scholarly journals Case Report ofGranulicatella adiacensas a Cause of Bacterascites

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Molly C. Cincotta ◽  
K. C. Coffey ◽  
Shannon N. Moonah ◽  
Dushant Uppal ◽  
Molly A. Hughes

Granulicatella adiacensis a Gram-positive coccus, formerly grouped with nutritionally variantStreptococcus, often found as commensal bacteria of the human oral cavity, urogenital tract, and gastrointestinal tract. Prior case reports have demonstratedGranulicatellaspp. as a pathogen that can cause bacteremia and infective endocarditis particularly of prosthetic valves and pacemaker leads. Here, we report on a unique case ofGranulicatella adiacensbacterascites in a 50-year-old male.

2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.


2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Sandeep Sharma ◽  
Parikshit Thakare ◽  
Ketaki Utpat ◽  
Unnati Desai

The coexisting presence of hydatid disease with aspergillus colonization is a rare finding. The 20-year-old presented with symptoms of hemoptysis with past history of tuberculosis. On further evaluation, the patient was diagnosed as a case of aspergilloma and managed conservatively. After one year of presenting with similar complaints, the patient was turned out to be hydatid disease with aspergillus colonization on the basis of clinic-radiological and bronchoscopic evaluation. Till now only a few case reports have been reported. We report a unique case report of a similar presentation.


2021 ◽  
pp. 878-883
Author(s):  
Neethi Dasu ◽  
Yaser Khalid ◽  
Kirti Dasu ◽  
Lucy Joo ◽  
Brian Blair

Kayexalate has been used in the USA since 1975 for the treatment of hyperkalemia. Prior case reports have shown that sorbitol added to kayexalate has been known to cause rare side effects of colonic necrosis. We present a unique case report of gastric pneumatosis as a complication of kayexalate.


2019 ◽  
Vol 4 (2) ◽  
pp. 01-04
Author(s):  
Ayman Mahran ◽  
Mohamed Allam ◽  
Hiba Ahmed ◽  
Alaa Ghazally ◽  
Asmaa M Ahmed

The term granuloma annulare (GA) appropriately describes the classic type characterized by ringed erythematous plaques with histological palisaded granulomatous inflammation. However, GA now includes a range of disease. Over time, more atypical, rare types have been reported in isolated case reports or small case series. Here, we describe a unique case of generalized GA presented by two morphologically different lesions in a 52 years old diabetic man. To the best of our knowledge, this association has never been reported in the literature.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Muhannad Antoun ◽  
Yousef Hattab ◽  
Fadi-Al Akhrass ◽  
Leigh Danielle Hamilton

Lactobacillus is not a common pathogen; however, it can contribute to opportunistic infections such as infective endocarditis (IE). Nonetheless, it has been reported as case reports in correlation with increased probiotic use, dental caries, and intravenous drug abuse.


2020 ◽  
Vol 54 (4) ◽  
pp. 225-228
Author(s):  
Ayşe Sülü ◽  
Ümmühan Çay ◽  
Hikmet Öztel Ocak

Streptococcus acidominimus is rarely pathogenic in humans and is usually detected in veterinary science. In the literature, there are approximately 20 case reports that Streptococcus acidominimus is a human pathogen. They are pneumonia, pericarditis, infective endocarditis, sepsis, brain abscess and gradienigo syndrome. Only two of these cases were in the pediatric age group, one was infective endocarditis at the age of 15 years, other one was otitis media and gradenigo syndrome at the age of 12 years. There are no cases of invasive infection due to Streptococcus acidominimus in Turkey. Here, we report a case of infective endocarditis caused by Streptococcus acidominimus at 14 years of age.


2014 ◽  
Vol 8 (04) ◽  
pp. 548-550 ◽  
Author(s):  
Kanne Padmaja ◽  
Vemu Lakshmi ◽  
Sreevdya Subramanian ◽  
Mamidi Neeraja ◽  
Siva Rama Krishna ◽  
...  

Infective endocarditis (IE) caused by nutritionally variant Streptococci (NVS) is associated with high bacteriologic and treatment failure and mortality rates compared to endocarditis caused by other Streptococci. With automated blood culture systems, the rates of NVS-associated IE accounts for 5%-6% cases. We report a case of IE caused by NVS in an elderly female patient with no risk factors. The patient was successfully treated with combination antimicrobial therapy.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Sachin M. Patil ◽  
Niraj Arora ◽  
Peter Nilsson ◽  
S. J. Yasar ◽  
Dima Dandachi ◽  
...  

Granulicatella adiacens is a type of NVS (nutritionally variant streptococci) rarely causing infective endocarditis (IE). NVS are fastidious and unable to sustain growth on routine culture media due to lack of specific nutrients. Endocarditis caused by NVS due to their virulence is associated with higher treatment failures and mortality rates. New antimicrobial susceptibility patterns are indicative of a significant rise in penicillin resistance and susceptibility differences between NVS subspecies. Initial empirical therapy is essential as a delay in using the appropriate agent leads to poor results. We present a case of an immunocompetent young female with recent intravenous drug abuse resulting in native mitral valve endocarditis with ruptured chordae tendineae and septic embolization, causing brain abscess and lumbar spine osteomyelitis. She was transferred to a tertiary center where she underwent mitral valve replacement successfully and treated with six weeks of intravenous vancomycin and ertapenem. To our knowledge, ours is the first case report of G. adiacens endocarditis in an adult with brain abscess and osteomyelitis with an excellent response to antibiotic therapy. Based on our case report, literature review, and new antimicrobial susceptibility patterns, updates to treatment guidelines are suggested to improve the therapeutic outcomes.


2018 ◽  
Vol 1 (2) ◽  
pp. p37
Author(s):  
Ali Hamoudi ◽  
Dana Vais ◽  
Vian Taqi

Infective endocarditis (IE) is a life-threatening infection of the cardiac valves especially in patients with preexisted valvular disease. Having a rheumatic heart disease, congenital heart disease, prosthetic valves or previous episodes of IE are some of the traditional risk factors for infective endocarditis (Hoen & Duval, 2013). Although most cases were reported by streptococci especially streptococcus viridans, which is one of the commensal bacteria isolated from the mouth, some of the cases of IE can be caused by fastidious extracellular bacteria such as Abiotrophia, HACEK group bacteria, Clostridium, Brucella, Legionella, Mycobacterium, and Bartonella spp. These organisms need supplemented media, prolonged incubation time, and special culture conditions to grow and be isolated. Abiotrophia was reclassified in a new genus Granulicatella, as Granulicatella adiacens, balaenopterae, elegans and G. para adiacens. The genus Abiotrophia consists of only one species -A.defectiva.


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