scholarly journals Infections due to Cellulosimicrobium species: case report and literature review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
María Rivero ◽  
Javier Alonso ◽  
María Fernanda Ramón ◽  
Nancy Gonzales ◽  
Ana Pozo ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Healthcare Providers ◽  
Venous Catheter ◽  
Frequent Pattern ◽  
Clinical Experiences ◽  
Foreign Body Removal ◽  
Case Presentation ◽  
Human Infections ◽  
Work Up

Abstract Background Cellulosimicrobium species, formely known as Oerskovia species, are gram-positive bacilli belonging to the order Actinomycetales. They rarely cause human infections. The genus comprises two pathogenic species in humans: C. cellulans and C. funkei. Based on a case report, we provide a review of the literature of infections caused by Cellulosimicrobium/Oerskovia, in order to improve our knowledge of this unusual infection. Case presentation An 82-year-old woman with aortic prosthetic valve presented to the hospital with fever and heart failure. Further work up revealed the diagnosis of C. cellulans infective endocarditis (IE). The strain was identified by MALDI-TOF MS, API Coryne and 16S rRNA sequencing. The patient was deemed not to be an operative candidate and died despite the antibiotic therapy 35 days after admission. Conclusions Reviewing cases of Cellulosimicrobium species infections and communicating the successful and unsuccessful clinical experiences can assist future healthcare providers. Our case and those previously reported indicate that Cellulosimicrobium species usually infect immunocompromised patients or foreign body carriers. The most frequent pattern of infection is central venous catheter related bacteremia. The optimal treatment should include foreign body removal and valve surgery should be considered in case of IE.

scholarly journals Nasopharyngeal hirudiniasis: a hidden culprit—a case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Shreya Agarwal ◽  
Nimish Gupta
Keyword(s):  
Drinking Water ◽  
Case Report ◽  
Foreign Body ◽  
Male Patient ◽  
Natural Water ◽  
Water Sources ◽  
Endoscopic Examination ◽  
Rare Occurrence ◽  
Safety Measures ◽  
Case Presentation

Abstract Background Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. Case presentation We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any apparent cause. He was diagnosed with leech infestation in the nasopharynx on endoscopic examination. This article reports the management of nasopharyngeal leech infestation and safety measures for this animate foreign body retrieval. Conclusion A vigilant approach, thorough history, and examination are a must. Though leeches are simple to remove most of the time, certain necessary precaution should be kept in mind for better management and prevention of further complications.

scholarly journals “Visual Hook” for the removal of nasal foreign body – Case report

2016 ◽  
Vol 6 (24) ◽  
pp. 233-234 ◽  
Author(s):  
Sabari Nath
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Complete Removal ◽  
Foreign Body Removal ◽  
Body Case

Abstract We present a case of paediatric nasal foreign body removal using a flexible nasopharyngolaryngoscope, which is used both as an endoscope for visualization and as a hook for the rapid and complete removal of the nasal foreign body (“Visual Hook“).

scholarly journals A prickly situation: an attempted Caterpillar ingestion - case report

2020 ◽  
Vol 49 (1) ◽  
Author(s):  
Amar K. Bhardwaj ◽  
Naif Fnais ◽  
Christopher J. Chin
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Oral Cavity ◽  
Direct Laryngoscopy ◽  
Effective Technique ◽  
Efficient Manner ◽  
Case Presentation ◽  
Tussock Moth ◽  
Initial Method

Abstract Background Foreign body ingestion is a common problem in pediatrics. Each foreign body can present its’ own unique challenges during removal, and we present the management of an ingested Spotted Tussock Moth (Lophocampa maculata), more commonly known as a caterpillar. Case presentation An 18-month-old boy presented to the emergency department with difficulty handling secretions and odynophagia. It was reported he had placed a caterpillar in his mouth and then spat it out. On examination, hundreds of miniscule filaments (setae) were seen embedded in his lips and tongue. Our service was consulted out of concern for airway involvement. The patient was taken to the operating room where a direct laryngoscopy under general anesthesia with spontaneous ventilation was performed to confirm the setae were confined to the anterior tongue and lips. Once we were satisfied the airway was stable, the airway was secured, and we then began to remove the setae. The initial method used was to use Adson-Brown forceps to remove the setae, however this proved difficult and time-consuming given the volume of setae and how thin the setae were. Ultimately, a more effective technique was developed: a 4 × 4 AMD-RITMES® gauze was applied to the mucosa in order to dry up any secretions and then a piece of pink, waterproof BSN medical® tape was applied to the mucosa. After 3 s of contact it was removed. This technique was then repeated and was used to remove the vast majority of the setae. Conclusion To our knowledge, we have described the first technique to remove the caterpillar setae from the oral cavity mucosa in a fast, safe and efficient manner.

scholarly journals When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery

2017 ◽  
Vol 8 (1) ◽  
pp. 195-199
Author(s):  
Pedro Coelho ◽  
Carlos Menezes ◽  
Pedro Rodrigues ◽  
Rita Gonçalves ◽  
Tiago Maio ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Tissue Response ◽  
Synthetic Fiber ◽  
Slit Lamp ◽  
Foreign Body Removal ◽  
Conjunctival Autograft ◽  
Necrotizing Scleritis ◽  
Pterygium Surgery

Purpose: To report a case of pterygium surgery with conjunctival autograft followed by focal necrotizing scleritis due to foreign body entrapment in the scleral bed. Case Report/Results: This is a case report of a 76-years-old male patient who underwent nasal pterygium surgery and developed focal necrotizing scleritis secondary to foreign body entrapment under conjunctival autograft. One month following surgery, slit-lamp examination demonstrated a progressive thinning of the surgical area with focal inflammatory signs. A small synthetic fiber was identified to be trapped under the graft. A second intervention was performed with foreign body removal and a new conjunctival graft. Despite the surgery, focal scleral melting continued to progress and the patient was placed under systemic corticotherapy and submitted to amniotic membrane graft with epithelial side up. During the follow-up period there was a good tissue response. Conclusion: Despite being a safe and quick procedure, pterygium surgery can sometimes elicit new challenges.

scholarly journals Baby Death Due to Esophagotracheal Fistula Created by An Alkaline Battery: A Case Report

2018 ◽  
Vol 23 (2) ◽  
pp. 120-122
Author(s):  
Hacer Yaşar Teke ◽  
Muhammet Can ◽  
Tülay Renklidağ ◽  
Nevriye Temel ◽  
Asude Gökmen
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Chest Radiography ◽  
Relevant Literature ◽  
Oral Feeding ◽  
Case Presentation ◽  
Alkaline Battery ◽  
Esophagotracheal Fistula ◽  
Case Presentations ◽  
Esophageal Burn

There is a limited number of case presentations in literature related to esophagus burns and complications as a result of swallowing an alkaline battery. The main purpose of this case presentation was to discuss the autopsy findings of late-developing complications of swallowing an alkali battery in the light of the relevant literature. On the chest radiography of a 9-month old baby with complaints of vomiting for three days, an opacity was observed consistent with a foreign body in the esophagus. Esophagoscopy was applied and the swallowed battery was removed. On the fifth day after the operation, no complication has been observed to oral feeding was started and on the following day the patient was discharged. Four days after discharge, the patient was again brought to hospital with complaints of blood in vomit and was again hospitalized with a diagnosis of chemical esophageal burn. The patient died on the following day....

scholarly journals An Unusual Presentation of Retinal Detachment and Conjunctivitis: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 446-449
Author(s):  
Bailey Pierce ◽  
Scott Alter ◽  
Kyle Gerakopoulos ◽  
Jeniel Parmar
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Vision Loss ◽  
Point Of Care ◽  
Healthcare Providers ◽  
Medical Attention ◽  
Body Sensation ◽  
Point Of Care Ultrasonography ◽  
Visual Changes

Introduction: Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention. Case Report: We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual field deficit with ipsilateral conjunctivitis induced by a presumed foreign body. The patient described a foreign body sensation nine days prior to developing visual changes. In the ED, the patient was diagnosed with a retinal detachment using point-of-care ultrasonography, and emergent ophthalmologic consultation was obtained. Conclusion: Concurrent retinal detachment and conjunctivitis in a patient is extremely rare. Healthcare providers should be aware that foreign body-induced conjunctivitis could lead to retinal detachment.

scholarly journals Flexible bronchoscopic foreign body removal through the I-gel supraglottic airway -A case report-

2016 ◽  
Vol 11 (1) ◽  
pp. 109-112
Author(s):  
Ji-Young Yoo ◽  
Yoon-Sook Lee ◽  
Soon-Young Hong ◽  
Sang-Hee Park ◽  
Too-Jae Min ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Supraglottic Airway ◽  
Foreign Body Removal

scholarly journals Pulmonary embolism presented by syncope in a low-risk patient: a case report

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 257
Author(s):  
Amr A A Othman ◽  
Aly M Tohamy ◽  
Ayman K M Hassan
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Massive Pulmonary Embolism ◽  
Low Risk ◽  
Risk Patient ◽  
Common Symptom ◽  
Case Presentation ◽  
Work Up

Introduction: Pulmonary embolism, an emergency that can have fatal consequences, can be presented with a common symptom that can be missed, such as syncope.Case presentation: We present a case of a young, low-risk male who presented with attacks of syncope and dyspnea followed by massive pulmonary embolism. We also review the pathophysiology of syncope in pulmonary embolism cases and strategy of how to work up with similar cases.Conclusion: Pulmonary embolism should be considered and excluded in every case of recurrent attacks of syncope.

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