scholarly journals Fishing-Injury-Related Flexor Tenosynovitis of the Hand: A Case Report and Review

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Danny A. Young-Afat ◽  
Deniz Dayicioglu ◽  
John C. Oeltjen ◽  
Audene P. Garrison
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Empiric Antibiotic Therapy ◽  
Illustrative Case ◽  
Soft Tissue Infections ◽  
Severe Damage ◽  
Appropriate Treatment ◽  
Empiric Antibiotic ◽  
Infectious Disease Specialists ◽  
Flexor Tenosynovitis

Hand infections occurring after fishing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat soft tissue infections. Therefore appropriate treatment is often delayed and could lead to severe hand damage. An illustrative case of fishing-related injury leading to complicated tenosynovitis and horseshoe abscess caused byMycobacterium marinumand its treatment course is outlined. Laceration of the skin during boating is fairly common. Because of the rarity of some of the bacteria, referrals to the appropriate specialist including hand surgeons and infectious disease specialists should occur in early stages.M. marinuminfections should always be considered in injuries related to seawater and fishing as this may lead to early appropriate treatment and prevent severe damage.

Case of flexor tenosynovitis caused by Mycobacterium arupense

2021 ◽  
Vol 14 (10) ◽  
pp. e245130
Author(s):  
Kushali Patel ◽  
John Flaherty
Keyword(s):  
Drinking Water ◽  
Case Report ◽  
Water Systems ◽  
The Other ◽  
Empiric Antibiotic Therapy ◽  
Joint Infections ◽  
Empiric Antibiotic ◽  
Environmental Pathogens ◽  
Fish Tanks ◽  
Flexor Tenosynovitis

Mycobacterium arupense is a member of the Mycobacterium terrae complex (MTC) that is implicated in bone and joint infections, among others. This group of environmental pathogens can be found in soil, reclaimed and drinking water systems, rodents, fish tanks and bioaerosols in duck houses. Interestingly, while M. arupense is genotypically closely related to the other agents in the MTC, antibiotic susceptibility of these mycobacteria can vary widely and empiric antibiotic therapy is controversial. Our case report contributes to the very limited literature on M. arupense tenosynovitis—as only six cases have been reported since 2008—and sheds light on different courses of treatment. While previous cases have been successfully treated, a streamlined course of therapy for M. arupense tenosynovitis is still needed.

Peritonitis

2016 ◽  
Author(s):  
Elizabeth Rosenblatt
Keyword(s):  
Abdominal Cavity ◽  
Secondary Peritonitis ◽  
Empiric Antibiotic Therapy ◽  
Therapeutic Approaches ◽  
Bacterial Peritonitis ◽  
Persistent Symptoms ◽  
Primary Peritonitis ◽  
Appropriate Treatment ◽  
High Clinical Suspicion ◽  
Empiric Antibiotic

Peritonitis, or inflammation of the serosal membranes lining the abdominal cavity, is used predominately to describe primary peritonitis (spontaneous bacterial peritonitis [SBP]) and secondary peritonitis—two conditions with distinct pathophysiologies that require different diagnostic and therapeutic approaches. Tertiary peritonitis is characterized by persistent symptoms or signs of infection despite appropriate treatment of primary or secondary peritonitis. Patients undergoing peritoneal dialysis are at risk for catheter-associated peritonitis, which is sometimes considered an additional category of peritonitis. The most common manifestation of SBP is fever. In addition, patients often endure abdominal pain, general malaise, fatigue, and hepatic encephalopathy. One-third of patients with SBP develop renal dysfunction, which is an independent predictor of mortality. In patients with ascites and high clinical suspicion for infection, empiric antibiotic therapy should be started immediately following blood cultures and diagnostic paracentesis.

scholarly journals Acute pancreatitis in a COVID-19 patient in Brazil: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Caroline Petersen da Costa Ferreira ◽  
Kalynne Rodrigues Marques ◽  
Gustavo Henrique Ferreira de Mattos ◽  
Tércio de Campos
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Report ◽  
Severe Acute Respiratory Syndrome ◽  
Epigastric Pain ◽  
White Male ◽  
Empiric Antibiotic Therapy ◽  
Pancreatic Involvement ◽  
Number Of Patients ◽  
Empiric Antibiotic

Abstract Background The consequences of the coronavirus disease 2019 pandemic have already exceeded 10 million infected and more than 560,000 deaths worldwide since its inception. Currently, it is known that the disease affects mainly the respiratory system; however, recent studies have shown an increase in the number of patients with manifestations in other systems, including gastrointestinal manifestations. There is a lack of literature regarding the development of acute pancreatitis as a complication of coronavirus disease 2019. Case report We report a case of acute pancreatitis in a white male patient with coronavirus disease 2019. A 35-year-old man (body mass index 31.5) had acute epigastric pain radiating to his back, dyspnea, nausea, and vomiting for 2 days. The patient was diagnosed with severe acute pancreatitis (AP)-APACHE II: 5, SOFA: 3, Marshall: 0; then he was transferred from ED to the semi-intensive care unit. He tested positive for severe acute respiratory syndrome coronavirus 2 on reverse transcription-polymerase chain reaction, and his chest computed tomography findings were compatible with coronavirus disease 2019. Treatment was based on bowel rest, fluid resuscitation, analgesia, and empiric antibiotic therapy. At day 12, with resolution of abdominal pain and improvement of the respiratory condition, the patient was discharged. Conclusion Since there is still limited evidence of pancreatic involvement in severe acute respiratory syndrome coronavirus 2 infection, no definite conclusion can be made. Given the lack of other etiology, we consider the possibility that the patient’s acute pancreatitis could be secondary to coronavirus disease 2019 infection, and we suggest investigation of pancreas-specific plasma amylase in patients with coronavirus disease 2019 and abdominal pain.

scholarly journals Cutaneous leishmaniasis in a 65-year-old North Texas male, treated with cryotherapy: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090459
Author(s):  
Daniel A Nguyen ◽  
Jean Elizze M Charles ◽  
J Trace Worrell ◽  
Dustin V Wilkes
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Disease Control ◽  
Granulomatous Inflammation ◽  
North Texas ◽  
Dermatology Clinic ◽  
Control And Prevention ◽  
Infectious Disease Specialists ◽  
Central Ulceration

We report a case of a 65-year-old male seen in a North Texas dermatology clinic with three erythematous nodules possessing central ulceration and scaling on the left lateral shoulder, present for months. Head, ears, lips, oral mucosa, and other body surfaces did not reveal similar lesions, and review of systems was negative. Shave biopsy was performed and histopathological findings demonstrated granulomatous inflammation in the dermis and parasitized histiocytes containing peripherally located amastigotes. Leishmaniasis was diagnosed and patient was educated on the disease while communication with the Centers for Disease Control and Prevention was initiated. The patient declined systemic medications from infectious disease specialists and, 3 weeks later, returned for follow-up treatment with cryotherapy.

scholarly journals A case of fever and rash; Dilemma of MRSA versus Kawasaki disease

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Doaa Youssef
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Soft Tissue ◽  
Kawasaki Disease ◽  
General Population ◽  
Systemic Vasculitis ◽  
Autoimmune Disorder ◽  
Soft Tissue Infections ◽  
Common Pathogen ◽  
The Usa

<div><p><em>Kawasaki disease (KD) is an acute febrile systemic vasculitis that was first described by Kawasaki et.al in 1974. [1]. KD is regarded as an autoimmune disorder rather than an infectious disease. [2]. in the USA, where community acquired methicilline resistant staph (CA-MRSA) is now the most common pathogen (&gt;50%) causing skin and soft tissue infections (particularly abscesses) acquired by outpatients, the number of these infections has nearly doubled in six years, and the main burden of MRSA infections, measured as the incidence per 100 000 inhabitants, now falls on the general population [3]. We present here a case report of a girl came with fever and rash and it had criteria of both diseases KD and CA-MRSA.</em></p></div>

scholarly journals A rare complication of brucella in adolescence: Epididymoorchitis

2019 ◽  
Vol 6 (12) ◽  
pp. 4672-4674
Author(s):  
Mehmet semih Demirtaş
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Laboratory Tests ◽  
Rare Complication ◽  
Genitourinary System ◽  
System Involvement ◽  
Appropriate Treatment ◽  
Scrotal Swelling

Brucellosis is a systemic infectious disease and one of the major public health problems in our country. Genitourinary system involvement is rarely seen in brucellosis, which can involve many organs and systems. A 15-year-old patient who presented with scrotal swelling and pain and subsequently diagnosed as brucella epididymoorchitis is described in this case report. Since brucella rarely presents with epididymoorchitis, it is necessary to keep in mind the differential diagnosis of scrotal diseases, especially in areas where the disease is endemic. Diagnosis can be made with a good anamnesis and laboratory tests and the disease can be controlled with appropriate treatment.

scholarly journals Advances in the prevention, management, and treatment of community-acquired pneumonia

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 300 ◽  
Author(s):  
Mathias W. Pletz ◽  
Gernot G. Rohde ◽  
Tobias Welte ◽  
Martin Kolditz ◽  
Sebastian Ott
Keyword(s):  
Infectious Disease ◽  
Intensive Care ◽  
Community Acquired Pneumonia ◽  
Empiric Antibiotic Therapy ◽  
Evidence Based ◽  
Pneumococcal Vaccines ◽  
Empiric Antibiotic ◽  
The Impact ◽  
Current Guidelines

Community-acquired pneumonia (CAP) is the infectious disease with the highest number of deaths worldwide. Nevertheless, its importance is often underestimated. Large cohorts of patients with CAP have been established worldwide and improved our knowledge about CAP by far. Therefore, current guidelines are much more evidence-based than ever before. This article discusses recent major studies and concepts on CAP such as the role of biomarkers, appropriate risk stratification to identify patients in need of hospitalisation or intensive care, appropriate empiric antibiotic therapy (including the impact of macrolide combination therapy and antibiotic stewardship), and CAP prevention with novel influenza and pneumococcal vaccines.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Visceral Mycotic Aneurysm: Superior Mesenteric Artery Aneurysm Caused by K. pneumoniae

2021 ◽  
pp. 1-4
Author(s):  
Reham Almasoud ◽  
Alaaeddin Nwilati ◽  
Saeb Bayazid ◽  
Mamoun Shafaamri
Keyword(s):  
Infectious Disease ◽  
Antibiotic Therapy ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Artery Aneurysm ◽  
Management Plan ◽  
Resected Tissue ◽  
Infectious Disease Specialists

We herein report a rare case of mycotic aneurysm of the superior mesenteric artery caused by <i>Klebsiella pneumoniae</i>. A 66-year-old man, a known case of hypertension and aorto-oesophageal fistula with stented aorta in 2010 and 2018, presented to the emergency department multiple times over 2 months with severe postprandial abdominal pain associated with vomiting and fever. On his last presentation, the obtained blood cultures grew ESBL positive <i>K. pneumoniae</i> and a repeated computed tomography (CT) showed a growing aneurysm at the origin of the ileocecal branch of the superior mesenteric artery measuring 17 × 10 mm (the aneurysm was 8 × 7.5 mm in the CT angiography on the previous admission). Extensive workup did not reveal the underlying cause of the mycotic aneurysm, thus we believe the cause to be the infected aortic stent, leading to bacteraemia and vegetations to the mesenteric artery causing the aneurysm. The management plan was placed by a multidisciplinary team consisting of vascular surgeons and infectious disease specialists along with review from a dietician to evaluate the patient’s nutritional status. The patient was started on total parenteral nutrition due to his postprandial pain and on antibiotic therapy according to the infectious disease team’s recommendation. He underwent surgical resection of the mycotic aneurysm, which showed a thrombosed aneurysm in the jejunoileal mesenteric area. The histopathology of the resected tissue demonstrated inflammatory aneurysm of the mesenteric artery. Following the surgery, the patient continued his antibiotic therapy and was discharged on the 13th post-operative day with follow-up appointments in the vascular surgery and infectious disease clinic.

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