scholarly journals Case Report: A rare case of prosthetic valve infective endocarditis caused by Aerococcus urinae

F1000Research ◽  
2018 ◽  
Vol 6 ◽  
pp. 1998
Author(s):  
Muhammad Adeel ◽  
Saman Tariq ◽  
Hisham Akthar ◽  
Ahmed Zaghloul ◽  
Corina Iorgoveanu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Diagnostic Testing ◽  
The Elderly ◽  
Elderly Male ◽  
Male Population ◽  
Flight Mass Spectrometry ◽  
Aerococcus Urinae ◽  
Cardiac Condition ◽  
Life Threatening ◽  
Tract Infections

Infective endocarditis (IE) is a serious and life-threatening cardiac condition, most commonly caused by staphylococci, Streptococcus viridans, and enterococci. However, in special settings, IE can be caused by rare organisms. Here we present a case of IE caused by Aerococcus urinae in a 75-year-old man with a bioprosthetic aortic valve.  Aerococcus urinae is a gram-positive, catalase-negative microorganism and is usually an isolate of complicated urinary tract infections in the elderly male population.  Improvements in diagnostic testing including use of matrix-assisted laser desorption ionization– a time of flight mass spectrometry (MALDI-TOF MS) have played an important role in recognition of Aerococcus urinae.

scholarly journals Case Report: A rare case of prosthetic valve infective endocarditis caused by Aerococcus urinae

F1000Research ◽  
2018 ◽  
Vol 6 ◽  
pp. 1998
Author(s):  
Muhammad Adeel ◽  
Saman Tariq ◽  
Hisham Akthar ◽  
Ahmed Zaghloul ◽  
Corina Iorgoveanu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Diagnostic Testing ◽  
The Elderly ◽  
Elderly Male ◽  
Male Population ◽  
Flight Mass Spectrometry ◽  
Aerococcus Urinae ◽  
Cardiac Condition ◽  
Life Threatening ◽  
Tract Infections

Infective endocarditis (IE) is a serious and life-threatening cardiac condition, most commonly caused by staphylococci, Streptococcus viridans, and enterococci. However, in special settings, IE can be caused by rare organisms. Here we present a case of IE caused by Aerococcus urinae in a 75-year-old man with a bioprosthetic aortic valve.  Aerococcus urinae is a gram-positive, catalase-negative microorganism and is usually an isolate of complicated urinary tract infections in the elderly male population.  . Improvements in diagnostic testing including use of matrix-assisted laser desorption ionization– a time of flight mass spectrometry (MALDI-TOF MS) have played an important role in isolating Aerococcus.

scholarly journals Case Report: A rare case of prosthetic valve infective endocarditis caused by Aerococcus urinae

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1998
Author(s):  
Muhammad Adeel ◽  
Saman Tariq ◽  
Hisham Akthar ◽  
Ahmed Zaghloul ◽  
Corina Iorgoveanu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Fatal Outcome ◽  
The Elderly ◽  
High Morbidity ◽  
Elderly Male ◽  
Male Population ◽  
Aerococcus Urinae ◽  
Cardiac Condition ◽  
Life Threatening ◽  
Tract Infections

Infective endocarditis (IE) is a serious and life threatening cardiac condition, most commonly caused by staphylococci, streptococci, enterococci and rarely by HACEK organisms (Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella corrodens and Kingella). Here, we present a case of IE caused by Aerococcus urinae in a 75-year-old man with a bioprosthetic aortic valve.  Aerococcus urinae is a gram-positive, catalase negative microorganism, and is usually an isolate of complicated urinary tract infections in the elderly male population. It is associated with high morbidity and mortality. Awareness of this organism as a cause of IE is important, since failure to recognize the condition may lead to adverse clinical outcomes and significant complications with even fatal outcome, as in this case.

scholarly journals Clinical spectrum of obstructive jaundice: a descriptive crosssectional study

2021 ◽  
Vol 6 (1) ◽  
pp. 53-57
Author(s):  
R. Naveena MS
Keyword(s):  
Obstructive Jaundice ◽  
The Elderly ◽  
Stone Disease ◽  
Clinical Spectrum ◽  
Bile Duct Stricture ◽  
Elderly Male ◽  
Male Population ◽  
Pancreas Head ◽  
Duodenal Carcinoma ◽  
Duct Stricture

Objective. The objective of this study was to evaluate the clinical spectrum of obstructive jaundice in inflammation, stone disease, and malignancy. Methods. A descriptive observational study was done among 50 patients with the diagnosis of obstructive jaundice during the period 2012 to 2013. A detailed history and clinical examinations and radiological confirmation were done. Results. Among the participants, 74% participants had jaundice, 58% with vomiting as presenting complaints. Among benign cases, 60% were choledocholithiasis, 25% were common bile duct stricture, and 15% were choledochal cyst. Among malignant cases, 26.67% were periampullary carcinoma, 23.33% had carcinoma of the pancreas head, and 13.33% had D2 duodenal carcinoma. Conclusions. The etiology of obstructive jaundice was malignancy in the elderly male population. The most common presenting features were yellowish discoloration of skin and mucosa followed by vomiting and abdominal pain.

scholarly journals Outcomes of and Satisfaction with the Inflatable Penile Prosthesis in the Elderly Male

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Humberto G. Villarreal ◽  
LeRoy Jones
Keyword(s):  
Penile Prosthesis ◽  
The Elderly ◽  
Artificial Urinary Sphincter ◽  
Ease Of Use ◽  
Elderly Male ◽  
Male Population ◽  
Inflatable Penile Prosthesis ◽  
Postoperative Hematoma ◽  
Degree Of Satisfaction ◽  
Age Range

Objective. To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71).Methods. Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004–2006.Results. We identified 56 patients that underwent IPP (48) or IPP/AUS (8). The age range was 71–86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5–2.4 years (mean 1.5). The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma. The telephone interview was conducted with 35 of 56 patients. Patients rated ease of use (a scale from 1–5, 5 meaning very easy) and overall satisfaction (a scale of 1–5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively. IPP usage varied from 0–7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again.Conclusion. Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.

scholarly journals Phosphate Enema Causing Life-Threatening Rectal Perforation

2020 ◽  
pp. 167
Author(s):  
Keyword(s):  
Septic Shock ◽  
Early Recognition ◽  
The Elderly ◽  
Elderly Male ◽  
Rectal Perforation ◽  
Good Outcome ◽  
Rectal Washout ◽  
Life Threatening ◽  
Phosphate Enema

We report a near fatal rectal perforation due to a phosphate enema in an elderly male. The presentation in septic shock within 4 hours of the enema is quite rare. Early recognition and prompt management are essential for a good outcome. A defunctioning colostomy is standard for these cases but we recommend a distal rectal washout since intraluminal faeces in a loaded rectum could be a cause of ongoing sepsis. Although enemas are commonly used for constipation in the elderly, suppositories and oral preparations should be used preferentially where appropriate.

scholarly journals Prevalence and Antimicrobial Susceptibility Patterns of Bacterial Pathogens in Urinary Tract Infections in University Hospital of Campania “Luigi Vanvitelli” between 2017 and 2018

Antibiotics ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 215 ◽  
Author(s):  
Veronica Folliero ◽  
Pina Caputo ◽  
Maria Teresa Della Rocca ◽  
Annalisa Chianese ◽  
Marilena Galdiero ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
The Elderly ◽  
University Hospital ◽  
Bacterial Strains ◽  
Gram Positive ◽  
Antibiotic Resistant ◽  
Gram Negative ◽  
Flight Mass Spectrometry ◽  
Tract Infections

Urinary tract infections (UTIs) are the most common and expensive health problem globally. The treatment of UTIs is difficult owing to the onset of antibiotic-resistant bacterial strains. The aim of this study was to define the incidence of infections, identify the bacteria responsible, and identify the antimicrobial resistance profile. Patients of all ages and both sexes were included in the study, all admitted to University Hospital of Campania “Luigi Vanvitelli”, between January 2017 and December 2018. Bacterial identification and antibiotic susceptibility testing were performed using matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) and Phoenix BD. Among the 1745 studied patients, 541 (31%) and 1204 (69%) were positive and negative for bacterial growth, respectively. Of 541 positive patients, 325 (60%) were females, while 216 (39.9%) were males. The largest number of positive subjects was recorded in the elderly (>61 years). Among the pathogenic strains, 425 (78.5%) were Gram-negative, 107 (19.7%) were Gram-positive, and 9 (1.7%) were Candida species. The most isolated Gram-negative strain is Escherichia coli (E. coli) (53.5%). The most frequent Gram-positive strain was Enterococcus faecalis (E. faecalis) (12.9%). Gram-negative bacteria were highly resistant to ampicillin, whereas Gram-positive bacteria were highly resistant to erythromycin.

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