Bartoloni, Michele Spinicci, Lorenzo Zammarchi
{"title":"Amoebic Liver Abscesses in Returning Travelers: Lessons to Keep in Mind From a Nonendemic Area.","authors":"Anna Barbiero, Sasha Trevisan, Tommaso Manciulli, Jessica Mencarini, Annalisa Cavallo, Costanza Fiorelli, Alessandro Bartoloni, Michele Spinicci, Lorenzo Zammarchi","doi":"10.1155/crdi/9933233","DOIUrl":"10.1155/crdi/9933233","url":null,"abstract":"<p><p>Despite being relatively common in endemic settings, amoebic liver abscesses are rarely diagnosed in high-resource countries, where they are usually imported by migrants or travelers to endemic areas. Between 2010 and 2024, we observed two cases of amoebic liver abscess that were successfully managed in a tertiary-care center in Italy. In both cases, the infection was contracted in Colombia. Given the high morbidity and mortality associated with nontreated amoebic liver abscesses, this report aims at underlying the importance of travel history and of considering amoebic liver abscess among the differential diagnoses for people coming from endemic countries with compatible clinical presentations. Prompt diagnosis and treatment are of paramount importance for favorable clinical outcomes.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"9933233"},"PeriodicalIF":0.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944049","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}
Eduardo Mariño, Jorge Rodríguez-Pardo, Laura Vidal, Gerardo Zmork, Alicia Garcial-Leal, Beatriz Díaz-Pollán, Laura Lacruz
{"title":"Paradoxical Reactions of Central Nervous System Tuberculosis: Report of Three Immunocompetent Cases.","authors":"Eduardo Mariño, Jorge Rodríguez-Pardo, Laura Vidal, Gerardo Zmork, Alicia Garcial-Leal, Beatriz Díaz-Pollán, Laura Lacruz","doi":"10.1155/crdi/5416948","DOIUrl":"10.1155/crdi/5416948","url":null,"abstract":"<p><p><b>Introduction:</b> Paradoxical reactions during tuberculosis (TBC) therapy are characterized by clinical or radiological worsening of preexisting tuberculous lesions or the appearance of new manifestations following appropriate TBC treatment. Identifying this phenomenon is crucial, since it can be mistaken with treatment failure or relapse. Although widely described in HIV patients following immune reconstitution inflammatory syndrome, the literature on HIV-negative patients is scarce. <b>Case Series:</b> We present three cases of immunocompetent patients with central nervous system tuberculosis (CNS-TBC) who developed paradoxical reactions following appropriate TBC therapy. These included diverse clinical and radiological manifestations, such as persistent headaches, apparition or progression of tuberculomas, cerebral infarcts, and dorsal myelitis. Paradoxical reactions occurred within an average of 2.5 months from the start of anti-TBC treatment. <b>Conclusion:</b> Our findings underscore the importance of closely monitoring patients following anti-TBC treatment to identify potential complications rapidly. Paradoxical reactions due to exaggerated immune response to <i>Mycobacterium tuberculosis</i> complex antigens should be considered in a thorough differential diagnosis including other CNS infections, granulomatous or neoplastic disorders, treatment failure, or treatment-related toxicities. Ensuring adequate adherence to anti-TBC treatment and immunosuppressants is essential in such cases.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"5416948"},"PeriodicalIF":0.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944095","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":"Neurosyphilis Presenting as Sleep Disorder and Muscle Soreness Complicated With HIV Infection: A Case Report.","authors":"Shu-Qi Yang, Hua-Tang Zhang, Yi-Jie Lin, Xing Wang, Yan-Yan Qiu, Xue-Ping Yu","doi":"10.1155/crdi/4758423","DOIUrl":"10.1155/crdi/4758423","url":null,"abstract":"<p><p>Neurosyphilis is a tertiary syphilis complication or manifestation caused by <i>Treponema pallidum,</i> which invades the central nervous system. Its clinical manifestations are often nonspecific. Neurosyphilis symptoms frequently resemble those of spinal cord diseases and mental disorders, posing significant challenges for early diagnosis. With improving living standards and unprotected sexual behaviors becoming more common, the global incidence of syphilis has increased, along with a concurrent rise in reports of neurosyphilis, particularly among individuals with HIV infection. Although some patients with neurosyphilis mainly present with brain-related symptoms, it is rare for sleep disorders and general muscle soreness to be the predominant manifestations. This paper presents a case of neurosyphilis complicated by HIV coinfection, manifesting as sleep disorder and muscle soreness, providing insight into the impact of syphilis infection on the nervous system.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"4758423"},"PeriodicalIF":0.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944167","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":"Corrigendum to \"Cardioembolic Stroke Due to Prosthetic Valve Endocarditis Caused by <i>Candida parapsilosis</i>: A Case Report\".","authors":"","doi":"10.1155/crdi/9872490","DOIUrl":"10.1155/crdi/9872490","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2024/5581547.].</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"9872490"},"PeriodicalIF":0.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944151","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":"Isolated Facial Vein Thrombophlebitis Caused by <i>Fusobacterium nucleatum</i>: A Lemierre-Variant Case.","authors":"Nicole Oska, Deni Peterson, Kendall Brothers, Ragamayi Maramraju, Asem Ayyad, Brianna Hohmann","doi":"10.1155/crdi/9938125","DOIUrl":"10.1155/crdi/9938125","url":null,"abstract":"<p><p><b>Background:</b> Lemierre's syndrome is an uncommon yet potentially fatal infection, classically secondary to bacterial pharyngeal infections. It is typically characterized by bacteremia, most frequently due to <i>Fusobacterium necrophorum</i> and internal jugular vein thrombophlebitis. If untreated, septic embolization may result, potentially damaging the lungs, liver, brain, or other organs. This report describes a variant of Lemierre's syndrome in a young woman with streptococcal pharyngitis, who developed <i>Fusobacterium nucleatum</i> bacteremia and isolated facial vein thrombophlebitis, highlighting the importance of early diagnosis and treatment. <b>Case Presentation:</b> A 33-year-old woman with no significant past medical history presented with sore throat, chills, and right-sided facial and neck pain. Initially diagnosed with streptococcal pharyngitis at an urgent care clinic, she presented to the emergency department soon afterwards due to the development of severe rigors and fever. Blood cultures revealed growth of <i>Fusobacterium nucleatum</i>, raising suspicion for Lemierre's syndrome in the setting of worsening facial and neck pain despite negative initial imaging of the soft tissue of the neck. A subsequent CT venogram confirmed isolated thrombosis of the right facial vein. The patient was treated and discharged in stable condition on a 4 week course of metronidazole and 2 weeks of ceftriaxone. <b>Conclusion:</b> This case emphasizes the importance of maintaining suspicion for Lemierre's syndrome in patients with bacterial pharyngitis, especially when atypical symptoms such as facial pain occur. Although the internal jugular vein is most commonly affected, facial vein thrombosis may also occur. Early antibiotic treatment is critical for preventing severe complications including septic shock and embolization.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"9938125"},"PeriodicalIF":0.8,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944129","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}
Hamda Al-Mansoori, M Z Sharaf Eldean, Abdelkareem Alhyari, Mahmoud Tabouni
{"title":"Beyond the Lungs: A Rare Case of Extrapulmonary Tuberculosis Presenting With Neck Vein Thrombosis and Seizure.","authors":"Hamda Al-Mansoori, M Z Sharaf Eldean, Abdelkareem Alhyari, Mahmoud Tabouni","doi":"10.1155/crdi/4888774","DOIUrl":"10.1155/crdi/4888774","url":null,"abstract":"<p><p><b>Introduction:</b> Tuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, primarily affects the lungs but can involve virtually any organ system, manifesting as extrapulmonary TB. While TB-related hypercoagulability and venous thromboembolism are recognized, such presentations remain uncommon and diagnostically challenging, especially in the absence of classical symptoms. <b>Case Presentation:</b> We report the case of a 24-year-old immunocompetent female who initially presented with painless right-sided neck swelling. Imaging revealed an acute thrombus in the right internal jugular vein (IJV), with no clear underlying cause. Further evaluation showed enlarged necrotic mediastinal lymph nodes, raising suspicion for lymphoma. However, the patient later developed a seizure episode, and subsequent neuroimaging revealed multiple intracranial ring-enhancing lesions. Ultimately, mediastinoscopic lymph node biopsy confirmed necrotizing granulomatous inflammation, with a positive TB polymerase chain reaction (PCR), consistent with disseminated TB involving both vascular and central nervous systems. The patient was started on antitubercular therapy, anticoagulation, and adjunctive corticosteroids, with multidisciplinary follow-up arranged. <b>Discussion:</b> This case highlights TB-induced hypercoagulability as a potential cause of isolated venous thrombosis and underscores the diagnostic challenges when TB mimics malignancy. It also emphasizes the importance of considering TB in the differential diagnosis of unexplained thrombosis and intracranial lesions, even in the absence of pulmonary symptoms. <b>Conclusion:</b> Clinicians should maintain a high index of suspicion for extrapulmonary TB in atypical thrombotic events. Early tissue diagnosis and a multidisciplinary approach are key to effective management and favorable outcomes.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"4888774"},"PeriodicalIF":0.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944097","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}
Leon Joseph, Marc Assous, Karin Dreifuss, Shmuel Goldberg, Elie Picard
{"title":"Complicated Pediatric Pneumonia With <i>Eikenella</i> Caused by Foreign Body Aspiration: Institutional and Literature Review.","authors":"Leon Joseph, Marc Assous, Karin Dreifuss, Shmuel Goldberg, Elie Picard","doi":"10.1155/crdi/2857930","DOIUrl":"10.1155/crdi/2857930","url":null,"abstract":"<p><p><i>Eikenella corrodens</i> is a commensal bacterium of the buccal cavity and rarely causes lower respiratory infections in healthy children. Two young patients with persistent pleuropneumonia caused by <i>E. corrodens</i> are presented. In both cases, an obstructing endobronchial foreign body was found. Removal of the foreign bodies allowed complete recovery. A local and literature review demonstrated <i>E. corrodens</i> causing empyema in only four other cases, all with comorbidities. We conclude that in cases of persistent pneumonia in healthy children due to <i>Eikenella corrodens</i>, an aspirated foreign body should be suspected.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"2857930"},"PeriodicalIF":0.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882273","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}
Ryan J Blake, Benjamin M Frye, Allison M Lastinger
{"title":"Linezolid-Induced Glossitis and Papillitis in Orthopedic Patients With Postoperative Infection: A Case Report.","authors":"Ryan J Blake, Benjamin M Frye, Allison M Lastinger","doi":"10.1155/crdi/9036606","DOIUrl":"10.1155/crdi/9036606","url":null,"abstract":"<p><p>Linezolid, an oxazolidinone antibiotic, is commonly used to treat Gram-positive skin infections and has additional off-label success in treating bone and soft tissue infections. Linezolid has been associated with adverse effects, particularly those that are hematologic and neurologic in nature. However, we present three orthopedic patients who developed oral pain and swelling of the circumvallate papillae after a 10-day course of linezolid therapy, without the characteristic color changes associated with black hairy tongue as previously reported in the literature. All three patients were treated for superficial infections, and none exhibited signs of drug toxicity or neutropenia. Adverse side effects emerged despite short-term linezolid use, contrasting with previously reported cases involving long-term therapy. While black hairy tongue has been associated with linezolid and other antibiotics, these cases represent the first reported instance of generalized glossitis and papillitis without discoloration or noticeable alterations in the anterior portions of the tongue. The absence of coinfections or concurrent medications likely to cause similar symptoms suggests a unique set of side effects potentially correlated with linezolid. This case series emphasizes the importance of monitoring for atypical oral symptoms in patients on short-term linezolid therapy and adds to the growing body of literature on the side-effect profile. Further investigation into the mechanism of these reactions is necessary to better guide clinical practice in managing antibiotic-related oral adverse effects.</p>","PeriodicalId":9608,"journal":{"name":"Case Reports in Infectious Diseases","volume":"2025 ","pages":"9036606"},"PeriodicalIF":0.8,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882274","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}