scholarly journals Mycobacterium abscessus infection of a new tattoo in an Australian traveller returning from Bali, Indonesia

2020 ◽  
Vol 27 (6) ◽  
Author(s):  
Karolina L Kerkemeyer ◽  
Jonathan D Darby ◽  
Jack Green
Keyword(s):  
Clinical Practice ◽  
Antimicrobial Therapy ◽  
Skin Infection ◽  
Mycobacterium Abscessus ◽  
Atypical Mycobacteria ◽  
Fresh Tissue ◽  
Mycobacterial Culture ◽  
Tissue Biopsy

Skin infection with atypical mycobacteria can occur following inoculation by tattooing. It may be seen in clinical practice with increasing frequency due to the popularity of tattooing among travellers. Diagnosis requires fresh tissue biopsy requested for mycobacterial culture, and treatment involves prolonged combination antimicrobial therapy guided by sensitivities.

scholarly journals Executive Summary: 2015 Infectious Diseases Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adultsa

2015 ◽  
Vol 61 (6) ◽  
pp. 859-863 ◽  
Author(s):  
Elie F. Berbari ◽  
Souha S. Kanj ◽  
Todd J. Kowalski ◽  
Rabih O. Darouiche ◽  
Andreas F. Widmer ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Clinical Practice ◽  
Practice Guidelines ◽  
Antimicrobial Therapy ◽  
Healthcare Professionals ◽  
Surgical Intervention ◽  
Vertebral Osteomyelitis ◽  
Executive Summary ◽  
Orthopedic Surgeons ◽  
Infectious Disease Specialists

Abstract These guidelines are intended for use by infectious disease specialists, orthopedic surgeons, neurosurgeons, radiologists, and other healthcare professionals who care for patients with native vertebral osteomyelitis (NVO). They include evidence and opinion-based recommendations for the diagnosis and management of patients with NVO treated with antimicrobial therapy, with or without surgical intervention.

2018 Infectious Diseases Society of America Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapya

2018 ◽  
Vol 68 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Anne H Norris ◽  
Nabin K Shrestha ◽  
Genève M Allison ◽  
Sara C Keller ◽  
Kavita P Bhavan ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Antimicrobial Therapy ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Healthcare Professionals ◽  
Outpatient Parenteral Antimicrobial Therapy ◽  
Infusion Catheter

Abstract A panel of experts was convened by the Infectious Diseases Society of America to update the 2004 clinical practice guideline on outpatient parenteral antimicrobial therapy (OPAT) [1]. This guideline is intended to provide insight for healthcare professionals who prescribe and oversee the provision of OPAT. It considers various patient features, infusion catheter issues, monitoring questions, and antimicrobial stewardship concerns. It does not offer recommendations on the treatment of specific infections. The reader is referred to disease- or organism-specific guidelines for such support.

scholarly journals Mycobacterium abscessus skin infection after tattooing - Case report

2015 ◽  
Vol 90 (5) ◽  
pp. 741-743 ◽  
Author(s):  
Pétra Pereira de Sousa ◽  
Rossilene Conceição da Silva Cruz ◽  
Antonio Pedro Mendes Schettini ◽  
Danielle Cristine Westphal
Keyword(s):  
Case Report ◽  
Skin Infection ◽  
Mycobacterium Abscessus

scholarly journals The clinical management of cesarean section-acquired Mycobacterium abscessus surgical site infections

2014 ◽  
Vol 8 (02) ◽  
pp. 184-192 ◽  
Author(s):  
Shih-Ming Tsao ◽  
Keh-Sen Liu ◽  
Hsien-Hua Liao ◽  
Tian-Lin Huang ◽  
Gwan-Han Shen ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Antimicrobial Therapy ◽  
Clinical Management ◽  
Rflp Analysis ◽  
Surgical Site Infections ◽  
Mycobacterium Abscessus ◽  
University Hospital ◽  
Pcr Rflp ◽  
Dna Restriction Fragments ◽  
Healthcare Associated

Introduction: Rapidly growing mycobacteria (RGM) can cause a broad spectrum of both community and healthcare-associated infections in humans. The aim of this study was to report the clinical management and outcomes of successive patients following cesarean delivery with healthcare-associated surgical site infections (SSIs) caused by RGM. Methodology: Patients who were admitted to Chung Shan Medical University Hospital, Taichung, Taiwan, between September 2006 and July 2008, and who developed SSIs following cesarean delivery at an obstetrics hospital and were then referred to our hospital, were enrolled. Demographic characteristics of the patients and clinical isolates were obtained retrospectively and an environmental investigation was performed. PCR-restriction fragment length polymorphism (PCR-RFLP) analysis of the hsp65gene and pulsed-field gel electrophoresis (PFGE) of large genomic DNA restriction fragments were applied to differentiate Mycobacterium species. Results: Seventeen patients were diagnosed with RGM infections by microbiology and/or histopathology. Mycobacterial isolates by PCR-RFLP analysis from 15 patients revealed Mycobacterium abscessus (M. abscessus) and M. lentiflavum. Most of the patients received surgical debridement and combination antimicrobial therapy and were eventually cured. Conclusions: Our study demonstrates the potential that RGM infections have in causing healthcare-associated SSIs. Surgery plus prolonged combination antimicrobial therapy seemed to be an effective option for the management of M. abscessus infections.

scholarly journals Polymerase chain reaction compared to other laboratory findings and to clinical evaluation in the diagnosis of cutaneous tuberculosis and atypical mycobacteria skin infection

2009 ◽  
Vol 48 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Cristina Martinez Zugaib Abdalla ◽  
Zilda Najjar Prado de Oliveira ◽  
Mirian N. Sotto ◽  
Kátia Ramos Moreira Leite ◽  
Flávio Canellas Canavez ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Clinical Evaluation ◽  
Skin Infection ◽  
Atypical Mycobacteria ◽  
Chain Reaction ◽  
Laboratory Findings ◽  
Cutaneous Tuberculosis ◽  
Polymerase Chain

scholarly journals A Case of Erosive Polyarthritis in a Patient Diagnosed With a Suspicion of Atypical Mycobacteria

2013 ◽  
Vol 7 (1) ◽  
pp. 64-66 ◽  
Author(s):  
Hani Almoallim ◽  
Laila Alharbi ◽  
Zainab Alshareef ◽  
Ghassan Wali
Keyword(s):  
Pulmonary Infection ◽  
Mycobacterium Abscessus ◽  
Significant Response ◽  
Atypical Mycobacteria ◽  
Disease Modifying Antirheumatic Drugs ◽  
Antirheumatic Drugs ◽  
Disease Modifying ◽  
Antimicrobial Regimen

In this report, we introduce a case of erosive polyarthritis in a 55-year-old female diagnosed with Mycobacterium abscessus pulmonary infection. Her arthritis has been worsened after use of DMARDs. The patient demonstrated a significant response to the antimicrobial regimen that was administered. We call special attention to the possibility of Mycobacterium abscessus being a cause of reactive polyarthritis, particularly if symptoms worsened after use of disease-modifying antirheumatic drugs (DMARDs), but further studies are necessary for clarification.

scholarly journals Problem-solving in clinical practice: Persisting respiratory distress in a premature infant

2020 ◽  
pp. edpract-2019-317757
Author(s):  
Daniel R Owens ◽  
Clarissa Michelle Medalla ◽  
Kelly N Brown ◽  
Kishani Wijewardena ◽  
Claire P Thomas ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Clinical Practice ◽  
Problem Solving ◽  
Respiratory Distress ◽  
Preterm Infants ◽  
Antimicrobial Therapy ◽  
Nosocomial Infections ◽  
Pulmonary Haemorrhage ◽  
Necrotising Enterocolitis ◽  
Anaemia Of Prematurity

The deterioration of a previously stable preterm infant is a common scenario on the neonatal unit. The the most common bacterial causes of deterioration are nosocomial infections, such as coagulase-negative Staphylococcus and Staphylococcus aureus. Non-infective conditions such as pulmonary haemorrhage, anaemia of prematurity and necrotising enterocolitis may also cause preterm infants to deteriorate. This case chronicles the unusual diagnostic journey of an infant born at 27+1 weeks who deteriorated at 26 days of life and did not respond to antimicrobial therapy as anticipated.

Contact endoscopy of the larynx: a quantitative study

2000 ◽  
Vol 114 (6) ◽  
pp. 437-440 ◽  
Author(s):  
Peter J. C. Wardrop ◽  
Stephanie Sim ◽  
Kathryn McLaren
Keyword(s):  
Clinical Practice ◽  
Diagnostic Accuracy ◽  
Quantitative Study ◽  
The Other ◽  
Controlled Study ◽  
Advantages And Disadvantages ◽  
Endoscopic Findings ◽  
Tissue Biopsy ◽  
Quantitative Studies

Contact endoscopy is a technique of obtaining detailed magnified images of living epithelium, using a modified glass rod lens endoscope placed on the surface of the tissue. The technique has been extensively described in gynaecological, and more recently, laryngeal and nasal tissues. However, no quantitative studies of its diagnostic accuracy yet exist. A prospective partially blinded controlled study of eight cases with a variety of laryngeal pathologies is described. A single pathologist with no knowledge of the ultimate histological diagnoses successfully identified six of eight laryngeal pathologies on contact endoscopic findings, while the other two cases were identified to a degree of accuracy that was sufficient to positively identify the need for standard tissue biopsy. The advantages and disadvantages of the technique are described, along with suggestions for its role in clinical practice.

scholarly journals Mycobacterium abscessus Skin Infection Associated with Shaving Activity in a 75-year-old Man

2018 ◽  
Vol 22 (4) ◽  
pp. 204-207 ◽  
Author(s):  
Hoon Choi ◽  
Yong Il Kim ◽  
Chan Ho Na ◽  
Min Sung Kim ◽  
Bong Seok Shin
Keyword(s):  
Skin Infection ◽  
Mycobacterium Abscessus

scholarly journals Effectiveness of antimicrobial therapy for community-acquired pneumonia in real clinical practice

2022 ◽  
Vol 20 (4) ◽  
pp. 79-85
Author(s):  
O. M. Uryasev ◽  
A. V. Shakhanov ◽  
L. V. Korshunova
Keyword(s):  
Clinical Practice ◽  
Antimicrobial Therapy ◽  
Treatment Effectiveness ◽  
Complete Blood Count ◽  
Community Acquired Pneumonia ◽  
Hospitalized Patients ◽  
Important Place ◽  
Therapy Regimen ◽  
Empiric Antimicrobial Therapy ◽  
Real Clinical Practice

Background. Community-acquired pneumonia (CAP) remains one of the most common infectious diseases, occupying an important place in the structure of mortality worldwide.Aim. To evaluate the effectiveness of antimicrobial therapy for community-acquired pneumonia in hospitalized patients in real clinical practice.Materials and methods. A retrospective, observational study was conducted, which included 236 patients hospitalized for community-acquired pneumonia at the Regional Clinical Hospital in Ryazan in 2019. Based on these case histories, an analysis of the effectiveness of the initial empiric antimicrobial therapy was performed.Results. The initial empiric antimicrobial therapy in 73% of cases included administration of ceftriaxone, in 45% of cases – levofloxacin, in 14% of cases – azithromycin. It was found that initial antimicrobial therapy was effective in 58% of patients who did not require replacement for the antibiotic. A need for a change in the treatment regimen was significantly associated with an increase in the length of hospitalization (p < 0.001), heart rate upon admission (p = 0.032), myelocyte count in the complete blood count (p < 0.001), and urea and blood creatinine levels (p = 0.004 and p = 0.044, respectively). The selected antimicrobial therapy regimen was significantly associated with the expected treatment effectiveness (p = 0.039). The choice of levofloxacin in monotherapy or in combination with ceftriaxone was accompanied by a decrease in the relative risk of replacing the antimicrobial, compared with other treatment regimens (odds ratio (OR) = 0.86 (95% confidence interval (CI): 0.55–1.34) and OR = 0.57 (95% CI: 0.37–0.87), respectively).Conclusion. Empiric antimicrobial therapy for community-acquired pneumonia in real clinical practice complies with current recommendations, however, at the same time, its ineffectiveness persists. Respiratory fluoroquinolones are most effective in treating pneumonia in hospitalized patients. 

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