scholarly journals Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Shail Sheth ◽  
Fady Asslo ◽  
Rabih Hallit ◽  
Raymund Sison ◽  
Muhammad Afridi ◽  
...  
Keyword(s):  
Eosinophil Count ◽  
Acute Abdominal Pain ◽  
Strongyloides Stercoralis ◽  
Immunocompetent Patient ◽  
Parasitic Disease ◽  
Peripheral Eosinophilia ◽  
Laboratory Examination ◽  
Tropical Regions ◽  
Immunocompetent Individual ◽  
First Case

Strongyloidiasis is a common parasitic disease in tropical regions of the world. Infection withStrongyloides stercoralisusually remains asymptomatic with peripheral eosinophilia and uncontrolled growth. Consequently, immunocompromised individuals are at a higher risk of complications of this disease. We present a case of an immunocompetent patient whose complaint of acute abdominal pain was found to be due to gastric and duodenal ulcerations. Laboratory examination revealed significantly elevated absolute eosinophil count at 11,466/mm3(normal 0–700/mm3). The duodenal biopsy revealed parasitic ova and adult worms suggestive ofStrongyloides stercoralisnematode with increased eosinophils in the tissue. We report the first case of multiple gastric and duodenal ulcerations due toStrongyloides stercoralisin an immunocompetent patient. We suggest that the elevated eosinophil count played a central role in the pathogenesis.

scholarly journals Strongyloidiasis: The Cause of Hypereosinophillia and Duodenal Ulcer in an Immunocompetent Individual

2016 ◽  
Vol 12 (1) ◽  
pp. 109-111
Author(s):  
Md Monirul Hoque ◽  
Shuvojit Sen ◽  
Md Nizam Uddin
Keyword(s):  
Eosinophil Count ◽  
Acute Abdominal Pain ◽  
Armed Forces ◽  
Strongyloides Stercoralis ◽  
Immunocompetent Patient ◽  
Weekly Dose ◽  
Peripheral Eosinophilia ◽  
Laboratory Examination ◽  
Tropical Regions ◽  
Medical College

Strongyloidiasis is a common parasitic disease in tropical and sub-tropical regions of the world. Infection with Strongyloides Stercoralis usually remains asymptomatic with peripheral eosinophilia and uncontrolled growth. Consequently, immunocompromised individuals are at a higher risk of complications of this disease. A case of an immunocompetent patient who had complaint of acute abdominal pain and was found to have duodenal ulceration. Laboratory examination revealed significantly elevated absolute eosinophil count at 17000/cmm (normal 0-500/cmm). The stool R/E revealed rhabtidiform larvae suggestive of Strongyloides stercoralis nematode. Endoscopy of upper GIT showed ulcer in duodenum. The patient was treated with weekly dose of Tab Albendazole for two weeks and after that peripheral eosinophilia count became normal. This study found that the elevated eosinophil count played a central role in the pathogenesis. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 109-111

scholarly journals Lymphocutaneous spread of Mycobacterium elephantis in an immunocompetent individual: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110349
Author(s):  
Brett D Edwards ◽  
Ranjani Somayaji ◽  
Dina Fisher ◽  
Justin C Chia
Keyword(s):  
Case Report ◽  
Chronic Lung Disease ◽  
Contaminated Soil ◽  
Lung Abscess ◽  
Immunocompetent Individual ◽  
First Case ◽  
Antimycobacterial Agents ◽  
Vitro Data ◽  
In Vitro Data

Mycobacterium elephantis was first described when isolated from an elephant that succumbed to lung abscess. However, despite this namesake, it is not associated with animals and has been described most often as a probable colonizer rather than pathogen in humans with chronic lung disease. In this report, we describe the first case of lymphocutaneous infection from M. elephantis, likely as a result of cutaneous inoculation with contaminated soil. This offers further evidence to its capabilities as a pathogen. We provide a review of the limited prior reports of M. elephantis and outline the available in vitro data on efficacy of various antimycobacterial agents.

Scytalidium dimidiatum associated invasive fungal sinusitis in an immunocompetent patient

2014 ◽  
Vol 128 (11) ◽  
pp. 1018-1021 ◽  
Author(s):  
A Hariri ◽  
N Choudhury ◽  
H A Saleh
Keyword(s):  
Corticosteroid Treatment ◽  
Fruit Trees ◽  
Immunocompetent Patient ◽  
Human Infection ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Fungal Sinusitis ◽  
Endemic Region ◽  
Invasive Fungal Sinusitis ◽  
First Case

AbstractBackground:Scytalidium dimidiatum is a soil and plant pathogen that frequently affects fruit trees, but can also cause human infection. There are only two reported cases of invasive fungal sinusitis involving this rare micro-organism.Objective:This paper reports the first case of invasive fungal sinusitis caused by Scytalidium dimidiatum occurring in a young immunocompetent patient from a non-endemic region, and discusses potential sources of exposure and relevance of local factors.Method:Case report.Results:The patient was treated successfully with a combination of functional endoscopic sinus surgery, and antifungal and corticosteroid treatment.Conclusion:This paper describes the first reported case of invasive fungal sinusitis secondary to Scytalidium dimidiatum in a young immunocompetent patient from a non-endemic region. Importance is placed on following a systematic process of investigation and management, and adhering to well-defined basic surgical principles.

scholarly journals First Case of Human Cerebral Taenia martis Cysticercosis

2015 ◽  
Vol 53 (8) ◽  
pp. 2756-2759 ◽  
Author(s):  
Julie Brunet ◽  
Aurélien Benoilid ◽  
Stéphane Kremer ◽  
Constanza Dalvit ◽  
Nicolas Lefebvre ◽  
...  
Keyword(s):  
Larval Stage ◽  
Immunocompetent Patient ◽  
Intermediate Hosts ◽  
Biopsy Material ◽  
Content Type ◽  
Dna Analyses ◽  
First Case

Taenia martis is a tapeworm affecting mustelids, with rodents serving as intermediate hosts. The larval stage (cysticercus) has been found before only rarely in humans or primates. We hereby describe a case of cerebral T. martis cysticercosis in a French immunocompetent patient, confirmed by DNA analyses of biopsy material.

scholarly journals Disseminated toxoplasmosis in an immunocompetent patient from Peruvian Amazon

2010 ◽  
Vol 52 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Juan Nunura ◽  
Tania Vásquez ◽  
Sergio Endo ◽  
Daniela Salazar ◽  
Alejandrina Rodriguez ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Muscle Biopsy ◽  
Blood Smear ◽  
Immunocompetent Patient ◽  
Peruvian Amazon ◽  
Thick Blood Smear ◽  
First Case ◽  
Hip Extension

We report a case of severe toxoplasmosis in an immunocompetent patient, characterized by pneumonia, retinochoroiditis, hepatitis and myositis. Diagnosis was confirmed by serology, T. gondii in thick blood smear and presence of bradyzoites in muscle biopsy. Treatment with pyrimethamine plus sulfadoxine was successful but visual acuity and hip extension were partially recovered. This is the first case report of severe toxoplasmosis in an immunocompetent patient from Peru.

scholarly journals Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Disease ◽  
Acute Abdominal Pain ◽  
Abdominal Distension ◽  
The Body ◽  
Parasitic Disease ◽  
Review Of The Literature ◽  
Diffuse Abdominal Pain ◽  
Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

scholarly journals Aspergillus aortitis in an immunocompetent patient presenting with acute endophthalmitis

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Joseph M. Rocco ◽  
Maggie K. Benson
Keyword(s):  
Cardiac Surgery ◽  
Early Recognition ◽  
Disease Process ◽  
Infectious Agent ◽  
Immunocompetent Patient ◽  
Endogenous Endophthalmitis ◽  
Laboratory Studies ◽  
Aortic Pseudoaneurysm ◽  
First Case ◽  
Ascending Aortic Pseudoaneurysm

Aspergillus is a common environmental mold most often recognized as an infectious agent in patients with severe immune compromise. We present a case of an immunocompetent patient presenting with endogenous endophthalmitis in the absence of other infectious symptoms. The search for a systemic source revealed an ascending aortic pseudoaneurysm. Surgical resection and pathology revealed angioinvasive aspergillus aortitis. Recent cardiac surgery has been noted to be a risk factor for angioinvasive aspergillosis. Diagnosis is difficult as symptoms are mild and laboratory studies are often normal. To our knowledge this is the first case of aspergillus aortitis presenting as endogenous endophthalmitis without systemic signs of inflammation. These patients have a high mortality rate therefore early recognition is essential. It is important to consider angioinvasive aspergillus infections in patients with prior cardiac surgery presenting with occult embolic phenomena. Only with early diagnosis and prompt treatment can we improve outcomes of this disease process.

scholarly journals Larva migrans in the oral mucosa: report of two cases

2011 ◽  
Vol 22 (2) ◽  
pp. 166-170 ◽  
Author(s):  
José Humberto Damante ◽  
Luiz Eduardo Montenegro Chinellato ◽  
Fernando Toledo de Oliveira ◽  
Cleverson Teixeira Soares ◽  
Raul Negrão Fleury
Keyword(s):  
Oral Mucosa ◽  
Larva Migrans ◽  
Common Disease ◽  
Erythematous Plaque ◽  
Presumptive Diagnosis ◽  
Tropical Regions ◽  
Linear Pattern ◽  
First Case ◽  
Histological Characteristics ◽  
Posterior Direction

Cutaneous Larva migrans is a very common disease in tropical regions. In the oral mucosa, the infection occurs in the same way as in the skin, but it is rarer. This report describes two cases of Larva migrans in the oral mucosa. The first case was in a 27-year-old woman who presented an erythematous plaque located on the buccal mucosa, extending to a posterior direction, following a linear pattern, to other areas of the mouth. After incisional biopsy of the anterior-most portion of the lesion, morphological details obtained in multiple examined sections suggested Necator or Ancylostoma braziliense larvae as the cause of infection. The second case was in a 35-year-old male who presented a fusiform erythematous plaque in the palatal mucosa. This area was removed and submitted to microscopic examination under a presumptive diagnosis of "parasite migratory stomatitis". The histological characteristics were suggestive of a larva pathway. In both cases the lesion disappeared after biopsy and the patients were symptom-free.

scholarly journals Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient

2021 ◽  
Author(s):  
Smita Deshkar ◽  
Niranjan Patil ◽  
Ashish Lad ◽  
Shraddha Amberkar ◽  
Swati Sharan
Keyword(s):  
Fungal Infections ◽  
Surgical Excision ◽  
Immunocompetent Patient ◽  
Its Sequencing ◽  
Tropical Regions ◽  
Dematiaceous Fungus ◽  
Dorsum Of Foot ◽  
Subcutaneous Phaeohyphomycosis ◽  
Human Infections ◽  
Organ Tropism

Fungal infections like subcutaneous phaeohyphomycosis are uncommon but are increasing lately, especially in tropical regions like India. Identification of correct aetiologic agent is essential as different species can have different organ tropism. Here, a rare case of nodular subcutaneous phaeohyphomycosis in an immunocompetent 62-year-old male patient who developed nodule over right dorsum of foot is reported. After various diagnostic tests a rare dematiaceous fungus Medicopsis romeroi was identified as a causative agent in the nodular material by Internal Transcribed Spacer (ITS) sequencing. Surgical excision and antifungal therapy of itraconazole proved beneficial with no recurrence during a six months of follow-up. Medicopsis romeroi has been debated for its role in human infections however, it should be considered as one of the aetiologic agents of subcutaneous phaeohyphomycosis.

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