scholarly journals Invasive fungal infection of the central nervous system caused by rare yeast pathogen Malassezia spp. in patients with acute leukemia: case reports and literature review

Author(s):  
Yu. A. Rogacheva ◽  
M. O. Popova ◽  
I. V. Markova ◽  
O. V. Paina ◽  
D. I. Shmidt ◽  
...  

Malassezia spp. is a commensal yeast that represents normal microflora in humans and some animals. However, Malassezia spp. can cause life-threatening invasive mycosis. Evidence on Malassezia spp. infections is limited mostly to a case reports describing disease in newborns and premature infants, because lipid infusions (total parenteral nutrition) given through central venous catheter is a major risk factor. Here, we report two cases of CNS infection caused by Malassezia species in non-neonates with acute leukemia.

2019 ◽  
Vol 19 (12) ◽  
pp. 980-987 ◽  
Author(s):  
Mohammad Ridwane Mungroo ◽  
Ayaz Anwar ◽  
Naveed Ahmed Khan ◽  
Ruqaiyyah Siddiqui

Pathogenic free-living amoeba are known to cause a devastating infection of the central nervous system and are often referred to as “brain-eating amoebae”. The mortality rate of more than 90% and free-living nature of these amoebae is a cause for concern. It is distressing that the mortality rate has remained the same over the past few decades, highlighting the lack of interest by the pharmaceutical industry. With the threat of global warming and increased outdoor activities of public, there is a need for renewed interest in identifying potential anti-amoebic compounds for successful prognosis. Here, we discuss the available chemotherapeutic options and opportunities for potential strategies in the treatment and diagnosis of these life-threatening infections.


2020 ◽  
Vol 13 (2) ◽  
pp. e231995
Author(s):  
Brittany Sanford ◽  
Catherine Hoeppner ◽  
Tammy Ju ◽  
Brian K Theisen ◽  
Anna BuAbbud ◽  
...  

Management of a ruptured hepatocellular adenoma during pregnancy is a rare and potentially life-threatening entity. Few case reports have described management of the pregnant patient who presents in haemorrhagic shock secondary to a ruptured liver adenoma. A 30-year-old primigravid woman at 31 weeks pregnant presented with abdominal pain and fetal bradycardia. After stat caesarean delivery of the infant, she had continued hemoperitoneum and was in shock secondary to an undiagnosed ruptured liver mass. General surgery was consulted intraoperatively and performed an exploratory laparotomy, packing and temporary closure. She was subsequently taken to interventional radiology (IR) for angioembolisation of the left hepatic artery. After stabilisation, she underwent formal abdominal closure. Management of a ruptured hepatocellular adenoma in pregnancy requires urgent multidisciplinary care including obstetrics gynaecology, general surgery and IR.


2012 ◽  
Vol 36 (4) ◽  
pp. 137-139 ◽  
Author(s):  
Nuno Rodrigues Silva ◽  
Ângela Venâncio

SummaryDespite extensive use of valproate in neurology and psychiatry, valproate-induced encephalopathy is a rarely reported complication. Although initially reported in the paediatric population, case reports are growing in the adult population.Clinicians need to be aware of this potentially life-threatening complication. We report a case in a 37-year-old woman with bipolar I disorder with previously uncomplicated valproate use, who developed encephalopathy when valproate was restarted a few years later. The patient has provided consent for publication.


2010 ◽  
Vol 50 (3) ◽  
pp. 154-155
Author(s):  
B L Meel

Traditional healers contribute significantly to the level of health-care systems in Africa. They could play an important role in the prevention and care of patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the community. The traditional healing system deals with psychosocial stress associated with HIV/AIDS as well as herbal medications. Sometimes, herbal medicine causes serious life-threatening complications. Two case reports are presented in this article. The first is a 48-year-old woman with HIV who was made to drink a large volume of a herbal decoction to stimulate vomiting in the belief that cleansing the bowel would rid the system of the disease. The second is a 25-year-old young man who had a herbal enema, which resulted in gangrene of the large bowel. The case histories, mechanism of action and causes of death are discussed.


1995 ◽  
Vol 8 (4) ◽  
pp. 462-478 ◽  
Author(s):  
K C Hazen

The most common yeast species that act as agents of human disease are Candida albicans, Candida tropicalis, Candida glabrata, Candida parapsilosis, and Cryptococcus neoformans. The incidence of infections by other yeasts has increased during the past decade. The most evident emerging pathogens are Malassezia furfur, Trichosporon beigelii, Rhodotorula species, Hansenula anomala, Candida lusitaniae, and Candida krusei. Organisms once considered environmental contaminants or only industrially important, such as Candida utilis and Candida lipolytica, have now been implicated as agents of fungemia, onychomycosis, and systemic disease. The unusual yeasts primarily infect immunocompromised patients, newborns, and the elderly. The role of central venous catheter removal and antifungal therapy in patient management is controversial. The antibiograms of the unusual yeasts range from resistant to the most recent azoles and amphotericin B to highly susceptible to all antifungal agents. Current routine methods for yeast identification may be insufficient to identify the unusual yeasts within 2 days after isolation. The recognition of unusual yeasts as agents of sometimes life-threatening infection and their unpredictable antifungal susceptibilities increase the burden on the clinical mycology laboratory to pursue complete species identification and MIC determinations. Given the current and evolving medical practices for management of seriously ill patients, further evaluations of the clinically important data about these yeasts are needed.


2009 ◽  
Vol 20 (06) ◽  
pp. 348-352 ◽  
Author(s):  
Sarah A. Sydlowski ◽  
Michael J. Cevette ◽  
Jon Shallop ◽  
David M. Barrs

Background: Considered a rare disorder, superficial siderosis of the central nervous system (SSCN) has become more frequently diagnosed in recent years. As it is characterized by progressive sensorineural hearing loss, patients' needs may surpass the capability of hearing aid technology. Despite the retrocochlear nature of the disorder, patients have undergone cochlear implantation (CI) with varying success. Purpose: To summarize the issues surrounding cochlear implant candidates with SSCN as well as highlight trends in performance postimplantation. Research Design: Retrospective case reports of seven cochlear implant candidates detail the symptoms, typical audiologic presentation, and array of clinical issues for patients with this progressive and potentially fatal disease. Results: Despite the retrocochlear component of a hearing loss caused by SSCN, cochlear implantation may be a viable option. Conclusions: It is essential that the CI audiologist not only be aware of the disorder but also be well versed in the resulting implications for the cochlear implant process. A more thorough case history, an expanded candidacy test battery, and knowledge of the typical presentation of SSCN are critical. The diagnosis of SSCN will impact expectations for success with the cochlear implant, and counseling should be adjusted accordingly.


Author(s):  
T. M. Bunyatov ◽  
I. A. Kozlov ◽  
B. N. Gurmikov ◽  
Yu. A. Stepanova ◽  
V. S. Shirokov ◽  
...  

Spontaneous liver rupture is rare and highly dangerous, life-threatening condition occurring in 1–2% of pregnant women with preeclampsia and eclampsia. There are more than 100 similar case reports in the literature. It is believed that liver rupture is caused by HELLP syndrome as one of the signs of preeclampsia. The results of surgical treatment is still unsatisfactory. Appropriate treatment strategy is absent because of rareness of this condition. It is presented case report of a woman with spontaneous liver rupture associated with HELLP syndrome. Patient underwent perihepatic tamponade, endovascular embolization of right hepatic artery followed by right-sided hemihepatectomy.


Author(s):  
Maikenti James Ishaku ◽  
Egah Ruth Grace ◽  
Adogo Lillian Yami ◽  
Koggie Amos Zamfara

Aim: The aim of the research was to evaluate the antifungal activities of the leaf extracts of Senna alata and Lawsonia inermis on Malassezia spp. isolated from the scalps of primary school pupils and Bingham University students. Place and Duration of the Study: This study was carried out in the department of Biological sciences, Bingham University Karu Nasarawa state between July to September, 2017. Methodology: The plant species Senna alata and Lawsonia inermis was collected from Garki district of the Federal Capital Territory Abuja and Sayina village of Auta-balefi Karu Local Government Area of Nasarawa state respectively. These plant species were identified by plant experts in the Department of Biological Sciences, Bingham University, using characteristic features of the leaves such as the shapes, sizes and flower corresponding to the herbarium specimens. Other features included plant height, fruits type, nature of the branches, colour of the stems, present or absence of spines, and number of flowers etc. Senna alata and Lawsonia inermis plants extracts were obtained by maceration in 80% ethanol, soaking and boiling of the powdered leaves of the plants respectively. A total of 83 dandruff scrapings were collected from both the pupils of Kodope primary school and Bingham University students. The identification of Malassezia species was made microscopically by methylene blue staining and wet mounting. Each slide was examined under high power field microscope (40X objective) to detect the presence of hyphae and budding yeast cells.  The positive samples were cultured on Sabouraud Dextrose Agar (SDA) plates and incubated at 37°C for 3-5 days. Fungal growth was observed. Gram’s staining procedure and biochemical tests such as catalase test, bile Esculin test and Tween assimilation test using Tween 20 and 80 was carried out. The evaluation of the antifungal effects of Senna alata and Lawsonia inermis on Malassezia sp. was carried out using the well diffusion method. Results: Out of 83 samples analyzed, 21 were positive for Malassezia spp.  Three (3) species were identified and isolated; namely Malassezia restricta, Malassezia globosa and Malassezia furfur. The antifungal effects of the plant extracts revealed that the Malassezia species were susceptible to the ethanolic extract of Senna alata with a mean zone of inhibition 11.00± 0.969. The Aqueous   extracts of Senna alata showed significant antifungal effect on the fungi with mean zone of inhibition 10.00± 0.969 when compared to the control, while the boiled extract had no effect. The ethanolic extract of Lawsonia inermis was the only extract recorded to have antifungal effect on the fungi, with mean zone of inhibition 7.71±0.876. The relationship between of Malassezia infection with age, gender, and institutions was determined by Chi-square test through the use of statistical package for social science (SPSS). There was no significant difference in Malassezia infection between the ages (P=0.189) as well as gender (P=0.367). However, the distribution of infection between the institutions shows a significant difference (p=0.043). Conclusion: This study reveals that naturally acquired herbs of S. alata especially and L. inermis may be effective in combating Malassezia species which are the causative agents of dandruff and hence, the use of naturally acquired herbs should be encouraged in combating dandruff.


2019 ◽  
Vol 7 (17) ◽  
pp. 2864-2867
Author(s):  
Hrvoje Lalić

BACKGROUND: Psychiatric disorders are not compatible with carrying firearms or with driving a car. Persons with such disorders are often not employed and are persistent in demanding invalidity pensions, but some of them also insist on holding on to the mentioned licenses. In such cases, where persons are already in possession of firearms and driving licences, it never occurs to them, that they should surrender their permits back. AIM Pointing to the importance of OM controlling firearm/car driving licenses. CASE REPORTS: This paper discusses the problem of three cases that should be widely recognised as it is potentially life-threatening to other people. The first is the case of a war veteran in retirement with PTSD that had his application for firearms licence rejected by the authorities. The second is the case of a labourer who suffers from a depressive disorder, temporarily incapable of work. The third is the case of a war veteran, a chronic alcoholic with toxic epilepsy, who is applying for invalidity retirement but wants to keep his driving license. CONCLUSION: Occupational medicine assess every single worker by applying advanced methods and psycho tests that enable a thorough assessment of work capacity and fitness for carriage of firearms, driving as well as the assessment of psychiatric disorders, which are the most delicate to assess.


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