Infectious Disease Reports

519 KiB

Open AccessCase Report

Pasteurella Multocida Peritonitis after Cat Scratch in a Patient with Cirrhotic Ascites

by Roshan Gunathilake, Ajay Verma, Michael Caffery and David Sowden

Infect. Dis. Rep. 2015, 7(2), 5937; https://doi.org/10.4081/idr.2015.5937 - 16 Jun 2015

Cited by 4 | Viewed by 435

Pasteurella multocida, a zoonotic agent transmitted by canines and felines, has been very rarely reported to cause bacterial peritonitis in humans. Pasteurella multocida peritonitis is associated with high mortality even with appropriate treatment, therefore its early recognition is essential. We report a [...] Read more.

Pasteurella multocida, a zoonotic agent transmitted by canines and felines, has been very rarely reported to cause bacterial peritonitis in humans. Pasteurella multocida peritonitis is associated with high mortality even with appropriate treatment, therefore its early recognition is essential. We report a case of Pasteurella multocida peritonitis following cat scratch in a patient with Child Pugh Class C alcoholic cirrhosis, culminating in multiple organ failure and death. Full article

607 KiB

Open AccessCase Report

Rapid Progressive Seeding of a Community Acquired Pathogen in an Immune-Competent Host: End Organ Damage from Head to Bone

by Daisy Torres-Miranda, Farah Al-Saffar, Saif Ibrahim and Stephanie Diaz-Font

Infect. Dis. Rep. 2015, 7(2), 5849; https://doi.org/10.4081/idr.2015.5849 - 9 Jun 2015

Cited by 1 | Viewed by 411

Abstract

Methicillin-sensitive Staphylococcus aureus (MSSA) meningitis is a rare disease when not related to neurosurgery: there are only few reported cases in the literature to date. We describe a case that highlights not only meningeal but also diffuse and rapidly progressive systemic involvement with [...] Read more.

Methicillin-sensitive Staphylococcus aureus (MSSA) meningitis is a rare disease when not related to neurosurgery: there are only few reported cases in the literature to date. We describe a case that highlights not only meningeal but also diffuse and rapidly progressive systemic involvement with multi-organ failure. A 64-year-old male presented to our hospital with a chief complaint of acute worsening of his usual chronic lower back pain, progressive weakness in lower extremities and subjective fevers at home. Hospital course demonstrated MSSA bacteremia, of questionable source, that resulted in endocarditis affecting right and left heart in a patient with no history of intravenous drug use. The case was complicated by septic emboli to systemic circulation involving the kidneys, vertebral spine, lungs and brain with consequent meningitis and stroke, even when treated empirically with vancomycin and then switched to nafcillin as indicated. Even though MSSA infections are well known, there are very few case reports describing such an acute-simultaneous-manifestation of multi-end-organ failure, including meningitis and stroke. Our case, also presented with an uncommon manifestation of persistent infection dissemination despite adequate antibiotic treatment. Full article

539 KiB

Open AccessCase Report

Lemierre Syndrome Presenting as Acute Mastoiditis in a 2-Year-Old Girl with Congenital Dwarfism

by Jason B. Fischer, Andrew Prout, R. Alexander Blackwood and Kavita Warrier

Infect. Dis. Rep. 2015, 7(2), 5922; https://doi.org/10.4081/idr.2015.5922 - 8 Jun 2015

Cited by 4 | Viewed by 452

Abstract

Lemierre syndrome is defined by septic thrombophlebitis of the internal jugular vein caused by Fusobacterium. Historically, these infections originate from the oropharynx and typically are seen in older children, adolescents and young adults. More recently, otogenic sources in younger children have been [...] Read more.

Lemierre syndrome is defined by septic thrombophlebitis of the internal jugular vein caused by Fusobacterium. Historically, these infections originate from the oropharynx and typically are seen in older children, adolescents and young adults. More recently, otogenic sources in younger children have been described with increasing frequency. We present a case of a two-year old, who initially developed an otitis media with perforation of the tympanic membrane and went on to develop mastoiditis and non-occlusive thrombosis of the venous sinus and right internal jugular vein. Fusobacterium necrophorum was grown from operative cultures of the mastoid, ensuing computed tomography scan revealed occlusion of the internal jugular vein and the patient was successfully treated with clindamycin, ciprofloxacin and enoxaparin. This case demonstrates the importance of considering Fusobacterium in otogenic infections and the consideration of Lemierre syndrome when F. necrophorum is identified. Full article

598 KiB

Open AccessCase Report

Disseminated Cryptococcosis Presenting as Cutaneous Cellulitis in an Adolescent with Systemic Lupus Erythematosus

by Ellen Simionato Valente, Mauricio Costa Lazzarin, Bruno Lopes Koech, Ralph Vighi da Rosa, Rafael de Almeida, Umberto Lopes de Oliveira, Maria Gertrudes Fernandes Pereira Neugebauer and Alexander Gonçalves Sacco

Infect. Dis. Rep. 2015, 7(2), 5743; https://doi.org/10.4081/idr.2015.5743 - 3 Jun 2015

Cited by 12 | Viewed by 581

Abstract

We report here the case of a 17-year-old girl from Pelotas, Brazil, with systemic lupus erythematosus and disseminated cryptococcal infection. Prior to diagnosis, she was a chronic user of corticosteroids and other immunosuppressive drugs. Her first symptoms were skin lesions that simulated bacterial [...] Read more.

We report here the case of a 17-year-old girl from Pelotas, Brazil, with systemic lupus erythematosus and disseminated cryptococcal infection. Prior to diagnosis, she was a chronic user of corticosteroids and other immunosuppressive drugs. Her first symptoms were skin lesions that simulated bacterial cellulitis. Upon suspicion, we performed a biopsy and fungal infection was confirmed. Appropriate therapy was established, and the patient was discharged after 42 days of treatment in complete remission. Full article

602 KiB

Open AccessEditorial

The chronology of the international response to Ebola in Western Africa: lights and shadows in a frame of conflicting position and figures

by Giuseppe Ippolito, Antonino Di Caro and Maria Rosaria Capobianchi

Infect. Dis. Rep. 2015, 7(2), 5957; https://doi.org/10.4081/idr.2015.5957 - 29 May 2015

Cited by 10 | Viewed by 496

Abstract

The ongoing Ebola virus outbreak in western Africa illustrates the threat coming from emerging infectious diseases and is perceived by the public as a preeminent public health problem[...] Full article

614 KiB

Open AccessCase Report

Leptotrichia buccalis: a novel cause of chorioamnionitis

by Marcela C. Smid, Sarah K. Dotters-Katz, Rongpong Plongla and Kim A. Boggess

Infect. Dis. Rep. 2015, 7(2), 5801; https://doi.org/10.4081/idr.2015.5801 - 26 May 2015

Cited by 9 | Viewed by 534

Abstract

Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome. We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal. We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic [...] Read more.

Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome. We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal. We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic infection. Full article

151 KiB

Open AccessCase Report

Necrotizing fasciitis of the abdominal wall caused by Serratia marcescens

by Naheed A. Lakhani, Umesh Narsinghani and Ritu Kumar

Infect. Dis. Rep. 2015, 7(2), 5774; https://doi.org/10.4081/idr.2015.5774 - 15 Apr 2015

Cited by 9 | Viewed by 641

Abstract

In this article, we present the first case of necrotizing fasciitis affecting the abdominal wall caused by Serratia marcescens and share results of a focused review of S. marcescens induced necrotizing fasciitis. Our patient underwent aorto-femoral bypass grafting for advanced peripheral vascular disease [...] Read more.

In this article, we present the first case of necrotizing fasciitis affecting the abdominal wall caused by Serratia marcescens and share results of a focused review of S. marcescens induced necrotizing fasciitis. Our patient underwent aorto-femoral bypass grafting for advanced peripheral vascular disease and presented 3 weeks postoperatively with pain, erythema and discharge from the incision site in the left lower abdominal wall and underwent multiple debridement of the affected area. Pathology of debrided tissue indicated extensive necrosis involving the adipose tissue, fascia and skeletal muscle. Wound cultures were positive for Serratia marcescens. She was successfully treated with antibiotics and multiple surgical debridements. Since necrotizing fasciitis is a medical and surgical emergency, it is critical to examine infectivity trends, clinical characteristics in its causative spectrum. Using PubMed we found 17 published cases of necrotizing fasciitis caused by Serratia marcescens, and then analyzed patterns among those cases. Serratia marcescens is prominent in the community and hospital settings, and information on infection presentations, risk factors, characteristics, treatment, course, and complications as provided through this study can help identify cases earlier and mitigate poor outcomes. Patients with positive blood cultures and those patients where surgical intervention was not provided or delayed had a higher mortality. Surgical intervention is a definite way to establish the diagnosis of necrotizing infection and differentiate it from other entities. Full article

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Infect. Dis. Rep., Volume 7, Issue 2 (April 2015) – 7 articles

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