scholarly journals Сlostridium difficile Infection in a COVID-19 Patient

Author(s):  
A. A. Timofeeva ◽  
Yu. O. Shulpekova ◽  
V. M. Nechaev ◽  
M. R. Skhirtladze

Aim. The clinical observation highlights plausible compound origins of diarrhoea, fever and neutrophilic leucocytosis in COVID-19 and the rationale to exclude Clostridium difficile infection in such patients.Key points. A 57-yo female patient was admitted in May 2020 with the complaints of 39 °C fever, general weakness, polymyalgia, diarrhoea to 3–4 times a day (mushy stool, no morbid inclusions). Initial diarrhoea was non-severe and likely triggered by the coronavirus infection. A background antibiotic and putative-immunosuppressive therapy proceeded with watery diarrhoea to 7–8 times a day and C. difficile toxins A and B detected in stool. The C. difficile infection relapsed on day 10 of vancomycin withdrawal and associated with elevated body temperature, diarrhoea and neutrophil leucocytosis; signs of colitis determined in ultrasound and CT. Exacerbation was successfully treated in a repeated metronidazole-combined vancomycin course.Conclusion. Patients with COVID-19 are at risk of clostridial colitis due to massive antibiotic, systemic glucocorticoid and biologics-based therapy they receive. The opportunistic bacterial infection of C. difficile often proceeds undetected due to its potential mirroring of COVID-19 presentation. A screening algorithm in COVID-19 patients with diarrhoea should imply steps for C. difficile detection.

Vestnik ◽  
2021 ◽  
pp. 256-268
Author(s):  
А.М. Шарапханова ◽  
Д.М. Оспанбекова ◽  
Н.А. Сагатбаева ◽  
А.Ш. Бектасова

Повышение температуры тела человека-это своеобразная реакция на воздействие какого-либо агента и/или возбудителя, попавшего в организм человека. При каких-либо инфекционных заболеваниях в организме человека повышается температура тела человека. Также в настоящее время повышение температуры тела при распространенной коронавирусной инфекции является одним из симптомов заболевания. Цель: в нашей статье мы хотели бы рассмотреть клиническую ситуацию с больными COVID-19 и отметить, что был проведен ряд наблюдений и анализов для оценки эффективности и безопасности применения препарата «Интрафен» с целью снятия повышенной температуры, что дает положительный эффект лекарственного средства. Материалы и методы: рекомендовать пациентам с симптомами заболевания короновирусной инфекцией легкой и средней тяжести, С целью снижения повышенной температуры тела, противовоспалительного и улучшения общего состояния пациента, что мы достигнем положительного результата путем введения препарата интрафен в Вену. Результат: на основании анамнезных данных, полученных от больного, результатов клинических, лабораторных, инструментальных исследований выявлено эффективное действие препарата интрафен. Вывод: пациентам легкой и средней тяжести, перенесшим короновирусную инфекцию, можно увидеть, что введение препарата интрафен в Вену эффективно влияет на кратковременное снижение повышенной температуры тела, противовоспалительное действие, улучшение общего состояния больного. An increase in a person's body temperature is a self-contained response to the action of some agent and/or pathogen that has entered the body. With any infectious diseases in the human body, a person's body temperature increases. In addition, with the current coronavirus infection, an increase in body temperature is one of the symptoms of the disease. Purpose: in our article, we would like to consider the clinical situation of patients with COVID-19 and draw attention to the fact that a number of observations and analyses were carried out to assess the effectiveness and safety of using the drug "Intrafen" in order to relieve elevated fever. Materials and methods: in order to reduce elevated body temperature, anti-inflammatory and improve the general condition of the patient, to suggest that we will achieve a positive result by injecting the drug intrafen into the vein in patients with mild to moderate severity with symptoms of coronavirus infection disease. Result: based on Anamnesis data obtained from the patient, the results of Clinical, Laboratory, and instrumental studies, the effective effect of intrafen was determined. Conclusion: by injecting the drug intrafen into the vein in patients of mild and moderate severity who have had a Coronavirus infection, it can be seen that it has an effective effect on the short-term reduction of elevated body temperature, anti-inflammatory effect, improvement of the general condition of the patient.


2020 ◽  
Vol 16 (1) ◽  
pp. 4-12
Author(s):  
Vandana Garg ◽  
Rohit Dutt

Background: Fever, is known as pyrexia, may occur due to infection, inflammation, or any tissue damage and disease states. Normally, the infected or damaged tissue initiates the enhanced formation of pro-inflammatory mediators like cytokines which further increases the synthesis of prostaglandin E2 (PgE2) near the hypothalamic area and thereby trigger the hypothalamus to elevate the body temperature. Objective: Antipyretics are the agents which reduce the elevated body temperature. The most commonly used antipyretic agent, paracetamol, may be fatal due to its side effects. Methods: In this review paper, Chemical Abstracts, Google Scholar, PubMed, and Science Direct were the sources for the published article to collect information regarding antipyretic activity. Results: This review compiles the antipyretic plants that may be useful to treat fever due to various diseases. Conclusion: These medicinal plants could be good alternatives for traditional allopathic antipyretics.


2005 ◽  
Vol 05 (01) ◽  
pp. 165-190 ◽  
Author(s):  
E. Y. K. NG ◽  
COLIN CHONG ◽  
G. J. L. KAW

Severe Acute Respiratory Syndrome (SARS) is a highly infectious disease caused by a coronavirus. Screening to detect potential SARS infected subject with elevated body temperature plays an important role in preventing the spread of SARS. The use of infrared (IR) thermal imaging cameras has thus been proposed as a non-invasive, speedy, cost-effective and fairly accurate means for mass blind screening of potential SARS infected persons. Infrared thermography provides a digital image showing temperature patterns. This has been previously utilized in the detection of inflammation and nerve dysfunctions. It is believed that IR cameras may potentially be used to detect subjects with fever, the cardinal symptom of SARS and avian influenza. The accuracy of the infrared system can, however, be affected by human, environmental, and equipment variables. It is also limited by the fact that the thermal imager measures the skin temperature and not the body core temperature. Thus, the use of IR thermal systems at various checkpoints for mass screening of febrile persons is scientifically unjustified such as what is the false negative rate and most importantly not to create false sense of security. This paper aims to study the effectiveness of infrared systems for its application in mass blind screening to detect subjects with elevated body temperature. For this application, it is critical for thermal imagers to be able to identify febrile from normal subjects accurately. Minimizing the number of false positive and false negative cases improves the efficiency of the screening stations. False negative results should be avoided at all costs, as letting a SARS infected person through the screening process may result in potentially catastrophic results. Hitherto, there is lack of empirical data in correlating facial skin with body temperature. The current work evaluates the correlations (and classification) between the facial skin temperatures to the aural temperature using the artificial neural network approach to confirm the suitability of the thermal imagers for human temperature screening. We show that the Train Back Propagation and Kohonen self-organizing map (SOM) can form an opinion about the type of network that is better to complement thermogram technology in fever diagnosis to drive a better parameters for reducing the size of the neural network classifier while maintaining good classification accuracy.


Author(s):  
Joerg Schieferdecker ◽  
Bodo Forg ◽  
Marion Simon ◽  
Wilhelm Leneke ◽  
Michael Schnorr ◽  
...  

2008 ◽  
Vol 62 (1-2) ◽  
pp. 105-110
Author(s):  
Filip Spasojevic ◽  
Djordje Uzelac ◽  
Zlatko Milosavljevic ◽  
Ivan Vujanac

Malignant catarrhal fever is a disease of cattle and other ruminants, which most often has a lethal outcome. The disease occurs sporadically and is very difficult to control. At a private mini cattle farm, the occurrence of malignant catarrhal fever was suspected on the grounds of anaemnestic data and results of clinical examinations. The owner said that, in addition to cattle, he also breeds sheep in a separate facility, but said these animals had not been in contact with the diseased cow. In the course of the disease, the characteristic symptoms developed so that the clinical diagnosis set earlier was subsequently confirmed. In addition to constantly elevated body temperature, changes in the eyes were observed very soon (congested blood vessels and capillaries of the white sclera with keratitis on both sides). In addition to photofobia and a copious discharge from the nasal cavities, the discharge was at first seromucous and later became mucopurrulent. In the later course of the disease, there was progressive loss of weight and exhaustion of the animal. Since therapy included, in addition to other medicines, also a glucocorticosteroid preparation, the animal aborted its fetus on the fifth day. A pathological-anatomical examination did not reveal any changes on the fetus. In spite of the applied therapy, the medical condition deteriorated from day to day, and the animal expired on the eighth day of the disease.


2021 ◽  
pp. 1-4
Author(s):  
Tripat Kaur ◽  
Chenni S. Sriram ◽  
Utkarsh Kohli

Abstract Hyperthermia is defined as an elevated body temperature above the normal range due to a failure of heat regulatory mechanisms. In addition to its effects on other organ systems, hyperthermia is associated with profound cardiovascular effects. We report the sentinel case of a 6-year-old girl with structurally and electrically normal heart, who presented with life-threatening hyperpyrexia-induced ventricular tachycardia, which was refractory to cardioversion and anti-arrhythmics but responded promptly to cooling. We emphasise the lifesaving role of immediate and aggressive cooling in such patients.


1986 ◽  
Vol 67 (3) ◽  
pp. 211-212
Author(s):  
V. M. Andreev ◽  
P. N. Aliakberova ◽  
V. A. Belyakov

T., 39 years old, considers herself ill since the beginning of 1983. She had a severe cough, at first dry, later with mucopurulent sputum. During the year she was treated as an outpatient, taking antibiotics and cough pills. In December 1983, she was admitted to a hospital in Kazan, but her condition did not improve. In spring 1984 her cough sharply intensified again, body temperature increased, amount of sputum increased, shortness of breath, which at times became suffocation, general weakness, sweating, poor appetite and weight loss became disturbing. Past illnesses: measles, scarlet fever.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
John Eliveha ◽  
Shravani Vindhyal ◽  
Mohinder Vindhyal

Drug abuse is an increasing concern all over the world especially in the United States. Methamphetamine have been well established to cause elevated body temperature, irregular heartbeat, seizures, and heart disease. We present a case of ventricular thrombus with systemic emboli in a patient with dilated cardiomyopathy after methamphetamine use.


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