Enterococcus gallinarum meningitis in an immunocompetent host: a case report

We describe a rare case of a 53-year-old man with a long history of alcohol abuse, with Enterococcus gallinarum meningitis, an organism that rarely causes human infection and is primarily found in the gastrointestinal tract of poultry. The patient improved with high-dose ampicillin and gentamicin therapy. To our knowledge, this is the first Brazilian reported case of E. gallinarum meningitis and probably the first case described in an immunocompetent host.

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Eosinophilic gastroenteritis in an adolescent male with history of chronic bullous disease

BMJ Case Reports ◽

10.1136/bcr-2020-238532 ◽

2021 ◽

Vol 14 (2) ◽

pp. e238532

Author(s):

Carol Stephanie C Tan-Lim ◽

Juan Miguel L Murillo ◽

Marysia Stella T Recto ◽

Mary Anne R Castor

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Gastrointestinal Tract ◽

Allergic Diseases ◽

Eosinophilic Gastroenteritis ◽

Adolescent Male ◽

Inflammatory Disorder ◽

Bullous Disease ◽

First Case ◽

History Of

Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract. Although commonly associated with allergic diseases, it is also rarely associated with autoimmune disorders. This case report describes a 17-year-old Filipino male with eosinophilic gastroenteritis, manifesting as abdominal pain, vomiting and diarrhoea. He had no allergic diseases, but he was previously diagnosed with chronic bullous disease. His symptoms improved with the initiation of corticosteroids. To date, this is the first case report of a patient with eosinophilic gastroenteritis and chronic bullous disease.

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Unusual Localization of an Emergent Bacterium, Raoultella ornithinolytica

Case Reports in Medicine ◽

10.1155/2020/1710271 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Michele Cavaliere ◽

Guido Bartoletti ◽

Pasquale Capriglione ◽

Antonella Miriam Di Lullo ◽

Gaetano Motta ◽

...

Keyword(s):

Complete Resolution ◽

Empirical Therapy ◽

Human Infection ◽

External Otitis ◽

Immunocompromised Patients ◽

Immunocompetent Host ◽

First Case ◽

The Family ◽

History Of ◽

Oral Ciprofloxacin

Raoultella ornithinolytica is a bacterium belonging to the family Enterobacteriacae. It is a rare but emergent cause of human pathologies especially in immunocompromised patients. We described the first case in the literature of isolated external otitis sustained by Raoultella ornithinolytica in an immunocompetent host. A 54-year-old Caucasian man with a history of previous myringoplasty came to our attention reporting otalgia and otorrhea. We performed right ear swab for culture examination, meanwhile we started empirical therapy with topic administration of neomycin, without any clinical improvement. The cultural examination showed the presence of a Raoultella ornithinolytica infection. After ten days of treatment with oral ciprofloxacin and topic levofloxacin, there was the complete resolution of pain and inflammation. Raoultella ornithinolytica must be taken into consideration as an emergent cause of human infection, also in case of external otitis. Infection can be severe and can occur both in immunocompromised and in immunocompetent hosts. Culture test is mandatory to choose the proper therapy and avoid potential severe complications.

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First report of chronic invasive fungal rhinosinusitis in a patient with ovarian cancer caused by Didymella pedeiae and successful treatment with voriconazole: A case report

Current Medical Mycology ◽

10.18502/cmm.7.1.6244 ◽

2021 ◽

Author(s):

Omid Raiesi ◽

Seyed Jamal Hashemi ◽

Muhammad Ibrahim Getso ◽

Pegah Ardi ◽

Mojtaba Mohammadi Ardehali ◽

...

Keyword(s):

Ovarian Cancer ◽

Case Report ◽

Human Infection ◽

Tissue Mass ◽

First Case ◽

Dematiaceous Fungus ◽

Human Sample ◽

The Face ◽

History Of ◽

Ethmoid Sinuses

Background and Purpose: Didymella pedeiae is a dematiaceous fungus that belongs to the Coelomycetes class. While species within this class are known to cause human infection, D. pedeiae had previously only been known as phytopathogens and had never been isolated from a human sample. Case report: A 51-year-old Iranian female patient with ovarian cancer was admitted with unilateral lesions in paranasal sinuses and a five-month history of nasal obstruction,headache, postnasal drainage, swelling on the left side of the face, and orbital pain.Paranasal sinus computerized tomography scan revealed a soft tissue mass that filled the left nasal cavity, ethmoid, sphenoid, and frontal sinuses with more involvement in the maxillary and ethmoid sinuses. Antifungal treatment was simultaneously initiated with itraconazole+prednisolone 15 mg/day, and levofloxacin. Due to poor clinical response,IV voriconazole and amphotericin B were added to the treatment as well. The patient recovered completely after 10 weeks of therapy. Conclusion: Here, we report the first case of human D. pedeiae infection in a patientwith ovarian cancer.

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A rare case of duodenal cancer with achalasia cardia

Journal of Society of Surgeons of Nepal ◽

10.3126/jssn.v22i2.28742 ◽

2019 ◽

Vol 22 (2) ◽

pp. 32-34

Author(s):

Kartikesh Mishra

Keyword(s):

Case Report ◽

Rare Case ◽

Similar Case ◽

Barium Meal ◽

Duodenal Adenocarcinoma ◽

Gastrointestinal Malignancies ◽

Achalasia Cardia ◽

Proliferative Growth ◽

History Of ◽

Duodenal Carcinoma

Duodenal adenocarcinoma constitutes 0.4% of gastrointestinal malignancies. Achalasia incidence rate is 0.5-1.2 per 100000. The combination is rare. This is a report of a 68-year-old male from Nepal with history of five years abdominal pain, dysphasia and weight loss. Duodenoscopy could confirm ulcero-proliferative growth at D1-D2. Barium meal depicted features of achalasia cardia. No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental. Discussion: No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental. Consent: Informed consent was obtained from the patient for publication of this case report .

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Case Report: Management of a Patient with mTBI and Vestibular Hypofunction with the Binasal Occlusion Technique

Vision Development & Rehabilitation ◽

10.31707/vdr2018.4.2.p87 ◽

2018 ◽

pp. 87-90

Keyword(s):

Case Report ◽

Visual Motion ◽

Hand Movement ◽

Motion Sensitivity ◽

Vestibular Hypofunction ◽

First Case ◽

Neurological Exam ◽

History Of ◽

Occlusion Technique ◽

Visual Vertigo

Background: Binasal Occlusion (BNO) is a clinical technique used by many neurorehabilitative optometrists in patients with mild traumatic brain injury (mTBI) and increased visual motion sensitivity (VMS) or visual vertigo. BNO is a technique in which partial occluders are added to the spectacle lenses to suppress the abnormal peripheral visual motion information. This technique helps in reducing VMS symptoms (i.e., nausea, dizziness, balance difficulty, visual confusion). Case Report: A 44-year-old AA female presented for a routine eye exam with a history of mTBI approximately 33 years ago. She was suffering from severe dizziness for the last two years that was adversely impacting her ADLs. The dizziness occurred in all body positions and all environments throughout the day. She was diagnosed with vestibular hypofunction and had undergone vestibular therapy but reported little improvement. Neurological exam revealed dizziness with both OKN drum and hand movement, especially in the left visual field. BNO technique resulted in immediate relief of her dizziness symptoms. Conclusion: To our knowledge, this is the first case that illustrates how the BNO technique in isolation can be beneficial for patients with mTBI and vestibular hypofunction. It demonstrates the success that BNO has in filtering abnormal peripheral visual motion in these patients.

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Primitive neuroectodermal tumor of the esophagus with metastasis in the pineal gland

Endoscopy International Open ◽

10.1055/a-0977-2614 ◽

2019 ◽

Vol 07 (09) ◽

pp. E1163-E1165

Author(s):

Leonardo Blas Jhon ◽

Paloma Sánchez-Fayos ◽

Maria Jesus Martín Relloso ◽

Daniel Calero Barón ◽

Juan Carlos Porres Cubero

Keyword(s):

Case Report ◽

Pineal Gland ◽

Disease Progression ◽

Rare Case ◽

Primitive Neuroectodermal Tumor ◽

Malignant Neoplasms ◽

Primitive Neuroectodermal Tumors ◽

First Case ◽

Neuroectodermal Tumors ◽

Chemotherapeutic Treatment

AbstractPrimitive neuroectodermal tumors (PNET) are very rare tumors that belong to a family of malignant neoplasms of tiny round cells which are derived from the neural crest. This report discusses a rare case of an adult woman with esophageal PNET, confirmed by immunohistochemistry, that presented with metastasis to the pineal gland. To our knowledge, this is the first case report of a PNET with these features. Despite surgery and chemotherapeutic treatment, our case has shown disease progression.

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Septic Arthritis in an Infant Due to Clostridium ghoni and Hemophilus parainfluenzae

PEDIATRICS ◽

10.1542/peds.57.4.573 ◽

1976 ◽

Vol 57 (4) ◽

pp. 573-574

Author(s):

James W. Renne ◽

Herbert B. Tanowitz ◽

Jeffrey D. Chulay

Keyword(s):

Case Report ◽

Septic Arthritis ◽

Otitis Media ◽

Human Infection ◽

Joint Fluid ◽

Benzathine Penicillin ◽

White Girl ◽

History Of

Clostridium ghoni and Hemophilus parainfluenzae are uncommon causes of human infection. Both of these agents were isolated from joint fluid in a child with septic arthritis. CASE REPORT An 8-month-old white girl was admitted with a three-day history of irritability, fever, and inability to lie on her right side. Ten days prior to admission bilateral otitis media was treated with 600,000 units of benzathine penicillin intramuscularly and sulfisoxazole suspension (1 gm daily until admission). Fever and irritability from otitis abated by the fifth day of therapy. On admission the infant appeared acutely ill and had a temperature of 39.7 C.

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First Case Report of Human Infection With Ochrobactrum tritici Causing Bacteremia and Cholecystitis

Annals of Laboratory Medicine ◽

10.3343/alm.2016.36.3.278 ◽

2016 ◽

Vol 36 (3) ◽

pp. 278-280 ◽

Cited By ~ 3

Author(s):

Duck Jin Hong ◽

Keon-Han Kim ◽

Jung Ok Kim ◽

Jun Sung Hong ◽

Seok Hoon Jeong ◽

...

Keyword(s):

Case Report ◽

Human Infection ◽

First Case ◽

Ochrobactrum Tritici

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Case Report. Extracorporeal Membrane Oxygenation in Nivolumab Associated Pneumonitis

The Journal of Critical Care Medicine ◽

10.1515/jccm-2017-0013 ◽

2017 ◽

Vol 3 (2) ◽

pp. 84-88

Author(s):

Thomas-Michael Schneider ◽

Friederike Klenner ◽

Franz Brettner

Keyword(s):

Case Report ◽

Extracorporeal Membrane Oxygenation ◽

Therapeutic Option ◽

High Dose ◽

Great Success ◽

Case Presentation ◽

Computed Tomographic ◽

Rehabilitation Hospital ◽

Membrane Oxygenation ◽

History Of

Abstract Background: Newly approved immunotherapeutic agents, like CTLA-4 inhibitors and antibodies against PD-1, are a promising therapeutic option in cancer therapy. Case presentation: A 74-year-old man, with a history of advanced stage melanoma and treatment with ipilimumab, pembrolizumab and nivolumab, was admitted to the hospital due to respiratory failure with hypoxemia and dyspnoea. He rapidly developed severe acute respiratory distress syndrome (ARDS), which required treatment in the intensive care unit which included mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Computed tomographic imaging (CT) showed signs of a pneumonitis, with an ARDS pattern related to the use of PD-1 antibodies. Treating the patient with high-dose immunosuppressive steroids led to an overall improvement. He was transferred to a rehabilitation hospital and subsequently to his home. Discussion and conclusion: This is a unique case report of a patient suffering a grade 4 adverse event under nivolumab who survived having been treated with ECMO. It highlights the possibility of associated adverse reactions as well as the use of ECMO in palliative care patients. ECMO can be of great success even in patients with malignancies, but careful decision making should be done on a case by case basis.

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