Central nervous system fungal infection in a young male with a history of intravenous drug abuse and hepatitis C

Abstract Vascular access specialists are brought into many difficult situations that stretch their ability to provide appropriate care to patients who have complicated medical and personal histories. In the following case, a hospital was challenged to provide appropriate care while remaining responsible and compassionate throughout the duration of infusate delivery.

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Homograft patch repair in carotid artery rupture

VASA ◽

10.1024/0301-1526.36.4.279 ◽

2007 ◽

Vol 36 (4) ◽

pp. 279-281 ◽

Cited By ~ 3

Author(s):

Teebken ◽

Pichlmaier ◽

Leinung ◽

Lenarz ◽

Haverich

Keyword(s):

Drug Abuse ◽

Carotid Artery ◽

Common Carotid Artery ◽

Intravenous Drug ◽

Patch Repair ◽

Intravenous Drug Abuse ◽

Autologous Vein ◽

Vein Segment ◽

History Of ◽

Carotid Bulb

The case of a 24-year-old man with a rupture of the left common carotid artery and history of intravenous drug abuse is presented. Due to absence of a suitable autologous vein segment the carotid bulb was repaired with a human allograft patch.

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Intravenous Drug Abuse by Patients Inside the Hospital: A Cause for Sustained Bacteremia

Case Reports in Infectious Diseases ◽

10.1155/2016/1738742 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Noopur Goel ◽

Lubna Bashir Munshi ◽

Braghadheeswar Thyagarajan

Keyword(s):

Drug Abuse ◽

Hospital Stay ◽

Bacillus Cereus ◽

Active Drug ◽

Opportunistic Infections ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Inpatient Stay ◽

Adequate Treatment ◽

History Of

Patients with history of intravenous drug abuse are noted to be at risk of several infections including HIV, endocarditis, and other opportunistic infections. We report the case of a patient with sustainedBacillus cereusbacteremia despite use of multiple antibiotic regimens during his inpatient stay. Our case highlights the importance of high suspicion for active drug use inside the hospital in such patients. This is important in order to minimize unnecessary diagnostic workup and provide adequate treatment and safe hospital stay for these patients.

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A Complicated Case ofSerratia marcescensInfective Endocarditis in the Era of the Current Opioid Epidemic

Case Reports in Infectious Diseases ◽

10.1155/2018/5903589 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ho-Man Yeung ◽

Brijaé Chavarria ◽

Dariush Shahsavari

Keyword(s):

Drug Abuse ◽

Infective Endocarditis ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Course Of Disease ◽

Septic Emboli ◽

Severe Aortic Regurgitation ◽

History Of ◽

Pain Symptoms ◽

Complicated Nature

While bacteremia due toSerratia marcescensis not uncommon, it rarely causes infective endocarditis. We report an isolated case of a 53-year-old male with history of intravenous drug abuse who presented with multiple acute pain symptoms and was found to haveS. marcescensbacteremia with septic emboli in his spleen, brain, and testes, secondary to a large aortic vegetation, as well as aortic infective endocarditis with severe aortic regurgitation requiring aortic valve replacement. His course of disease was further complicated by epidural and psoas abscesses and a necrotic testicle requiring orchiectomy due to his ongoing intravenous drug abuse. This case is an atypical presentation ofS. marcescensinfection, as he had no overt signs of infection such as fever or significant leukocytosis that are typical of bacteremia, and it also highlights the severity and complicated nature ofS. marcescens-infective endocarditis.

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A prospective study of demographic profile, risk factors and pregnancy outcome in Hepatitis B and Hepatitis C virus positive pregnant women in a tertiary care centre

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202317 ◽

2020 ◽

Vol 9 (6) ◽

pp. 2393

Author(s):

Arti Sharma ◽

Shubhra Agarwal ◽

Garima Bajpai ◽

Anupriya Singh ◽

Nikita Agarwal ◽

...

Keyword(s):

Risk Factors ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Drug Abuse ◽

Hepatitis B ◽

Pregnant Women ◽

Pregnancy Outcome ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

In Pregnancy

Background: Viral hepatitis is the most common liver disease in pregnancy and is also the most common cause of jaundice in pregnancy in tropical countries. Risk factors for transmission are intravenous drug abuse, surgical and dental procedures done without adequate sterilization of instruments, sexual route etc. Early diagnosis and management can prevent maternal and fetal complications. This study was done to evaluate the frequency, risk factors and pregnancy outcome in hepatitis B virus (HBV) and hepatitis C virus (HCV) positive antenatal women.Methods: This case control study was conducted in Teerthankar Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India from January 2017 to June 2018 on total 2511 pregnant women. The serum samples were checked for presence of hepatitis B surface antigen (HBsAg) and presence of IgG antibodies to HCV. Analysis of sociodemographic profile, risk factors and pregnancy outcome were done in all HBV and HCV positive women.Results: Out of 2511 pregnant women, 292 were tested positive for hepatitis. Maximum number of women were in the age group of 21-30 years. Most of the seropositive women were multipara. Frequency of positivity was maximum for HCV (67.1%). The risk factors for transmission in study population were intravenous drug abuse, blood transfusion, history of surgery and tattooing.Conclusions: Hepatitis infection rate is increasing. Universal screening for HBV and HCV can be recommended in pregnant women in developing countries. Education and awareness of public and health care workers can reduce the risk of transmission.

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