scholarly journals Escherichia coli Panophthalmitis after Pecking by a Great Egret (Ardea alba)

2020 ◽  
Vol 11 (2) ◽  
pp. 466-472
Author(s):  
Takashi Ono ◽  
Kentaro Abe ◽  
Yosai Mori ◽  
Ryohei Nejima ◽  
Takuya Iwasaki ◽  
...  
Keyword(s):  
Elevated Serum ◽  
Ocular Infection ◽  
Ocular Injury ◽  
C Reactive Protein ◽  
Upper Eyelid ◽  
Protein Levels ◽  
Reactive Protein ◽  
Cell Counts ◽  
Open Globe ◽  
The Right

We report a case of open globe injury caused by Ardea albapecking that resulted in Escherichia colipanophthalmitis. A woman in her 70s complaining of ocular pain was referred to our hospital because her right eye had been pecked by an A. alba2 days earlier. Visual acuity in her right eye was reduced to light sensation. The right conjunctiva became hyperemic and edematous with swelling of the right upper eyelid. The upper side of the right cornea was densely cloudy with focal defect. Ultrasonography showed a thick sclera and choroid-like structure. Pathological investigation of a scraped sample from the infected site revealed gram-negative rods; E. coli was isolated. She had fever with elevated serum C-reactive protein levels and leukocytosis confirmed by laboratory examination. Topical levofloxacin and cefmenoxime and intravenous fosfomycin and aspoxicillin were initiated, but the right cornea melted near the perforated site with leakage of the eyeball contents on the next day. We decided to perform eye evisceration because of difficulty in controlling corneal melting and panophthalmitis. Her general state recovered the day after surgery. Orbital cellulitis improved gradually with normal C-reactive protein levels and white blood cell counts. As ocular injury caused by birds could become severe and cause ocular infection and visual dysfunction, it is important to exercise caution in the vicinity of wild birds, especially when they are aggressive.

Abstract P096: Maternal Serum C-Reactive Protein Levels During Pregnancy and Risk for High C-Reactive Protein 7-13 Years Later

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Bonny Rockette-Wagner ◽  
Claudia Holzman ◽  
Bertha L Bullen ◽  
Andrew D Althouse ◽  
Janet M Catov
Keyword(s):  
Relative Risk ◽  
Weight Change ◽  
Elevated Serum ◽  
Maternal Serum ◽  
Health Study ◽  
C Reactive Protein ◽  
Protein Levels ◽  
Reactive Protein ◽  
Inflammatory Status

Introduction: Elevated serum C-reactive protein (CRP) can be a marker of disease activity involving inflammation, such as pregnancy complications and cardiovascular disease (CVD). Systemically high levels of CRP in women, including during pregnancy, may indicate higher risk for CVD. It is unknown if CRP measured during the pro-inflammatory state of pregnancy correlates with concentrations assessed 7-13 years after delivery. Hypothesis: Concentrations of CRP assessed during pregnancy will be related to CRP measured several years after pregnancy, independent of weight gain. Methods: We studied the first 252 women enrolled in the follow-up of the Pregnancy Outcomes and Community Health Study (POUCHmoms 2011-2013) with complete CRP data for the pregnancy (mean gestational age: 22.36 [2.22] weeks) and POUCHmoms visits (mean follow-up: 10.76 [1.38] years). The relative risk for high hsCRP (≥ 3.39 μg/ml) at the follow-up visit, related to quartiles of CRP during pregnancy, was examined using stepwise regression models. Results: Median (IQR) levels of pregnancy CRP and hsCRP at the follow-up visit were 5.68 [3.08, 9.76] and 3.39 [0.69, 9.73] μg/ml, respectively. Although absolute values of hsCRP at follow-up were generally lower than pregnancy CRP, 56% of women in the top and bottom quartiles of pregnancy CRP (71 of 126) were in the same quartile for hsCRP at follow-up (figure). The relative risk of having high hsCRP (≥ 3.39 μg/ml) at follow-up ranged from 2.7-5.2 for the 2 nd - 4 th quartiles of pregnancy CRP (vs. the 1st quartile). Controlling for pre-pregnancy BMI and follow-up weight change, the relative risk of having high hsCRP at follow-up was significantly higher for the 2 nd (1.15 [1.02-1.30]),3 rd (1.19 [1.05-1.35), and 4 th (1.22 [1.05-1.41]) quartiles of pregnancy CRP. Conclusions: Pregnancy CRP levels are related to hsCRP levels several years later in this cohort of women, even after adjusting for pre-pregnancy BMI and follow-up weight change. CRP assessed in pregnancy may reflect inflammatory status later in life.

scholarly journals Elevated Serum C-Reactive Protein Levels and Advanced Atherosclerosis in Youth

2005 ◽  
Vol 25 (6) ◽  
pp. 1237-1243 ◽  
Author(s):  
Arthur W. Zieske ◽  
Russell P. Tracy ◽  
C. Alex McMahan ◽  
Edward E. Herderick ◽  
Satoki Homma ◽  
...  
Keyword(s):  
Elevated Serum ◽  
C Reactive Protein ◽  
Protein Levels ◽  
Reactive Protein

scholarly journals Euploid miscarriage is associated with elevated serum C-reactive protein levels in infertile women: a pilot study

2020 ◽  
Vol 301 (3) ◽  
pp. 831-836
Author(s):  
Andrea Weghofer ◽  
David H. Barad ◽  
Sarah K. Darmon ◽  
Vitaly A. Kushnir ◽  
David F. Albertini ◽  
...  
Keyword(s):  
Pilot Study ◽  
Elevated Serum ◽  
C Reactive Protein ◽  
Infertile Women ◽  
Protein Levels ◽  
Reactive Protein

scholarly journals Elevated Serum C-Reactive Protein Levels Predict Cardiovascular Events in the Japanese Coronary Artery Disease (JCAD) Study

2009 ◽  
Vol 73 (1) ◽  
pp. 78-85 ◽  
Author(s):  
Kenei Shimada ◽  
Masatoshi Fujita ◽  
Atsushi Tanaka ◽  
Ken Yoshida ◽  
Satoshi Jisso ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiovascular Events ◽  
Elevated Serum ◽  
C Reactive Protein ◽  
Protein Levels ◽  
Reactive Protein ◽  
Artery Disease

Acute Phase Reactants Predict the Risk of Amputation in Diabetic Foot Infection

2011 ◽  
Vol 101 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Baris Akinci ◽  
Serkan Yener ◽  
Sena Yesil ◽  
Nur Yapar ◽  
Yasin Kucukyavas ◽  
...  
Keyword(s):  
Acute Phase ◽  
Diabetic Foot ◽  
Post Treatment ◽  
C Reactive Protein ◽  
Acute Phase Reactants ◽  
Protein Levels ◽  
Reactive Protein ◽  
Diabetic Foot Infections ◽  
Cell Counts ◽  
White Blood Cell Counts

Background: Prediction of amputation would aid clinicians in the management of diabetic foot infections. We aimed to assess the predictive value of baseline and post-treatment levels of acute phase reactants in the outcome of patients with diabetic foot infections. Methods: We collected data prospectively during minimum follow-up of 6 months in patients with infected diabetic foot ulcers hospitalized in Dokuz Eylul University Hospital between January 1, 2003, and January 1, 2008. After excluding patients who did not attend the hospital for follow-up visits regularly (n = 36), we analyzed data from 165 foot ulcer episodes. Results: Limb ischemia and osteomyelitis were much more frequent in patients who underwent amputation. Wagner grade, which assesses ulcer depth and the presence of osteomyelitis or gangrene, was higher in patients who needed amputation. Ulcer size was slightly larger in the amputation group. Baseline and post-treatment C-reactive protein levels, erythrocyte sedimentation rates, white blood cell counts, and platelet counts were significantly elevated in patients who underwent amputation. Albumin levels were significantly suppressed in the amputation group. Univariate analysis showed that a 1-SD increase in baseline and post-treatment C-reactive protein levels, erythrocyte sedimentation rates, and white blood cell counts and a 1-SD decrease in post-treatment albumin levels were significantly associated with increased risk of amputation. Post-treatment C-reactive protein level was strongly associated with amputation risk. Conclusions: Circulating levels of acute phase reactants were associated with amputation risk in diabetic foot infections. (J Am Podiatr Med Assoc 101(1): 1–6, 2011)

The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Noninflammatory Thyroid Disease

Thyroid ◽  
2003 ◽  
Vol 13 (7) ◽  
pp. 643-648 ◽  
Author(s):  
Elizabeth N. Pearce ◽  
Fausto Bogazzi ◽  
Enio Martino ◽  
Sandra Brogioni ◽  
Enia Pardini ◽  
...  
Keyword(s):  
Thyroid Disease ◽  
Elevated Serum ◽  
C Reactive Protein ◽  
Protein Levels ◽  
Reactive Protein
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