The Persistent Approach to Diagnose Infectious Hepatic Cysts in a Patient With Recurrent Fever: A Case Report

Abstract Background We report a rare case of chronic brucellosis accompanied with myelodysplastic syndrome and neutrophilic dermatosis, which to the best of our knowledge, has never been reported. Case presentation A young man was admitted to our hospital complaining of recurrent fever, arthritis, rashes and anemia. He had been diagnosed with brucellosis 6 years prior and treated with multiple courses of antibiotics. He was diagnosed with myelodysplastic syndrome and neutrophilic dermatosis following bone marrow puncture and skin biopsy. After anti-brucellosis treatment and glucocorticoid therapy, the symptoms improved. Conclusions Clinicians should consider noninfectious diseases when a patient who has been diagnosed with an infectious disease exhibits changing symptoms.

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Coxiella Endocarditis as the Cause of Recurrent Fever and Brain Abscess in a Patient with Complex Congenital Heart Disease: A Case Report and Literature Review

Case Reports in Infectious Diseases ◽

10.1155/2020/7894574 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Ioannis A. Ziogas ◽

Alexandros P. Evangeliou ◽

Olga Tsachouridou ◽

Alexandra Arvanitaki ◽

Afroditi Tsona ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Case Report ◽

Congenital Heart ◽

Diagnostic Delay ◽

Unknown Origin ◽

Recurrent Fever ◽

Complex Congenital Heart Disease ◽

Empiric Antibiotic ◽

Life Threatening

Introduction. Blood culture-negative infective endocarditis (BCNIE) can present subtly and is associated with a diagnostic delay leading to increased morbidity and mortality. Case Report. We present the case of an 18-year-old male with a history of complex congenital heart disease and 3-year intermittent episodes of fever of unknown origin, who was referred to our hospital for upper and lower extremity focal seizures. Laboratory blood tests were normal, blood cultures were negative, and brain imaging revealed an abscess. Cardiology consultation was requested, and transthoracic echocardiography revealed an intracardiac vegetation. Empiric antibiotic treatment with sultamicillin, gentamycin, and meropenem was initiated. Serology testing was positive for Coxiella burnetii, and the diagnosis of BCNIE was established. The antibiotic course was changed to oral doxycycline for 36 months and led to resolution of IE, with no vegetation detected on TTE after 15 months. Conclusion. BCNIE is a life-threatening disease entity that can lead to severe complications, such as valve regurgitation, emboli, and death. Patients with congenital heart disease are particularly vulnerable to IE. Timely diagnosis and antibiotic management are of paramount importance in order to avoid the potentially fatal sequelae.

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Case Report: A Patient With Polycystic Kidney Disease, Hepatic Cysts and Atrial Myxoma

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2016.03.024 ◽

2016 ◽

Vol 67 (5) ◽

pp. A23

Keyword(s):

Case Report ◽

Kidney Disease ◽

Polycystic Kidney Disease ◽

Atrial Myxoma ◽

Polycystic Kidney ◽

Hepatic Cysts

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CANDLE Syndrome: Case Report of a Rare Type of Auto- Inflammatory Disease

Bangladesh Journal of Child Health ◽

10.3329/bjch.v44i3.52711 ◽

2021 ◽

Vol 44 (3) ◽

pp. 174-177

Author(s):

Md Asif Ali ◽

Mohammad Imnul Islam ◽

Shahana Akhtar Rahman

Keyword(s):

Case Report ◽

Autoinflammatory Disease ◽

Failure To Thrive ◽

Skin Lesions ◽

Recurrent Fever ◽

Rare Type ◽

Auto Inflammatory Disease ◽

Laboratory Investigations ◽

Generalized Lymphadenopathy ◽

Psmb8 Gene

CANDLE syndrome (chronic atypical neutophilic dermatosis with lipodystrophy and elevated temperature) is an autoinflammatory disease/syndrome characterized by recurrent fever, skin lesions, and multisystem inflammatory manifestations. Most of the patients have shown mutation in PSMB8 gene. Here, we report a 9-year-old girl with recurrent fever, atypical facies, widespread skin lesions, generalized lymphadenopathy, hepato-splenomegaly, lipodystrophy, and failure to thrive. Considering the clinical features and laboratory investigations including skin biopsy findings, diagnosis was consistent with CANDLE syndrome. Therefore, it is recommended to consider CANDLE syndrome in a young child who presents with recurrent fever, characteristics rashes, organomegaly and failure to thrive. Bangladesh J Child Health 2020; VOL 44 (3) :174-177

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Homoeopathic management of chronic replapsing pancreatitis in a paediatric patient: A case report

Journal of Integrated Standardized Homoeopathy ◽

10.25259/jish_17_2021 ◽

2022 ◽

Vol 4 ◽

pp. 133-141

Author(s):

Bipin Sohanraj Jain ◽

Akshata Damodar Nayak

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Acute Exacerbation ◽

Recurrent Fever ◽

Age Group ◽

Patient Reported ◽

Paediatric Age ◽

History Of ◽

Chronic Relapsing Pancreatitis ◽

Over Time

Chronic relapsing pancreatitis in the paediatric age group is a challenging case, especially when presenting in its acute exacerbation. This case report highlights the management of chronic relapsing pancreatitis in a 9-year-old female patient with homoeopathic treatment. The patient reported a year-long history of recurrent fever, abdominal pain, and raising titres of lipase and amylase; she had been admitted to a higher centre twice. The totality was constructed on day 1 and a homoeopathic remedy was prescribed. Detailed case taking, done after a week, confirmed the same remedy. Later, when the patient had an acute exacerbation, the same remedy-frequently repeated, helped settle the acute episode in a couple of days. The patient has been following up regularly for 3 years; the frequency and intensity of relapses reduced considerably over time and there have been no episodes for more than a year.

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Hepatic Cysts Incarcerated in a Peritoneopericardial Diaphragmatic Hernia

Journal of Feline Medicine and Surgery ◽

10.1053/jfms.2002.0167 ◽

2002 ◽

Vol 4 (2) ◽

pp. 123-125 ◽

Cited By ~ 18

Author(s):

JM Liptak ◽

SA Bissett ◽

GS Allan ◽

S Zaki ◽

R Malik

Keyword(s):

Case Report ◽

Diaphragmatic Hernia ◽

Incidental Finding ◽

Hepatic Cysts ◽

Pericardial Space ◽

Peritoneopericardial Diaphragmatic Hernia

Peritoneopericardial diaphragmatic hernia is a common incidental finding in cats and is rarely symptomatic. The case report described herein presented with dyspnoea secondary to incarceration of hepatic cysts within the pericardial space of a cat with a peritoneopericardial diaphragmatic hernia.

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Comorbidity of purulent meningitis with COVID‐19: A case report

Brain Science Advances ◽

10.26599/bsa.2021.9050006 ◽

2021 ◽

Vol 7 (1) ◽

pp. 65-71

Author(s):

Ping Zhang ◽

Chao Pan ◽

Jiahui Wang ◽

Yang Ma ◽

Huaqiu Zhang ◽

...

Keyword(s):

Computed Tomography ◽

Escherichia Coli ◽

Cerebrospinal Fluid ◽

Case Report ◽

Immune Cells ◽

Chest Ct ◽

Recurrent Fever ◽

Purulent Meningitis ◽

Show Evidence ◽

The Brain

To date, only a few cases of intracranial infection related to severe acute respiratory syndrome‐coronavirus‐2 (SARS‐CoV‐2) were reported. Here we describe a case of coronavirus disease 2019 (COVID‐19) that was comorbid with purulent meningitis. A 62‐year‐old male patient was diagnosed with moderate COVID‐19 and had no fever or cough after treatment. However, he suffered from a head injury and experienced headache and fever immediately after the accident. Computed tomography (CT) of the brain showed bilateral frontal lobe contusion, subdural hematoma, and subarachnoid hemorrhage. In the following days, the patient suffered from recurrent fever, although chest CT did not show evidence of worsening of infection. Several lumbar punctures were made, confirming increased cerebrospinal fluid (CSF) pressure and karyocyte count. SARS‐CoV‐2 nucleic acid was not detected in CSF but revealed the presence of Escherichia coli. Thus, the patient was diagnosed with purulent meningitis, presumably caused by brain trauma or the immunologic dysfunction caused by COVID‐19, which was supported by the significant reduction of all kinds of immune cells. Since immunologic dysfunction is commonly presented in COVID‐19 patients, comorbidity with meningitis should be considered when a COVID‐19 patient presents with headache and fever. Lumbar punctures and CSF cultures may help in the diagnosis.

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