Case Report of Rare cause of Acute Hemolytic Anemia in Saudi Patient (Babesiosis)

Babesiosis is one of the protozoan zoonotic diseases its presentation rang from asymptomatic to severe clinical conditions, with severe hemolysis. Immune status of the host and the species of the parasite has impact on the clinical presentations of the infected patient our patient is presented here; the patient was admitted from a countryside with severe anemia and a deterioration in his general condition, he was admitted to intense care unit and received blood transfusion, in addition to antimicrobial treatment in form of azithromycin and Ceftriaxon, his condition improve and released from ICU on the second day and discharge from hospital after improvement on the seventh day.

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Cryptococcal meningitis presented with irreversible binocular blindness in an HIV infected patient- A case report

10.35841/ophthalmology.2.1.11-14 ◽

2018 ◽

Vol 02 (01) ◽

Author(s):

Bhattacharjee B ◽

Bhattacharya S ◽

Ghosh M ◽

Raj P ◽

Sardar B ◽

...

Keyword(s):

Case Report ◽

Cryptococcal Meningitis ◽

Infected Patient

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Association between Intraoperative Blood Transfusion and Mortality and Morbidity in Patients Undergoing Noncardiac Surgery

Anesthesiology ◽

10.1097/aln.0b013e3182054d06 ◽

2011 ◽

Vol 114 (2) ◽

pp. 283-292 ◽

Cited By ~ 312

Author(s):

Laurent G. Glance ◽

Andrew W. Dick ◽

Dana B. Mukamel ◽

Fergal J. Fleming ◽

Raymond A. Zollo ◽

...

Keyword(s):

Blood Transfusion ◽

Noncardiac Surgery ◽

Pulmonary Complications ◽

Wound Complications ◽

Severe Anemia ◽

Thromboembolic Complications ◽

Mortality And Morbidity ◽

Risk Of Death ◽

Increased Risk ◽

The Impact

Background The impact of intraoperative erythrocyte transfusion on outcomes of anemic patients undergoing noncardiac surgery has not been well characterized. The objective of this study was to examine the association between blood transfusion and mortality and morbidity in patients with severe anemia (hematocrit less than 30%) who are exposed to one or two units of erythrocytes intraoperatively. Methods This was a retrospective analysis of the association of blood transfusion and 30-day mortality and 30-day morbidity in 10,100 patients undergoing general, vascular, or orthopedic surgery. We estimated separate multivariate logistic regression models for 30-day mortality and for 30-day complications. Results Intraoperative blood transfusion was associated with an increased risk of death (odds ratio [OR], 1.29; 95% CI, 1.03-1.62). Patients receiving an intraoperative transfusion were more likely to have pulmonary, septic, wound, or thromboembolic complications, compared with patients not receiving an intraoperative transfusion. Compared with patients who were not transfused, patients receiving one or two units of erythrocytes were more likely to have pulmonary complications (OR, 1.76; 95% CI, 1.48-2.09), sepsis (OR, 1.43; 95% CI, 1.21-1.68), thromboembolic complications (OR, 1.77; 95% CI, 1.32-2.38), and wound complications (OR, 1.87; 95% CI, 1.47-2.37). Conclusions Intraoperative blood transfusion is associated with a higher risk of mortality and morbidity in surgical patients with severe anemia. It is unknown whether this association is due to the adverse effects of blood transfusion or is, instead, the result of increased blood loss in the patients receiving blood.

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Relapsing-remitting Optic Neuropathy in an HIV-infected Patient: Secondary Auto-immune Optic Neuropathy or Infectious Optic Neuropathy? A Case Report and Review of the Literature

Neuro-Ophthalmology ◽

10.1080/01658107.2021.1933078 ◽

2021 ◽

pp. 1-6

Author(s):

Maëlle Coutel ◽

Roxane Flamant ◽

Souraya El Sankari ◽

Leila Belkhir ◽

Thierry Duprez ◽

...

Keyword(s):

Case Report ◽

Optic Neuropathy ◽

Infected Patient ◽

Review Of The Literature ◽

Relapsing Remitting

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Pediatric Septic Arthritis of the Knee Due to a Multi-Sensitive Streptococcus pyogenes Strain Responsive to Clindamycin—A Case Report

Children ◽

10.3390/children8030189 ◽

2021 ◽

Vol 8 (3) ◽

pp. 189

Author(s):

Giada Maria Di Pietro ◽

Irene Maria Borzani ◽

Sebastiano Aleo ◽

Samantha Bosis ◽

Paola Marchisio ◽

...

Keyword(s):

Septic Arthritis ◽

Streptococcus Pyogenes ◽

Antibiotic Sensitivity ◽

Antimicrobial Treatment ◽

Antibiotic Regimen ◽

Hematogenous Spread ◽

Clinical Resistance ◽

Antibiotic Sensitivity Test ◽

Clinical Conditions

Septic arthritis is an inflammatory process usually generated by a bacterial infection. The knee is one of the most frequently involved joints. The etiology varies depending on age, and hematogenous spread remains the primary cause in children. Herein, we report a case of a previously healthy three-year-old female who was referred to our institution for acute swelling of her right knee. After a clinical and radiological diagnosis of septic arthritis, an empirical treatment with a combination of cefotaxime and clindamycin was initiated. The isolation of a multi-sensitive Streptococcus pyogenes strain from the joint’s effusion prompted the discontinuation of clindamycin and the usage of cefotaxime alone. One week later, an ultrasound was executed due to worsening in the patient’s clinical conditions, and an organized corpuscular intra-articular effusion with diffuse synovial thickening was revealed. Cefotaxime was therefore replaced with clindamycin, which improved the symptoms. Despite the antibiotic sensitivity test having revealed a microorganism with sensitivity to both cephalosporin and clindamycin, clinical resistance to cefotaxime was encountered and a shift in the antimicrobial treatment was necessary to ensure a full recovery. This case study confirms that an antibiotic regimen based solely on a susceptibility test may be ineffective for such cases.

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Case report on Thoracoscopic Esophagectomy for long segment resistant oesophageal stricture in HIV infected patient

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.02.020 ◽

2021 ◽

Author(s):

Chirag Thakkar ◽

Vismit Joshipira

Keyword(s):

Case Report ◽

Infected Patient ◽

Thoracoscopic Esophagectomy ◽

Oesophageal Stricture

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First case report of bacteremia in an HIV-infected patient in Taiwan - Molecular identification from a positive blood culture bottle

Anaerobe ◽

10.1016/j.anaerobe.2021.102327 ◽

2021 ◽

Vol 69 ◽

pp. 102327

Author(s):

Yu-Te Tsai ◽

Kun-Mu Lee ◽

Po-Liang Lu ◽

Min-Han Hsieh ◽

Tun-Chieh Chen ◽

...

Keyword(s):

Case Report ◽

Blood Culture ◽

Molecular Identification ◽

Positive Blood Culture ◽

Infected Patient ◽

Blood Culture Bottle ◽

Culture Bottle ◽

First Case

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Proteus syndrome in pregnancy: A case report

Obstetric Medicine ◽

10.1177/1753495x20970791 ◽

2020 ◽

pp. 1753495X2097079

Author(s):

Niccole Ranaei-Zamani ◽

Mandeep K Kaler ◽

Rehan Khan

Keyword(s):

Case Report ◽

Case Reports ◽

Proteus Syndrome ◽

Cutaneous Lesions ◽

Genetic Syndrome ◽

Skeletal Tissue ◽

First Case ◽

Large Teaching Hospital ◽

Clinical Presentations ◽

In Pregnancy

Proteus syndrome is a rare, multi-system, genetic syndrome characterised by atypical and excessive growth of skeletal tissue. Clinical presentations include abnormal musculoskeletal growth and cutaneous lesions. Due to its rarity, there have been a limited number of published case reports of Proteus syndrome. This is the first case report on the management of Proteus syndrome in pregnancy. We present the case of a pregnant woman with Proteus syndrome in her first pregnancy in a large teaching hospital and discuss the considerations and challenges faced in her antenatal, intrapartum and postnatal care.

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