scholarly journals Disseminated tuberculosis presenting as hemophagocytic lymphohistiocytosis in an immunocompetent adult patient: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
P V T M Rathnayake ◽  
W K S Kularathne ◽  
G C V De Silva ◽  
B M S B Athauda ◽  
S N N K Nanayakkara ◽  
...  
2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Gashirai K. Mbizvo ◽  
Isabel C. Lentell ◽  
Clifford Leen ◽  
Huw Roddie ◽  
Christopher P. Derry ◽  
...  

2018 ◽  
Vol 12 (02) ◽  
pp. 146-149
Author(s):  
Rita Wilson Dib ◽  
Mireille Matar ◽  
Rami Hallak ◽  
Anna Farra ◽  
Jacques Mokhbat

Gemella haemolysans is a rare cause of human disease, namely infective endocarditis and brain abscesses. We report herein a case of Gemella haemolysans liver abscess in an immunocompetent adult patient secondary to blunt liver trauma and successfully managed by medical-surgical approach.


2020 ◽  
Vol 4 (3) ◽  
pp. 375-379
Author(s):  
Samantha Esposito ◽  
Joseph Levi ◽  
Zachary Matuzsan ◽  
Alexandra Amaducci ◽  
David Richardson

Introduction: Disseminated tuberculosis (TB) is rare, affects any organ system, and presents mainly in immunocompromised populations. Typical presentation is non-specific, posing a challenge for diagnosis. Case Report: This case presents an immunocompetent male presenting with severe headaches with meningeal signs. Lab and lumbar puncture results suggested bacterial meningitis, yet initial cerebral spinal fluid cultures and meningitis/encephalitis polymerase chain reaction were negative. A chest radiograph (CXR) provided the only evidence suggesting TB, leading to further tests showing dissemination to the brain, spinal cord, meninges, muscle, joint, and bone. Discussion: This case stands to acknowledge the difficulty of diagnosis in the emergency department (ED), and the need for emergency physicians to maintain a broad differential including disseminated TB as a possibility from the beginning of assessment. In this case, emergency physicians should be aware of predisposing factors of disseminated TB in patients presenting with non-specific symptoms. They should also acknowledge that TB may present atypically in patients with minimal predisposing factors, rendering the need to further investigate abnormal CXR images despite lab results inconsistent with TB. Conclusion: While this diagnosis is easily missed, early identification in the ED can lead to optimal treatment.


2016 ◽  
Vol 49 (3) ◽  
pp. 455-458 ◽  
Author(s):  
Tsung-Chia Chen ◽  
Ling-Tai Chou ◽  
Chen-Cheng Huang ◽  
An-Bang Lai ◽  
Jen-Hsien Wang

2021 ◽  
Author(s):  
Tiago Rabadão ◽  
Leonor Naia ◽  
Filipa Ferreira ◽  
Mariana Teixeira ◽  
Marcelo Aveiro ◽  
...  

2020 ◽  
Vol 9 (2) ◽  
pp. e194922216
Author(s):  
Vinicius Cardoso-Brito ◽  
Silvio de Almeida Junior ◽  
Nhaypi Iasmin Taveira Moreira ◽  
Luiz Alexandre Pereira ◽  
Danilo Cândido Bulgo

This article aims to describe a case report of an immunocompetent adult patient with rotavirus infection, highlighting the points to be reviewed and the conducts performed, in order to include in the routine of health professionals more appropriate actions in cases of diarrhea. acute. The research was conducted qualitatively, with the direct collection of patient data, describing the events chronologically, aiming at a better understanding of the clinical picture and medical actions. The patient presented with diarrhea and colic, with worsening in 24 hours, being seen at the emergency room and later with specialist in infectology. Routine examinations, water and food support were performed during hospitalization, as well as symptomatic therapy and antibiotic therapy. Complementary examinations showed fecal rotavirus positivity, anti-HIV 1 - 2 negatives, co-culture and negative Clostridium difficile screening, and presence of liquid cecum-ascending dilation on computed tomography. During the evaluation period, a deficit in conduct points and decision-making concerns was visualized in patients with acute diarrheal diseases in a hospital environment. Thus, it is concluded that some protocols performed in ADD patients, such as the use of antibiotic therapy, should be closely monitored, as well as the need for greater attention to biosecurity and, consequently, the risk of new infections in the environment. in addition to the need for data to accompany the occurrence of rotavirus in adult patients, which target not only public units, which may serve to leverage preventive methodologies.


Infection ◽  
2017 ◽  
Vol 45 (3) ◽  
pp. 385-388 ◽  
Author(s):  
Nicoletta Riva ◽  
Iacopo Franconi ◽  
Marianna Meschiari ◽  
Erica Franceschini ◽  
Cinzia Puzzolante ◽  
...  

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