scholarly journals Congenital brucellosis: A case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097557
Author(s):  
Yahya Ali Mohzari ◽  
Renad Abdullah Alshuraim ◽  
Syed Mohammed Basheeruddin Asdaq ◽  
Saud O. ALanazi ◽  
Najwa Alghamdi ◽  
...  

Although rare, brucellosis is endemic in the Kingdom of Saudi Arabia (KSA). In the case presented here, a neonate was born at 29 weeks gestation with severe respiratory depression, pyrexia; hypotension and an elevated white blood cell count. Her mother was a 19-year-old pregnant woman who developed premature rupture of the membranes and went into labour early. Sepsis was suspected and so the neonate received dobutamine and empiric ampicillin/gentamicin. The mother reported visiting a farm during her pregnancy and so congenital brucellosis was considered a possibility. Blood cultures were positive for Gram-negative coccobacilli and serology confirmed the presence of Brucella abortus and B. meltiness. Antibiotic treatment was changed to rifampin/gentamicin/ciprofloxacin but on day 17 the baby deteriorated and gentamicin was discontinued and meropenem was added. The neonate gradually improved; meropenem was discontinued on day 24 and the baby was discharged from hospital on day 38.

2017 ◽  
Vol 11 (02) ◽  
pp. 199-202 ◽  
Author(s):  
Abdul Rahman M. Alnemri ◽  
Adnan Hadid ◽  
Shaik Asfaq Hussain ◽  
Ali M. Somily ◽  
Badr H. Sobaih ◽  
...  

Although brucellosis is not uncommon in Saudi Arabia, neonatal brucellosis has been infrequently reported. In this case of neonatal brucellosis, Brucella abortus was isolated by blood culture from both the mother and the neonate. Serology was positive only in the mother.


1979 ◽  
Vol 144 (8) ◽  
pp. 544-544
Author(s):  
Denis J. Frank ◽  
Marcos S. Souza Lima ◽  
Robert A. Herman ◽  
Eugene R. Schiff

1996 ◽  
Vol 30 (3) ◽  
pp. 246-248 ◽  
Author(s):  
Sandra M Geletko ◽  
Kathleen M Melbourne ◽  
Dennis J Mikolich

OBJECTIVE: To report a case of ticlopidine-induced neutropenia resulting in Pseudomonas bacteremia. CASE SUMMARY: An 83-year-old white man developed febrile neutropenia 5 days after initiation of ticlopidine therapy. At presentation, the patient's white blood cell count was 1.1 × 109/L with an absolute neutrophil count (ANC) of 0. Ticlopidine was discontinued and the patient was treated empirically with ceftazidime, gentamicin, and filgrastim. The patient's blood cultures were positive for Pseudomonas aeruginosa. By day 6 of antibiotic and filgrastim therapy, he was clinically improved and the ANC was 17 040 × 106 cells/L. The filgrastim and intravenous antibiotics were discontinued and oral ciprofloxacin was started. CONCLUSIONS: Ticlopidine-induced neutropenia can occur suddenly and may result in a serious infection, such as bacteremia.


2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Abdul Majid Arwadi ◽  
Farhan Khalid ◽  
Sara Sadiq ◽  
Naveed Qureshi ◽  
Usman Ali Maitla

2021 ◽  
Vol 2 (5) ◽  
pp. 246-248
Author(s):  
Sam Ontiveros ◽  
Alicia Minns

Introduction: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. Case Report: A 27-year-old male presented with left knee pain and swelling two hours after suffering an accidental stab wound to his left lateral knee by an agave plant spine. Synovial fluid white blood cell count was 92,730 mm3 with 75% neutrophils and no crystals. Surgical washout was remarkable for turbid fluid and no foreign body. Synovial fluid and blood cultures remained without growth. At two-week follow-up, the patient had recovered. Conclusion: Penetrating injuries from agave thorns can cause an inflammatory arthritis that mimics septic arthritis.


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