A Case of Enterococcus Spp. Endocarditis in a Seemingly Cured Hemorrhoidal Disease. Case Report

Background: Infective endocarditis with Enterococcus spp. is common in patients with digestive tract diseases. Such patients should be monitored periodically through clinical examination and colonoscopy, to detect the recurrence of seemingly cured disease. There are currently no studies on the incidence of infective endocarditis in patients with hemorrhoidal disease. Case report: The case of a 48-year-old man is addressed, known with type 2 diabetes mellitus, with a seemingly cured hemorrhoidal disease, who developed infective endocarditis of the mitral and aortic valve, complicated by ischemic stroke as the fi rst symptom. After six weeks of antibiotic treatment, an almost complete echocardiographic resolution of the vegetation was achieved, such that surgical intervention was postponed. Conclusion: Performing a colonoscopy in all Enterococcus spp. infective endocarditis patients, regardless of the presumed source of infection, could be helpful in diagnosing colorectal disease and avoiding a new bacteraemia episode - and eventually infective endocarditis - by the same or a different microorganism. The presented case emphasizes the importance of periodic monitoring of the digestive tract for hemorrhoidal disease in patients with a high risk of recurrence - due to high risk of bacteraemia and systemic complications. Moreover, it is worth noting that in certain cases, efficient antibiotic treatment on its own can achieve an outstanding result for patients with large vegetations, presenting with an embolic episode, and thus postpone (indefinitely) a surgical intervention.

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High-risk human papillomavirus in a child with digital pigmented Bowen's disease: Case report and dermoscopic findings

Pediatric Dermatology ◽

10.1111/pde.13552 ◽

2018 ◽

Vol 35 (5) ◽

pp. e265-e267 ◽

Cited By ~ 2

Author(s):

Andrew Hudson ◽

Adnan Mir ◽

Bryan Carroll

Keyword(s):

Human Papillomavirus ◽

Case Report ◽

High Risk ◽

Bowen’S Disease ◽

Bowen's Disease ◽

Disease Case

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Computed tomography features of spontaneously perforated pyometra: a case report

Acta Radiologica ◽

10.1080/02841850500480634 ◽

2006 ◽

Vol 47 (2) ◽

pp. 226-227 ◽

Cited By ~ 16

Author(s):

K-S. Chan ◽

C-K. Tan ◽

C-W. Mak ◽

C-C. Chia ◽

C-Y. Kuo ◽

...

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Case Report ◽

Acute Abdomen ◽

Antibiotic Treatment ◽

Surgical Intervention ◽

Spontaneous Perforation

Spontaneous perforation of pyometra is an extremely rare emergent gynecologic disease. We report a 73-year-old woman with a spontaneously perforated pyometra presenting with acute abdomen in the emergency department. A dedicated computed tomography examination of the abdominal and pelvic regions revealed the diagnosis. The patient recovered well after surgical intervention and antibiotic treatment.

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Endovascular Exclusion of Leaking Thoracic Aortic Aneurysms

Journal of Endovascular Therapy ◽

10.1177/15266028020090s213 ◽

2002 ◽

Vol 9 (2_suppl) ◽

pp. II-79-II-83 ◽

Cited By ~ 2

Author(s):

Jonathan D. Woody ◽

Irwin Walot ◽

Carlos E. Donayre ◽

John Eugene ◽

Joseph S. Carey ◽

...

Keyword(s):

Heart Failure ◽

Case Report ◽

High Risk ◽

Elderly Patients ◽

Endovascular Treatment ◽

Surgical Intervention ◽

Aortic Aneurysms ◽

The Other ◽

Thoracic Aortic Aneurysms ◽

Early Results

Purpose: To describe the endovascular exclusion of leaking thoracic aortic aneurysms (TAA). Case Report: Two elderly patients with leaking TAAs who were at high risk for surgical intervention were transferred to our institution for possible endovascular treatment. Both patients underwent successful endovascular exclusion of the leaking TAAs using multiple stacked AneuRx thoracic endoprostheses. One patient remains alive and well at 1 year with an excluded aneurysm; the other patient died from heart failure 2 months after endografting. Conclusions: While the early results of the endovascular exclusion of leaking TAAs are promising, the use of thoracic endoprostheses remains investigational.

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Miniature Erupting Volcano-Shaped Mitral Valve Aneurysm Secondary to Streptococcus agalactiae ST1656 Endocarditis: A Case Report

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2021.728792 ◽

2021 ◽

Vol 8 ◽

Author(s):

Hiroyuki Yamamoto ◽

Hiroyuki Yamada ◽

Takahiro Maeda ◽

Mieko Goto ◽

Yoshihiko Ikeda ◽

...

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Mitral Valve ◽

Aortic Valve ◽

Streptococcus Agalactiae ◽

Surgical Intervention ◽

Accurate Diagnosis ◽

Life Threatening ◽

Early Surgical Intervention ◽

Genotype V

Mitral valve aneurysm (MVA) is a rare but life-threatening valvular pathologic entity most commonly associated with infective endocarditis (IE) of the aortic valve (AV). We describe a diabetic patient with ruptured anterior MVA secondary to capsular genotype V Streptococcus agalactiae (GBS) harboring novel ST1656 IE without AV involvement. Our patient presented with manifestations of various serious systemic and intracardiac complications, requiring early surgery, but ultimately died from non-cardiogenic causes. This case emphasizes the importance of treating MVA as a dangerous sequela of IE, of performing transesophageal echocardiography to make its accurate diagnosis and institute early surgical intervention, and of considering GBS as a rare but important causative agent of IE in elderly patients with comorbidities.

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Gemella bergeriinfective endocarditis: a case report and brief review of literature

Cardiology in the Young ◽

10.1017/s1047951118000070 ◽

2018 ◽

Vol 28 (5) ◽

pp. 762-764 ◽

Cited By ~ 5

Author(s):

S. Javed Zaidi ◽

Tarek Husayni ◽

Mary A. Collins

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Aortic Valve ◽

Digestive Tract ◽

Bicuspid Aortic Valve ◽

Review Of Literature ◽

Post Intervention ◽

Gram Positive ◽

Gram Positive Bacteria ◽

Serious Infections

AbstractGemellais a genus of Gram-positive bacteria found in the digestive tract of humans. They rarely cause systemic illness but have been recently implicated in several serious infections. We report infective endocarditis caused byGemella bergeriin a 23-year-old with a bicuspid aortic valve status post-intervention in infancy.

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Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature

Case Reports in Infectious Diseases ◽

10.1155/2016/1780153 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Rima Patel ◽

Vedavyas Gannamani ◽

Emily Shay ◽

David Alcid

Keyword(s):

Mycobacterium Tuberculosis ◽

Back Pain ◽

Case Report ◽

Early Diagnosis ◽

Surgical Intervention ◽

Extrapulmonary Tuberculosis ◽

Spinal Tuberculosis ◽

Joint Involvement ◽

Review Of The Literature ◽

Disease Case

Extrapulmonary tuberculosis (TB) is uncommon but not rare. Bone and joint involvement constitute about 10% of extrapulmonary TB cases, with the spine being the most frequently affected site. Spinal TB patients typically present with back pain but other constitutional or pulmonary symptoms may be absent, rendering the diagnosis difficult. This case explores challenges in the diagnosis of spinal TB. We report a case of a 39-year-old woman presenting with vague back swelling for many years. Imaging revealed osteomyelitis of the spine but initial studies and cultures were negative for Mycobacterium tuberculosis. The diagnosis was confirmed weeks later when cultures demonstrated Mycobacterium tuberculosis. Considering the severe complications of untreated spinal TB including paraplegia and need for surgical intervention, high suspicion is critical in early diagnosis.

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Late-onset pompe disease: Case report of a patient with an uncommon mutation and observational clinical trial as to response to enzyme replacemant therapy (ERT) with alglucosidase alfa over a 12-month-period

Klinische Neurophysiologie ◽

10.1055/s-0030-1250913 ◽

2010 ◽

Vol 41 (01) ◽

Author(s):

N Strigl-Pill

Keyword(s):

Clinical Trial ◽

Case Report ◽

Pompe Disease ◽

Late Onset ◽

Disease Case ◽

Alglucosidase Alfa

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Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

Perspectives in Surgery ◽

10.33699/pis.2019.98.4.167-173 ◽

2019 ◽

Vol 98 (4) ◽

pp. 167-173

Keyword(s):

Case Report ◽

Echinococcus Multilocularis ◽

Alveolar Echinococcosis ◽

Lymphatic System ◽

Surgical Intervention ◽

Clinical Symptoms ◽

Safety Margin ◽

Surgical Removal ◽

Single Centre Experience ◽

Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

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