scholarly journals Fatal septic shock caused by Paracoccidioides brasiliensis phylogenetic species S1 in a young immunocompetent patient: a case report

2018 ◽  
Vol 51 (1) ◽  
pp. 111-114
Author(s):  
Priscila Marques de Macedo ◽  
Rodrigo Almeida-Paes ◽  
Marcos de Abreu Almeida ◽  
Rowena Alves Coelho ◽  
Marcio Amaral de Oliveira Filho ◽  
...  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Paracoccidioides Brasiliensis ◽  
Immunocompetent Patient ◽  
Phylogenetic Species

scholarly journals Pulmonary paracoccidioidomycosis associated with septic shock in an immunocompetent patient. Case report

Case reports ◽  
2017 ◽  
Vol 3 (2) ◽  
pp. 60-69 ◽  
Author(s):  
Freddy Mauricio Quintero Alvarez ◽  
José Mauricio Garcia-Habeych ◽  
Juan Pablo Baez Duarte ◽  
Jessica Paola Montes Ortiz ◽  
Sergio Andres Mendinueta Giacometto
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Klebsiella Pneumoniae ◽  
Paracoccidioides Brasiliensis ◽  
Immunocompetent Patient ◽  
Patient Case ◽  
Factores De Riesgo

Introducción. La paracoccidioidomicosis (PCM) es una enfermedad crónica granulomatosa causada por el hongo dimórfico Paracoccidioides brasiliensis. Esta entidad compromete de manera preferencial a los pulmones, pero puede diseminarse a otros órganos, con particular trofismo por mucosa oral, glándulas suprarrenales, nódulos linfáticos, entre otros.Presentación del caso. Se presenta el caso de un hombre con PCM pulmonar manejada en el Hospital Universitario de Santander. El paciente ingresó con sospecha inicial de tuberculosis pulmonar activa por presencia en la tomografía de tórax de múltiples cavitaciones y nódulos de distribución aleatoria en el parénquima pulmonar y posterior aislamiento de levaduras compatibles con Paracoccidioides; se le suministró anfotericina B deoxicolato sin respuesta favorable y con posterior desarrollo de choque séptico por Klebsiella pneumoniae de espectro extendido. A pesar del manejo antibiótico multiconjugado, el sujeto presenta síndrome de falla multiorgánica con desenlace fatal a los 21 días de hospitalización.Conclusión. La PCM pulmonar es una enfermedad endémica que conlleva una respuesta inmunológica inadecuada del huésped que —en conjunto con factores de riesgo como tabaquismo, enolismo, desnutrición y bajo nivel socioeconómico— facilita la aparición de infecciones o enfermedades coexistentes potencialmente mortales, por lo cual su diagnóstico oportuno a partir de una sospecha clínica temprana influye potencialmente en la sobrevida del paciente.

scholarly journals First case report of fulminant septic shock from meningococcemia associated with Cryptococcus neoformans coinfection in an immunocompetent patient

2019 ◽  
Vol 26 ◽  
pp. 44-46
Author(s):  
Guilherme Dienstmann ◽  
Karina Tolfo Avi ◽  
Luiz Arthur Calheiros Leite ◽  
Joaquim Squizatto Alano ◽  
Matheus Leite Ramos de Souza ◽  
...  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Cryptococcus Neoformans ◽  
Immunocompetent Patient ◽  
First Case

Difficulties in the treatment of septic shock in a patient with status epilepticus – a case report

2016 ◽  
Vol 7 (1) ◽  
pp. 61-64
Author(s):  
Urszula Zielińska-Borkowska ◽  
Aneta Słabuszewska-Joźwiak
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Status Epilepticus

scholarly journals Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Min Li ◽  
Gang Zhu ◽  
Hao Guo ◽  
Shun Nan Ge ◽  
Guo Dong Gao ◽  
...  
Keyword(s):  
Septic Shock ◽  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
High Altitude ◽  
Fat Embolism ◽  
Neurological Rehabilitation ◽  
Case Presentation ◽  
Sympathetic Hyperactivity ◽  
Paroxysmal Sympathetic Hyperactivity

AbstractBackgroundCerebral fat embolism (CFE) syndrome at high altitude was rare complicated with paroxysmal sympathetic hyperactivity (PSH) syndrome and septic shock. It is a challenge to differential diagnosis and treatment at high altitude.Case presentationThis case presents a CFE with PSH and septic shock of a 23-year-old man occurred at high altitude of 3800 m above sea level, transferred by airplane successfully and cured in the department of neurosurgery, Xi’an Tangdu Hospital.ConclusionsIt is key that CFE with PSH can be rapid diagnosed and treatment bundles of septic shock should be initiated as soon as possible. Early neurological rehabilitation played an important role for good outcome.

Disseminated cryptococcosis in an immunocompetent patient. A case report

2021 ◽  
Vol 156 (8) ◽  
pp. 411-412
Author(s):  
Diana Esteller ◽  
Laura Llansó ◽  
Ona Escoda
Keyword(s):  
Case Report ◽  
Immunocompetent Patient

scholarly journals Septic shock due to Yersinia pseudotuberculosis infection in an adult immunocompetent patient: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Takehiro Hashimoto ◽  
Ryuichi Takenaka ◽  
Haruka Fukuda ◽  
Kazuhiko Hashinaga ◽  
Shin-ichi Nureki ◽  
...  
Keyword(s):  
Septic Shock ◽  
Therapeutic Strategy ◽  
Yersinia Pseudotuberculosis ◽  
Immunocompromised Host ◽  
Immunocompetent Patient ◽  
Case Presentation ◽  
Gram Negative ◽  
Old Japanese ◽  
The Right ◽  
Immunocompetent Patients

Abstract Background Yersinia pseudotuberculosis infection can occur in an immunocompromised host. Although rare, bacteremia due to Y. pseudotuberculosis may also occur in immunocompetent hosts. The prognosis and therapeutic strategy, especially for immunocompetent patients with Y. pseudotuberculosis bacteremia, however, remains unknown. Case presentation A 38-year-old Japanese man with a mood disorder presented to our hospital with fever and diarrhea. Chest computed tomography revealed consolidation in the right upper lobe with air bronchograms. He was diagnosed with pneumonia, and treatment with intravenous ceftriaxone and azithromycin was initiated. The ceftriaxone was replaced with doripenem and the azithromycin was discontinued following the detection of Gram-negative rod bacteria in 2 sets of blood culture tests. The isolated Gram-negative rod bacteria were confirmed to be Y. pseudotuberculosis. Thereafter, he developed septic shock. Doripenem was switched to cefmetazole, which was continued for 14 days. He recovered without relapse. Conclusions We herein report a case of septic shock due to Y. pseudotuberculosis infection in an adult immunocompetent patient. The appropriate microorganism tests and antibiotic therapy are necessary to treat patients with Y. pseudotuberculosis bacteremia.

Sign in / Sign up

Export Citation Format

Share Document