scholarly journals Sphingomonas paucimobilis keratitis post cataract surgery: First case report from India

2019 ◽  
Vol 11 (1) ◽  
pp. 82-85 ◽  
Author(s):  
Manisha Acharya ◽  
Javed Hussain Farooqui ◽  
Hayden Spencer ◽  
Vinay Arora ◽  
Umang Mathur
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Medical Treatment ◽  
Cataract Surgery ◽  
Sphingomonas Paucimobilis ◽  
Gram Negative ◽  
Ophthalmic Manifestations ◽  
First Case ◽  
Surgery First ◽  
Patch Graft

Sphingomonas paucimobilis is a rare, aerobic Gram-negative soil bacillus rarely associated with intraocular infections. With only 3 cases of ophthalmic manifestations reported so far, we are presenting the fi rst case of S. Paucimobilis, causing keratitisafter cataract surgery, from India. The organism, which was resistant to initial medical treatment, eventually responded to a patch graft and the patient improved to a final visual acuity of 20/40.

scholarly journals Sphingomonas paucimobilis bacteraemia and septic arthritis in a diabetic patient presenting with septic pulmonary emboli

2009 ◽  
Vol 58 (9) ◽  
pp. 1259-1263 ◽  
Author(s):  
I-Ching Kuo ◽  
Po-Liang Lu ◽  
Wei-Ru Lin ◽  
Chun-Yu Lin ◽  
Yu-Wei Chang ◽  
...  
Keyword(s):  
Case Report ◽  
Septic Arthritis ◽  
Human Infection ◽  
Sphingomonas Paucimobilis ◽  
Pulmonary Emboli ◽  
Gram Negative ◽  
Negative Bacillus ◽  
First Case ◽  
Gram Negative Bacillus ◽  
Immunocompromised Hosts

Sphingomonas paucimobilis, a yellow-pigmented, aerobic, glucose non-fermenting, Gram-negative bacillus, is a rare cause of human infection normally associated with immunocompromised hosts. We report a case of bacteraemia and septic arthritis in a 47-year-old diabetic man who presented with septic pulmonary emboli due to S. paucimobilis. The patient had an initial presentation of fever, right knee pain, coughing, dyspnoea and chest pain. The infection was treated successfully by surgical debridement combined with meropenem plus ciprofloxacin, based on the patient's antibiotic susceptibility profile. To our knowledge, this is the first case report for septic pulmonary emboli having arisen from an S. paucimobilis infection.

scholarly journals Disseminated toxoplasmosis in an immunocompetent patient from Peruvian Amazon

2010 ◽  
Vol 52 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Juan Nunura ◽  
Tania Vásquez ◽  
Sergio Endo ◽  
Daniela Salazar ◽  
Alejandrina Rodriguez ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Muscle Biopsy ◽  
Blood Smear ◽  
Immunocompetent Patient ◽  
Peruvian Amazon ◽  
Thick Blood Smear ◽  
First Case ◽  
Hip Extension

We report a case of severe toxoplasmosis in an immunocompetent patient, characterized by pneumonia, retinochoroiditis, hepatitis and myositis. Diagnosis was confirmed by serology, T. gondii in thick blood smear and presence of bradyzoites in muscle biopsy. Treatment with pyrimethamine plus sulfadoxine was successful but visual acuity and hip extension were partially recovered. This is the first case report of severe toxoplasmosis in an immunocompetent patient from Peru.

scholarly journals Ophthalmia Secondary to Cobra Venom Spitting in the Volta Region, Ghana: A Case Report

2017 ◽  
Vol 8 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Maria Andrea Lanzetta ◽  
Mihaela Cirtita ◽  
Evelyn Aziebu ◽  
Momodou Cham ◽  
Paolo Lanzetta
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Vitamin A ◽  
Corneal Epithelium ◽  
Cobra Venom ◽  
First Case ◽  
Volta Region

Purpose: To report the first case of ophthalmia due to contact with cobra venom in the Volta Region, Ghana. Methods: An ointment containing vitamin A was applied to treat the patient’s unilateral defects in the corneal epithelium and the consequent diminished visual acuity. Results: Healing of the corneal epithelium and improvement of visual acuity were observed after only 1 day. Conclusions: This case suggests that consequences of cases of cobra venom spitting in the eyes can be minimal if immediate treatment is provided.

scholarly journals Intraocular lipopolysaccharide examination for early diagnosis of Stenotrophomonas maltophilia endophthalmitis: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052092986
Author(s):  
Li Chen ◽  
Zhuo Zai Xu ◽  
Yong Tao
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Early Diagnosis ◽  
Stenotrophomonas Maltophilia ◽  
Gram Negative ◽  
Hand Motion ◽  
Bacterial Endophthalmitis ◽  
Negative Bacillus ◽  
Gram Negative Bacillus ◽  
Intraocular Fluid

This report describes the presence of Stenotrophomonas maltophilia endophthalmitis after phacoemulsification in a 66-year-old woman. The patient presented with ocular redness and pain, as well as hypopyon in the anterior chamber and reduction of visual acuity to hand motion. Intraocular fluid examination revealed a lipopolysaccharide level of >2.5, which suggested bacterial endophthalmitis. The patient was promptly treated with intravitreal ceftazidime 2 mg and vancomycin 1 mg, as well as intravenous infusion of cefuroxime 750 mg, all administered simultaneously at 12-hour intervals. She also received topical levofloxacin eyedrops, once per hour. Subsequently, pathology culture confirmed the presence of the Gram-negative bacillus, S. maltophilia. The presence of lipopolysaccharide in intraocular fluid is an important early indicator of bacterial endophthalmitis, which can provide guidance for clinical treatment.

scholarly journals Catecholaminergic Crisis After a Bleeding Complication of COVID-19 Infection: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Angel Rebollo-Román ◽  
Maria R. Alhambra-Expósito ◽  
Yiraldine Herrera-Martínez ◽  
F. Leiva-Cepas ◽  
Carlos Alzas ◽  
...  
Keyword(s):  
Case Report ◽  
Severe Acute Respiratory Syndrome ◽  
Medical Treatment ◽  
Bleeding Complication ◽  
Adrenal Mass ◽  
Symptom Control ◽  
Clinical Manifestations ◽  
First Case ◽  
Thrombotic Complications

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presents in some cases with hemostatic and thrombotic complications. Pheochromocytomas are unusual, though potentially lethal tumors. Herein we describe the first case of hemorrhage in a pheochromocytoma related to SARS-CoV-2 infection. A 62-year-old man consulted for syncope, fever, and palpitations. He was diagnosed with SARS-CoV-2 pneumonia and presented with a hemorrhage in a previously unknown adrenal mass, which resulted in a catecholaminergic crisis. Medical treatment and surgery were required for symptom control and stabilization. We hereby alert clinicians to watch for additional/unreported clinical manifestations in COVID-19 infection.

scholarly journals Outbreak of postoperative endophthalmitis caused by Pseudomonas aeruginosa: a case report and brief literature review

2021 ◽  
Vol 49 (11) ◽  
pp. 030006052110553
Author(s):  
Kasra Cheraqpour ◽  
Aliasghar Ahmadraji ◽  
Seyed Ali Tabatabaei ◽  
Bahram Bohrani Sefidan ◽  
Mohammad Soleimani ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Clinical Findings ◽  
Postoperative Endophthalmitis ◽  
Causative Pathogen ◽  
Light Perception ◽  
Strict Adherence ◽  
Gram Negative ◽  
Source Of Infection

Endophthalmitis is the most serious complication of cataract surgery. A cluster of endophthalmitis is a devastating event for surgeons. Pseudomonas aeruginosa is the main causative pathogen of Gram-negative endophthalmitis, which can be suggestive of the occurrence of an outbreak. Ten patients diagnosed with endophthalmitis after cataract surgery performed by one surgeon were analyzed in this study. At presentation, five patients had obvious clinical findings of endophthalmitis with visual acuity of light perception, two patients had poor light perception/no light perception of vision complicated by concomitant keratitis, and three patients had earlier signs of infection (e.g., a lower degree of anterior chamber and vitreous cells, better presenting visual acuity, and greater visibility of the fundus). Investigations revealed that the source of infection was growth of P. aeruginosa on the phaco probe. All of the surgeries had been performed by the same contaminated probe without sterilization between surgeries. This finding emphasizes the importance of strict adherence to sterility protocols during high-risk surgeries such as intraocular surgeries. Additionally, this report aims to emphasize to surgeons that negligence of simple but vital steps of sterility for any reason, such as limitations in time or equipment, can lead to catastrophic events.

scholarly journals MELIOIDOSIS PRESENTING AS PAROTID ABSCESS IN AN ADULT - A CASE REPORT

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Jagadeesh Chandrasekaran ◽  
Mathi Manoj Kumar Ravichandran ◽  
Shobana Paulraj ◽  
Venkatakarthikeyan Chokkalingam
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Burkholderia Pseudomallei ◽  
Pediatric Population ◽  
Splenic Abscess ◽  
Tropical Disease ◽  
Rare Entity ◽  
Negative Bacterium ◽  
Gram Negative ◽  
Neurological Infections

Burkholderia pseudomallei, a facultative intracellular Gram-negative bacterium casuses melioidosis, a tropical disease which is more commonly reported these days. Melioidosis can present as visceral abscess, pneumonia, localized ulcers, musculoskeletal and neurological infections, even as full blown sepsis. Melioidosis presenting as parotid abscess is commonly reported among pediatric population, however in adults it is a rare entity with only very few cases being reported. There are very limited studies that have described melioidosis with abscess in unusual sites apart from liver and splenic abscess. Here we present a case of a diabetic male with left sided parotid abscess and on microbiological evaluation found to have melioidosis which was successfully treated with combined surgical and medical treatment.

scholarly journals First Reported Case of Donor Related Candida Endophthalmitis after Descemet Membrane Endothelial Keratoplasty

2017 ◽  
Vol 11 (1) ◽  
pp. 117-121 ◽  
Author(s):  
Matthew Thompson ◽  
David Carli
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Retrospective Case ◽  
Descemet Membrane ◽  
Donor Material ◽  
First Case ◽  
Culture Positive ◽  
Candida Endophthalmitis

Purpose: To report the first case of Candida donor to host transmission following descemet membrane endothelial keratoplasty (DMEK) Methods: A retrospective case report. Results: A patient underwent uneventful DMEK. Following surgery the donor rim was culture positive for Candida. The patient developed fungal endophthalmitis that was treated medically with multiple injections of voriconazole and amphotericin. Medical treatment was unable to clear the infection and removal of the donor material was required. Following removal the infection subsided. Conclusion: Candida interface keratitis and endophthalmitis can occur following DMEK and may be difficult to treat medically. Early removal of the donor material should be considered.

scholarly journals Osteomyelitis Due to Multiple Carbapenemase-Producing Gram-Negative Bacteria: The First Case Report of a GES-13-ProducingPseudomonas aeruginosaIsolate in Canada

2014 ◽  
Vol 25 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Shadi Sepehri ◽  
Guillaume Poliquin ◽  
Nora Alfattoh ◽  
David Boyd ◽  
Michael Mulvey ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Risk Factor ◽  
Case Report ◽  
Klebsiella Pneumoniae ◽  
Burn Injury ◽  
International Travel ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
First Case

A case of osteomyelitis in an infant following a burn injury sustained in Pakistan caused by a GES-13-producingPseudomonas aeruginosa(the first reported in Canada) and an OXA-48 producingKlebsiella pneumoniaeis described. The present case serves to highlight the importance of international travel as a risk factor for infection with carbapenemase-producing bacteria and the challenges in the laboratory detection of these organisms.

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