scholarly journals Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Munire Erman Akar ◽  
Tayfun Toptas ◽  
Havva Sutcu ◽  
Haney Durmus ◽  
Murat Ozekinci ◽  
...  
Keyword(s):  
Septic Shock ◽  
Spontaneous Abortion ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Multiorgan Failure ◽  
Tuberculous Peritonitis ◽  
Laboratory Findings ◽  
Antituberculous Treatment

We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization.

Diverse disease processes of group A Streptococcus infection including severe invasive infections among members of a family

2021 ◽  
Vol 14 (4) ◽  
pp. e241339
Author(s):  
Kaori Amari ◽  
Masaki Tago ◽  
Naoko E Katsuki ◽  
Shu-ichi Yamashita
Keyword(s):  
Septic Shock ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Group A Streptococcus ◽  
Bloody Stool ◽  
Laryngeal Oedema ◽  
Invasive Infections ◽  
Group A ◽  
The Right ◽  
Close Contacts

We herein report three cases of group A Streptococcus (GAS) infection in a family. Patient 1, a 50-year-old woman, was transferred to our hospital in shock with acute respiratory distress syndrome, swelling in the right neck and erythemata on both lower extremities. She required intubation because of laryngeal oedema. At the same time, patient 2, a 48-year-old man, was admitted because of septic shock, pneumonia and a pulmonary abscess. Five days later, patient 3, a 91-year-old woman, visited our clinic with bloody stool. All three patients were cured by antibiotics, and GAS was detected by specimen cultures. During these patients’ clinical course, an 84-year-old woman was found dead at home after having been diagnosed with type A influenza. All four patients lived in the same apartment. The GAS genotypes detected in the first three patients were identical. When treating patients with GAS, appropriate management of close contacts is mandatory.

scholarly journals Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Pei-Yi Wang ◽  
Yi-En Chang ◽  
Yu-Chieh Lee ◽  
Chii Ruey Tzeng
Keyword(s):  
Septic Shock ◽  
Surgical Treatment ◽  
Rare Case ◽  
Clinical Course ◽  
Oocyte Retrieval ◽  
Chemical Irritation ◽  
Chemical Peritonitis ◽  
Purulent Fluid ◽  
Exploratory Laparoscopy ◽  
Transvaginal Oocyte Retrieval

Objective. To obtain a better understanding of the clinical course and the subsequent complications of teratoma rupture. Case. We report a rare case of chemical peritonitis and pleuritis caused by teratoma rupture during ultrasonographically guided transvaginal oocyte retrieval (TVOR). The patient initially presented with nonspecific and digestive symptoms after TVOR, but the condition deteriorated rapidly after three weeks with peritonitis and septic shock. Thus, exploratory laparoscopy was performed with the findings of a ruptured teratoma at left adnexa, severe adhesions, and purulent fluid in her peritoneal cavity. Bilateral pleuritis was also noted after the operation, which was suspected to be caused by chemical irritation of the spilled contents of the teratoma. The patient’s condition improved after surgical treatment and was discharged 28 days after admission. Conclusion. Our case showed that the timing of peritoneal irritation caused by teratoma rupture converting to severe chemical peritonitis was approximately 3 weeks. Physicians should avoid cyst puncture during TVOR and closely observe or even perform surgical treatment when iatrogenic teratoma ruptures are suspected.

Peritoneal dialysis-associated peritonitis caused by Enterococcus avium

2021 ◽  
Vol 14 (3) ◽  
pp. e240272
Author(s):  
Rita Calça ◽  
Francisca Gomes da Silva ◽  
Ana Rita Martins ◽  
Patrícia Quadros Branco
Keyword(s):  
Abdominal Pain ◽  
Peritoneal Dialysis ◽  
Antibiotic Therapy ◽  
Rare Case ◽  
Clinical Course ◽  
Catheter Removal ◽  
Coagulase Negative Staphylococci ◽  
Gram Positive ◽  
Laboratory Findings ◽  
Microbial Agents

Peritonitis remains a common and serious complication of peritoneal dialysis. Peritonitis caused by gram-positive organisms includes coagulase-negative staphylococci, Streptococcus spp and Enterococcus spp. We present a rare case of peritoneal dialysis-associated peritonitis, where persisting abdominal pain and worsening laboratory findings despite antibiotic therapy led to the identification of Enterococcus avium, requiring Tenckoff catheter removal and temporary transfer to haemodialysis. The available literature reports only few cases where peritonitis is caused by this agent, underlining the need to consider atypical microbial agents when heterogeneous clinical course is presented.

scholarly journals Perioperative support of a patient with fat embolism syndrome with extracorporeal membraneoxygenation

2019 ◽  
Vol 12 (5) ◽  
pp. e227747 ◽  
Author(s):  
Ivor Popovich ◽  
Vikrant Singh ◽  
Bevan Vickery
Keyword(s):  
Fracture Fixation ◽  
Rare Case ◽  
Distress Syndrome ◽  
Multiorgan Failure ◽  
Fat Embolism ◽  
Extracorporeal Circuit ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Venovenous Extracorporeal Membrane Oxygenation ◽  
Vv Ecmo

Fat embolism syndrome (FES) is a serious complication of trauma that can result in multiorgan failure, including the acute respiratory distress syndrome. Occasionally, the severity of respiratory failure associated with FES warrants support with venovenous extracorporeal membrane oxygenation (VV-ECMO), a therapy with widespread use but inconclusive evidence. Early definitive fracture fixation is the mainstay of preventing further fat embolism and ongoing organ dysfunction, but poses significant risks to the maintenance of the extracorporeal circuit. We describe a rare case of a patient who required VV-ECMO for respiratory support prior to fracture fixation. The risks of intraoperative fat embolisation causing sudden circuit failure were managed by having a spare circuit available outside the operating room with readiness for an emergency circuit change. Postoperative fat deposition in the oxygenator was managed by a circuit change. Our case is the first to describe preoperative initiation of VV-ECMO for FES and highlights why this therapy should not delay definitive fracture fixation and how it can be safely managed in this setting.

scholarly journals Purulent Pericarditis and Pneumopericardium by Streptococcus Anginosus

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Septic Shock ◽  
Rare Case ◽  
Clinical Course ◽  
Cerebrovascular Event ◽  
Purulent Pericarditis ◽  
Streptococcus Anginosus ◽  
First Case ◽  
Serious Infection ◽  
Traumatic History ◽  
History Of

We report a case of Purulent pericarditis and pneumopericardium by Streptococcus angiosus in 35-year-old man detained in prison, history of ischemic cerebrovascular event due to cocaine, with no recent surgical or traumatic history who had subacute clinical course of chest pain and signs of systemic inflammatory response. He was empirically treated with vancomycin and cefepime with subsequent pericardiotomy and drainage. The patient has a poor clinical evolution after the procedure, presents septic shock and dies. This is a rare case, a serious infection, the second reported in world, however in comparison to the first case the clinical course was different.

scholarly journals Acute Respiratory Distress Syndrome and septic shock in pregnant woman with COVID-19

2021 ◽  
Vol 29 (1) ◽  
pp. 41
Author(s):  
Jesselyn Kristanti ◽  
Fransiscus OH Prasetyadi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Septic Shock ◽  
Pregnant Woman ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Vital Signs ◽  
Close Monitoring ◽  
Rt Pcr ◽  
First Case

Objectives: To prove that pregnancy do not worsen the clinical course of COVID-19 compared with nonpregnant individuals as found in the first case of COVID-19 pregnant woman died in our center.Case Report: A 27-year-old female, G2P0A1 23/24 weeks without comorbidities, complaint of diarrhea and 4 days later got fever, cough, and dyspnea. She was referred to our hospital for further evaluation because of deterioration. SARS CoV-2 RT-PCR tested positive. Blood, sputum, and urine cultures tested negative. She was intubated and given LMWH. She was worsened rapidly despite being on intensive care for 3 days with last vital signs recorded: blood pressure 66/24 mmHg with vasopressors, heart rate 136 beats/minutes, temperature 41°C, oxygen saturation 62%, cardiac arrest and expired.Conclusion:COVID-19 pregnant women need proper care so that they will not fall into conditions such as ARDS and septic shock. Close monitoring on clinical and laboratory course is recommended. We suggest clinicians to be aware so as rapid deterioration and death can be avoided. 

scholarly journals Norwegian scabies: a rare case with rare presentation

2020 ◽  
Vol 10 (3) ◽  
pp. 215-217
Author(s):  
Mohammad Kamrul Ahsan ◽  
Jamal Uddin Ahmed ◽  
Md Jubaidul Islam
Keyword(s):  
Diabetes Mellitus ◽  
Septic Shock ◽  
Severe Sepsis ◽  
Rare Case ◽  
Skin Surface ◽  
Definitive Treatment ◽  
Rare Presentation ◽  
Laboratory Findings ◽  
Exfoliative Dermatitis ◽  
Uncontrolled Diabetes

Norwegian scabies is characterized by hyperkeratotic, heavily scaling, crusted lesions rarely presents as exfoliative dermatitis (erythroderma). This term applies when 90% or more of the skin surface is involved by scabies. A 75-year-old woman having uncontrolled diabetes mellitus and hypertension was admitted in BIRDEM general hospital with generalized erythroderma for 6 months and high fever along with vomiting for 4 days. Clinical and laboratory findings were suggestive of severe sepsis with septic shock, which were being managed by supportive medications. Microscopic examination of scales and crusts dissolved in 10% KOH revealed fields teeming with scabies mites and eggs. A skin biopsy was planned but could not be done due to critical condition of the patient. Despite of all supportive measures, patient expired due to septic shock before starting definitive treatment of Norwegian scabies. Birdem Med J 2020; 10(3): 215-217

scholarly journals Disseminated Coccidioidomycosis Presenting as Septic Shock with Multiorgan Failure

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Olufemi Aduroja ◽  
Jerome Okudo ◽  
Angelica Padilla
Keyword(s):  
Septic Shock ◽  
Distress Syndrome ◽  
Multiorgan Failure ◽  
Severe Disease ◽  
Miliary Tuberculosis ◽  
Hiv Positive ◽  
Chest Imaging ◽  
Coccidioides Immitis ◽  
Coccidioides Posadasii ◽  
Severe Morbidity

Coccidioidomycosis is a fungal infection caused by Coccidioides immitis and Coccidioides posadasii. While infections are usually mild, severe disease occurs in immunocompromised patients. Dissemination is associated with severe morbidity and mortality. Because of the tendency of this disease to imitate many diseases, diagnosis may be difficult on presentation. We present a case of disseminated coccidioidomycosis in a patient who was initially managed as miliary tuberculosis. In endemic areas, coccidioidomycosis is one of the two top differentials for miliary micronodular distribution on chest imaging. The patient was a recently diagnosed HIV positive patient and presented to the hospital with multiorgan failure, septic shock, and acute respiratory distress syndrome. He rapidly deteriorated and died within three days of presentation at the emergency department.

scholarly journals A Rare Case of Aortoatrial Fistula from Streptococcal Endocarditis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Hammad Arshad ◽  
Meilin Young ◽  
Parth Rali
Keyword(s):  
Septic Shock ◽  
Respiratory Failure ◽  
Aortic Valve ◽  
Aortic Root ◽  
Rare Case ◽  
Multiorgan Failure ◽  
Healthy Male ◽  
Aortic Root Abscess ◽  
Hypoxic Respiratory Failure

We represent an unfortunate case of postinfluenza streptococcal endocarditis in a 34-year-old healthy male. He presented with hypoxic respiratory failure and was found to have mitral and aortic valve vegetation. Hospital course was complicated by the presence of an aortoatrial fistula from an aortic root abscess, persistent septic shock, and multiorgan failure.

scholarly journals Does reactivation of cytomegalovirus contribute to severe COVID-19 disease?

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Cecilia Söderberg-Nauclér
Keyword(s):  
Septic Shock ◽  
Acute Respiratory Distress Syndrome ◽  
Mortality Rate ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
High Mortality ◽  
Hospital Care ◽  
Distress Syndrome ◽  
Multiorgan Failure ◽  
Severe Pneumonia

AbstractThe majority of people infected with SARS-CoV-2 are asymptomatic or have mild to moderate symptoms. However, for unknown reasons, about 15 % have severe pneumonia requiring hospital care and oxygen support, and about 5 % develop acute respiratory distress syndrome, septic shock, and multiorgan failure that result in a high mortality rate. The risk of severe COVID-19 is highest among those who are over 70 years of age. Why severe COVID-19 develops in some people but not others is not understood. Could some cases involve reactivation of latent cytomegalovirus (CMV)?

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