scholarly journals Cutaneous leishmaniasis in a 65-year-old North Texas male, treated with cryotherapy: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090459
Author(s):  
Daniel A Nguyen ◽  
Jean Elizze M Charles ◽  
J Trace Worrell ◽  
Dustin V Wilkes
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Disease Control ◽  
Granulomatous Inflammation ◽  
North Texas ◽  
Dermatology Clinic ◽  
Control And Prevention ◽  
Infectious Disease Specialists ◽  
Central Ulceration

We report a case of a 65-year-old male seen in a North Texas dermatology clinic with three erythematous nodules possessing central ulceration and scaling on the left lateral shoulder, present for months. Head, ears, lips, oral mucosa, and other body surfaces did not reveal similar lesions, and review of systems was negative. Shave biopsy was performed and histopathological findings demonstrated granulomatous inflammation in the dermis and parasitized histiocytes containing peripherally located amastigotes. Leishmaniasis was diagnosed and patient was educated on the disease while communication with the Centers for Disease Control and Prevention was initiated. The patient declined systemic medications from infectious disease specialists and, 3 weeks later, returned for follow-up treatment with cryotherapy.

scholarly journals Visceral Mycotic Aneurysm: Superior Mesenteric Artery Aneurysm Caused by K. pneumoniae

2021 ◽  
pp. 1-4
Author(s):  
Reham Almasoud ◽  
Alaaeddin Nwilati ◽  
Saeb Bayazid ◽  
Mamoun Shafaamri
Keyword(s):  
Infectious Disease ◽  
Antibiotic Therapy ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Artery Aneurysm ◽  
Management Plan ◽  
Resected Tissue ◽  
Infectious Disease Specialists

We herein report a rare case of mycotic aneurysm of the superior mesenteric artery caused by <i>Klebsiella pneumoniae</i>. A 66-year-old man, a known case of hypertension and aorto-oesophageal fistula with stented aorta in 2010 and 2018, presented to the emergency department multiple times over 2 months with severe postprandial abdominal pain associated with vomiting and fever. On his last presentation, the obtained blood cultures grew ESBL positive <i>K. pneumoniae</i> and a repeated computed tomography (CT) showed a growing aneurysm at the origin of the ileocecal branch of the superior mesenteric artery measuring 17 × 10 mm (the aneurysm was 8 × 7.5 mm in the CT angiography on the previous admission). Extensive workup did not reveal the underlying cause of the mycotic aneurysm, thus we believe the cause to be the infected aortic stent, leading to bacteraemia and vegetations to the mesenteric artery causing the aneurysm. The management plan was placed by a multidisciplinary team consisting of vascular surgeons and infectious disease specialists along with review from a dietician to evaluate the patient’s nutritional status. The patient was started on total parenteral nutrition due to his postprandial pain and on antibiotic therapy according to the infectious disease team’s recommendation. He underwent surgical resection of the mycotic aneurysm, which showed a thrombosed aneurysm in the jejunoileal mesenteric area. The histopathology of the resected tissue demonstrated inflammatory aneurysm of the mesenteric artery. Following the surgery, the patient continued his antibiotic therapy and was discharged on the 13th post-operative day with follow-up appointments in the vascular surgery and infectious disease clinic.

A CASE OF POSTPARTUM MORTALITY DUE TO COVID-19 INFECTION

2020 ◽  
pp. 1-4
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Case Report ◽  
Disease Control ◽  
Cesarean Delivery ◽  
Morbidly Obese ◽  
New Disease ◽  
Current Case ◽  
Infected Woman ◽  
Control And Prevention

The current case report is presenting a post her third cesarean delivery COVID-19 infected woman who was 35years old, morbidly obese, and asthmatic. As coronavirus disease 2019 (COVID-19) is a new disease, its information is constantly being updated. Earlier reports of COVID 19 claims that pregnancy did not affect the progress of the disease severity. Recently, the Centers for Disease Control and Prevention (CDC) announced that pregnancy is a risk factor for COVID-19 severity. In the current case, her pregnancy may aggravate the criticality of COVID-19 infection in the addition to of her other risk factors (age, asthma, and obesity) up to death.

Keeping the flu at bay: Methods for detecting and containing infectious disease

2009 ◽  
Vol 7 (4) ◽  
pp. 9
Author(s):  
Atresha Karra, JD ◽  
Emily Cornette, JD
Keyword(s):  
Infectious Disease ◽  
United States ◽  
Disease Control ◽  
The United States ◽  
Communicable Diseases ◽  
World Health ◽  
Reporting Requirements ◽  
The World ◽  
Control And Prevention ◽  
Health Organization

This article focuses on the existing methods for tracking and restricting the spread of communicable diseases, both within United States borders and across nations. It will first describe the roles played by the United States’ Centers for Disease Control and Prevention and the World Health Organization and will then explore how communicable diseases across the world are identified and monitored. This will be followed by a discussion of US and world reporting requirements and methods. Finally, the article will discuss the tactics used by the United States to control the spread of disease.

scholarly journals Fishing-Injury-Related Flexor Tenosynovitis of the Hand: A Case Report and Review

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Danny A. Young-Afat ◽  
Deniz Dayicioglu ◽  
John C. Oeltjen ◽  
Audene P. Garrison
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Empiric Antibiotic Therapy ◽  
Illustrative Case ◽  
Soft Tissue Infections ◽  
Severe Damage ◽  
Appropriate Treatment ◽  
Empiric Antibiotic ◽  
Infectious Disease Specialists ◽  
Flexor Tenosynovitis

Hand infections occurring after fishing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat soft tissue infections. Therefore appropriate treatment is often delayed and could lead to severe hand damage. An illustrative case of fishing-related injury leading to complicated tenosynovitis and horseshoe abscess caused byMycobacterium marinumand its treatment course is outlined. Laceration of the skin during boating is fairly common. Because of the rarity of some of the bacteria, referrals to the appropriate specialist including hand surgeons and infectious disease specialists should occur in early stages.M. marinuminfections should always be considered in injuries related to seawater and fishing as this may lead to early appropriate treatment and prevent severe damage.

Optimizing Epidemiology–Laboratory Collaborations

2019 ◽  
pp. 187-212
Author(s):  
M. Shannon Keckler ◽  
Reynolds M. Salerno ◽  
Michael W. Shaw
Keyword(s):  
Infectious Disease ◽  
Disease Control ◽  
Study Design ◽  
Disease Outbreak ◽  
Field Investigation ◽  
Infectious Agents ◽  
Toxic Chemical ◽  
Infectious Disease Outbreak ◽  
Control And Prevention ◽  
Future Outbreak

Whether a field investigation involves a suspected or known infectious disease outbreak or a potential exposure to a toxic chemical or radionuclide, its success often depends on contributions from relevant laboratories; thus, strong collaborations between epidemiologists and laboratory scientists are critical. Outbreak investigators should contact scientists in relevant laboratories as soon as possible, preferably before deployment to the investigation site because early consultations with laboratory experts is often essential to study design. Many local laboratories can perform the more common tests needed, especially those for common infectious agents, whereas laboratories at the Centers for Disease Control and Prevention can provide backup support or more specialized services when appropriate. Strong collaborations between field epidemiologists and laboratory scientists can enhance the performance of future outbreak investigation teams.

Sinusitus with Subdural Empyema

2019 ◽  
pp. 267-273
Author(s):  
Christina Sayama
Keyword(s):  
Infectious Disease ◽  
Decision Making ◽  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Broad Spectrum ◽  
Clinical Care ◽  
Subdural Empyema ◽  
Neurologic Examination ◽  
Infectious Disease Specialists

Subdural empyema is considered a neurosurgical emergency and, if found on neuroimaging, should prompt craniotomy for evacuation followed by broad spectrum antibiotics. In the setting of a patient with severe parenchymal swelling, a craniectomy may be indicated, as well as other modalities to lower intracranial pressure. Clinical care and decision making occurs with a multidisciplinary team of pediatric intensivists, infectious disease specialists, otolaryngologists, and neurosurgeons. Detection of recurrent subdural empyema is critical to prevent further morbidity and mortality, and surveillance of fever, neurologic examination, and follow-up imaging is critical. Timely surgical treatment of these infections can lead to good clinical outcomes.

scholarly journals Case Report: Pulmonary and Liver Sarcoidosis Suspected of Metastasis

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 288
Author(s):  
Behnam Jafari ◽  
Gholamabas Sabz ◽  
Elahe Masnavi ◽  
Roghaye Panahi ◽  
Saeid Jokar ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Posterior Part ◽  
Granulomatous Inflammation ◽  
Spiral Ct ◽  
Sputum Smear ◽  
Important Differential Diagnosis ◽  
The Right ◽  
Closed Environment

Introduction: Sarcoidosis is a granulomatous disease with unknown cause that can vary from an asymptomatic condition. Almost half of the patients with sarcoidosis have no symptoms. In this article, we describe a sarcoidosis patient with lung and liver engagement; it may be confused with metastasis. Case report: A 39-year-old man, with known as hypothyroidism who had come to the emergency ward with dyspnea and coughing after exposure to detergents in a closed environment. The patient smoked for 10 years (3 pack/year). No other findings were found in clinical examinations except for wheezing in the right lung. The patient's chest radiography was shown a mass. For further investigation, spiral CT scan was performed. Large lymph nodes on the right side of the trachea, measuring about 23 mm and a mass of 70 × 77 mm in the vicinity of the right lung hilum and a hypodense nodule in the posterior part of the liver with malignancy suspicious were reported. After several biopsy results was shown chronic granulomatous inflammation, the most important differential diagnosis is tuberculosis (TB) and sarcoidosis. Sputum smear, culture, and PCR were performed for tuberculosis. Also, the level of angiotensin-converting enzyme (ACE) was measured for sarcoidosis. the results ruled out TB and shown a higher level of ACE (ACE = 88 IU/L).After diagnosis treatment started with prednisolone. Now, the patient is in the follow- up. Conclusion: In hilar lymphadenopathy of lung sarcoidosis is the importance differential diagnosis that should be considered.

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