Acinetobacter Corneal Ulcer, an Ocular Involvement by an Uncommon Organism; a Case Report and a Review of Literature

Author(s):  
Mahsa Sardarinia ◽  
SeyedHossein Rabani ◽  
Gholamhoseyn Aghai ◽  
Leila Ghiasian

Abstract Acinetobacter group has been known as gram-negative, opportunistic, aerobic coccobacilli which exists on skin, mucus membranes and in the urinary tract with relatively low virulence. Some predisposing factors including underlying systemic diseases, using broad spectrum antibiotic, mechanical ventilation and etc. could pose the more sever involvement with Acinetobacter. In this study, we reported a patient with Acinetobacter corneal ulcer and a relatively comprehensive review literature about this rarely ocular involvement with this bacteria.

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S457-S457
Author(s):  
Henry Pablo Lopes Campos e Reis ◽  
Ana Beatriz Ferreira Rodrigues ◽  
Julio César Castro Silva ◽  
Lia Pinheiro de Lima ◽  
Talita Lima Quinaher ◽  
...  

Abstract Background Enterobacteria and multidrug-resistant non-fermenting Gram-negative bacilli present a challenge in the management of invasive infections, leading to mortality rates due to their limited therapeutic arsenal. The objective of this work was to analyze risk factors that may be associated with these infections, for a better situational mapping and assertive decision-making in a university hospital in Brazil. Methods The study was conducted between January and September 2019, with 167 patients in contact isolation at a university hospital in Brazil. Potential outcome-related variables for wide-resistance Gram-negative bacteria (BGN) infections were evaluated. Risk factors were identified from univariate statistical analysis using Fisher’s test. Results 51 (30.5%) out of 167 patients in contact isolation evolved with wide-resistance BGN infection. Risk factors in univariate analysis were age, hospital unit and previous use of invasive devices. Patients aged up to 59 years were more likely to progress to infection than those aged over 60 years (p 0.0274, OR 2.2, 95% CI 1.1-4.5). Those admitted to the oncohematology (p < 0.001, OR 32.5, Cl 9.1-116.3) and intensive care unit (p < 0.001, OR 28.0, Cl 3.5-225.9) units were more likely to develop this type of infection. The least likely were those admitted to a kidney transplant unit (p 0.0034, OR 15.33, Cl 1.8-131.0). Prior use of mechanical ventilation (p 0.0058, OR 12.2, Cl 2.0-76.1) and delayed bladder catheter (p 0.0266, OR 5.0, Cl 1.2-20.1) in patients with respiratory and urinary tract infection, respectively, were also reported as risk factors related to these infections. The gender of the patients was not significant for the study. Conclusion This study determined that variables such as age, hospitalization unit, use of mechanical ventilation and delayed bladder catheter could be considered important risk factors in triggering the infectious process by wide-resistant gram-negative bacteria. Thus, the analysis of these factors becomes a great foundation to prevent the development of multiresistant pathogens through prevention strategies, prophylaxis management and more targeted empirical therapies. Disclosures All Authors: No reported disclosures


2020 ◽  
Vol 197 ◽  
pp. 106077
Author(s):  
Safwan O. Alomari ◽  
Mohammed N. El Houshiemy ◽  
Shadi Bsat ◽  
Charbel K. Moussalem ◽  
Mohammed Allouh ◽  
...  

Author(s):  
Deaa Abu Jazar ◽  
Ravi Thakker ◽  
Salman Salehin ◽  
Syed Mustajab Hasan ◽  
Ahmad Jabri ◽  
...  

2021 ◽  
Vol 14 (11) ◽  
pp. e246540
Author(s):  
Ricardo J Fernández-de Thomas ◽  
Natalie Amaral-Nieves ◽  
Orlando De Jesus ◽  
Emil A Pastrana

Sacral spinal cord ependymoma is an uncommon pathology. Most of the reported cases are consistent with a myxopapillary ependymoma histopathologic subtype. Non-myxopapillary ependymomas rarely occur in the sacral region. Most lesions are intradural; however, rare extradural cases can occur. We present the case of a 46-year-old female patient diagnosed with a grade II sacral extradural ependymoma, emphasising the importance of an interdepartmental case approach for diagnosis and management. Even though grade II ependymomas are considered low grade, the potential for recurrence and metastatic disease has been reported. There are no treatment guidelines for these rare tumours besides gross total resection.


2016 ◽  
Vol 04 (01) ◽  
pp. 056-058
Author(s):  
Deepti Jindal ◽  
Varun Jindal ◽  
Himanshu Singh ◽  
Swati Gautam ◽  
Ishita Bhojia ◽  
...  

AbstractHypodontia is the congenital absence of less than six teeth because of agenesis. Congenital absence of tooth (hypodontia) from the dental arch, may occur with any tooth, most commonly being third molars, however, absence of permanent mandibular canine is rare. The absence of teeth may be unilateral or bilateral. There are reports showing unilateral occurrence of permanent mandibular canines but agenesis of bilateral mandibular canines is not well documented in the literature and comprehensive review of literature shows paucity of data pertaining to this anomaly. Here we report one such rare case of congenitally missing mandibular permanent canines bilaterally.


2015 ◽  
Vol 2 (1) ◽  
pp. 41-43
Author(s):  
Rajesh Kapila ◽  
Partap singh Verka ◽  
Radhe sham Garg ◽  
Mannan Ahmed

ABSTRACT Lateral swivel dislocation, a subtype pattern of dislocations occurring at mid tarsal joint is a rare type of injury. A medially or laterally directed force applied to the forefoot causes dislocation of the talonavicular joint but not subtalar joint. The calcaneum alongwith the remaining foot swivels on the intact interosseous talocalcaneal ligament. The present case report is a more rare lateral swivel type of dislocation of talonavicular joint in a 25-year-old male. The article also presents a comprehensive review of literature and management of such type of injuries of the hindfoot . How to cite this article Kapila R, Verka Ps, Garg Rs, Ahmed M. Lateral Swivel Dislocation of the Hindfoot: A Case Report and Literature Review. J Foot Ankle Surg (Asia-Pacific) 2015;2(1): 41-43.


Author(s):  
Tripti Maithani ◽  
Madhuri Kaintura ◽  
Sharad Hernot ◽  
Kanika Arora

<p class="abstract">Gossypiboma is a dreaded event in surgical expertise. We report a case of post hemithyroidectomy gossypiboma removed 4 years post primary surgery. Initially suspecting it to be a tubercular abscess and fistula, we surprisingly found a surgical gauze on neck exploration. To understand the magnitude of this problem we assembled data on reported gossypibomas post neck surgeries. A detailed search of literature revealed 16 publications (20 cases) with varied clinical picture and differentials. Our case is only the fourth published case wherein there is such a long-standing history and the first to assemble data and review literature on exclusive neck gossypibomas. Although, neck is regarded as a confined cavity with very few obvious crevices where foreign body can be left behind iatrogenically; still, gossypiboma needs to be kept as a differential, especially with a previous surgical history.</p>


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