scholarly journals Postoperative Hardware-Related Infection from Kytococcus schroeteri: Its Association with Prosthetic Material and Hematological Malignancies—A Report of a Case and Review of Existing Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Aditya S. Shah ◽  
Prakhar Vijayvargiya ◽  
Sarah Jung ◽  
John W. Wilson
Keyword(s):  
Hematological Malignancies ◽  
Prosthetic Valve Endocarditis ◽  
Human Infection ◽  
Prosthetic Material ◽  
Commensal Bacterium ◽  
Case Presentation ◽  
Osteoarticular Infections ◽  
Clinical Presentations ◽  
Kytococcus Schroeteri ◽  
Susceptibility Profiles

Introduction. Kytococcus schroeteri is an infrequently isolated Gram-positive coccus often encountered as a commensal bacterium. Only eighteen cases of human infection associated with this organism have been previously reported. Most of these cases involved patients with implanted prosthetic materials or patients with immunosuppressive conditions. It has been described in prosthetic valve endocarditis and in select patients with hematologic diseases but only one prior report as being involved in osteoarticular infections. Case Presentation. We describe a case of postsurgical osteoarticular hardware-related infection by K. schroeteri and discuss a possible association with implanted prosthetic material. Conclusion. Other clinical presentations of K. schroeteri, including reported infection syndromes, antimicrobial susceptibility profiles, and treatment outcomes, are also reviewed.

Postoperative spondylodiscitis due to Kytococcus schroeteri in a diabetic woman

2010 ◽  
Vol 59 (1) ◽  
pp. 127-129 ◽  
Author(s):  
H. Jacquier ◽  
A. Allard ◽  
P. Richette ◽  
H. K. Ea ◽  
M. J. Sanson-Le Pors ◽  
...  
Keyword(s):  
Prosthetic Valve Endocarditis ◽  
16S Rrna Gene Sequencing ◽  
Diabetic Woman ◽  
Rrna Gene ◽  
Postoperative Spondylodiscitis ◽  
Osteoarticular Infections ◽  
First Case ◽  
Skin Flora ◽  
Rrna Gene Sequencing ◽  
Kytococcus Schroeteri

Kytococcus schroeteri, a Gram-positive coccus, is usually regarded as part of the human skin flora. It has been described in prosthetic valve endocarditis but never as being involved in osteoarticular infections. We report here the first case of a spondylodiscitis due to K. schroeteri identified by 16S rRNA gene sequencing.

scholarly journals A new model for COVID-19 control and its implementation in the city of Honghu, China: a case report

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
He-ran Wang ◽  
Meng-chun Gong ◽  
Jing-Yuan Sun ◽  
Jian Sun ◽  
Yi Guo ◽  
...  
Keyword(s):  
Management Strategy ◽  
Human Infection ◽  
Public Health Emergency ◽  
Medical Resources ◽  
Case Presentation ◽  
Management Measures ◽  
Rapid Spread ◽  
Medical Teams ◽  
Novel Coronavirus ◽  
The City

Abstract Background Novel coronavirus pneumonia has been the most serious worldwide public health emergency since being identified in December 2019. The rapid spread of the pandemic and the strong human to human infection rate of COVID-19 poses a great prevention challenge. There has been an explosion in the number of confirmed cases in several cities near Wuhan, including the highest in Honghu, Jinzhou. Owing to the limited admission capacity and medical resources, increasing numbers of suspected cases of COVID-19 infection were difficult to confirm or treat. Case presentation Following the arrival of the Guangdong medical aid team on 11 February, 2020, COVID-19 care in Honghu saw changes after a series of solutions were implemented based on the ‘Four-Early’ and ‘Four-centralization’ management measures. The ‘Four-Early’ measures are: early detection, early reporting, early quarantine, and early treatment for meeting an urgent need like the COVID-19 pandemic. ‘Four-centralization’ refers to the way in which recruited medical teams can make full use of medical resources to give patients the best treatment. These solutions successfully increased the recovery rate and reduced mortality among patients with COVID-19 in Honghu. Conclusions This management strategy is called the ‘Honghu Model’ which can be generalized to enable the prevention and management of COVID-19 worldwide.

scholarly journals An alternative approach for complicated prosthetic aortic valve endocarditis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Dimos Karangelis ◽  
Argyris Krommydas ◽  
Fotios A. Mitropoulos
Keyword(s):  
Surgical Treatment ◽  
Prosthetic Valve ◽  
Prosthetic Valve Endocarditis ◽  
Pericardial Patch ◽  
Safe Alternative ◽  
Case Presentation ◽  
Prosthetic Aortic Valve ◽  
Alternative Approach ◽  
Sutureless Valve ◽  
Valve Implantation

Abstract Background Surgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands. Case presentation Herein, we describe a case of a 71-year-old female patient who presented with PVE that was further complicated by a fistulous abscess cavity. The patient underwent removal of the dehisced prosthetic valve, radical annular debridement, reconstruction of the aortomitral curtain with a pericardial patch as a patch exclusion technique and implantation of a sutureless valve. Conclusion Patch exclusion technique, followed by sutureless valve implantation, might represent a feasible and safe alternative for the surgical treatment of complicated PVE.

scholarly journals Rare presentation of Limb Body Wall Complex in a Neonate: Case report and review of literature

2022 ◽  
Author(s):  
Omoloro Adeleke ◽  
Farrukh Gill ◽  
Ramesh Krishnan
Keyword(s):  
Body Wall ◽  
Anorectal Malformations ◽  
Epidemiologic Studies ◽  
Normal Male ◽  
Rare Occurrence ◽  
Pathological Findings ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation ◽  
Clinical Presentations

The Limb Body Wall Complex (LBWC) aka. Body Stalk Syndrome is an uncommon congenital disorder characterized by severe malformations of limb, thorax, and abdomen, characterized by the presence of thoracoschisis, abdominoschisis, limb defects, and exencephaly. This condition is extremely rare with an incidence of 1 per 14,000 and 1 per 31,000 pregnancies in large epidemiologic studies. Majority of these malformed fetuses end up with spontaneous abortions. We present this rare case with occurrence in a preterm infant of 35 weeks gestation. Our report highlights majority of the clinical presentations as reported in previous literature, but the significant pathological findings of absent genitalia and malformed genitourinary, anorectal malformations make this case presentation an even more rare occurrence. Infant karyotyping was normal male and there is no specific underlying genetic correlation in this condition which has fatal prognosis.

Medically managed prosthetic valve endocarditis caused by Salmonella enteritidis

2021 ◽  
Vol 14 (6) ◽  
pp. e237679
Author(s):  
Gavin Connolly ◽  
Mita Kale ◽  
Andrew Ustianowski
Keyword(s):  
Prosthetic Valve ◽  
Salmonella Enteritidis ◽  
Prosthetic Valve Endocarditis ◽  
Good Health ◽  
Prosthetic Material ◽  
Oral Antibiotic ◽  
Rare Occurrence ◽  
Combined Surgery ◽  
Oral Antibiotic Therapy ◽  
Intravenous Antibiotics

Infective endocarditis is associated with morbidity and mortality even when appropriately treated. It can be more complicated to treat when prosthetic material is present, often necessitating surgical revision as well as antimicrobial therapy. Endocarditis caused by gram-negative bacilli is a rare occurrence, with some literature and expert opinion suggesting superior outcomes with combined surgery and antibiotics when a prosthetic valve is involved. In cases where the prosthetic valve is well-functioning and undamaged, or cardiothoracic surgery represents a significant operative risk, it can be unclear how best to proceed. This report documents a case of Salmonella enterica subspecies enterica serovar enteritidis endocarditis of a mechanical mitral valve. The patient was managed with 6 weeks of intravenous antibiotics followed by suppressive oral antibiotic therapy. They remain in good health at 24 months.

scholarly journals A case report of the differential diagnosis of Cellulosimicrobium cellulans-infected endocarditis combined with intracranial infection by conventional blood culture and second-generation sequencing

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Huifang Zhang ◽  
Chunyan He ◽  
Rui Tian ◽  
Ruilan Wang
Keyword(s):  
Second Generation ◽  
Human Infection ◽  
Sequencing Data ◽  
Case Presentation ◽  
Intracranial Infection ◽  
Cellulosimicrobium Cellulans ◽  
Two Samples ◽  
Second Generation Sequencing ◽  
Generation Sequencing

Abstract Background Cellulosimicrobium cellulans is a gram-positive filamentous bacterium found primarily in soil and sewage that rarely causes human infection, especially in previously healthy adults, but when it does, it often indicates a poor prognosis. Case presentation We report a case of endocarditis and intracranial infection caused by C. cellulans in a 52-year-old woman with normal immune function and no implants in vivo. The patient started with a febrile headache that progressed to impaired consciousness after 20 days, and she finally died after treatment with vancomycin combined with rifampicin. C. cellulans was isolated from her blood cultures for 3 consecutive days after her admission; however, there was only evidence of C. cellulans sequences for two samples in the second-generation sequencing data generated from her peripheral blood, which were ignored by the technicians. No C. cellulans bands were detected in her cerebrospinal fluid by second-generation sequencing. Conclusions Second-generation sequencing seems to have limitations for certain specific strains of bacteria.

scholarly journals Early Onset of Fragile X Associated Tremor and Ataxia Syndrome: A Case Report from Iran

2021 ◽  
Vol 7 (3) ◽  
pp. 180-183
Author(s):  
Shahin Koohmanaee ◽  
◽  
Fatemeh Kharaee ◽  
Reza Bayat ◽  
Maryam Shahrokhi ◽  
...  
Keyword(s):  
Early Onset ◽  
Fragile X ◽  
Fmr1 Gene ◽  
Case Presentation ◽  
Old Adults ◽  
Cgg Repeats ◽  
Clinical Presentations ◽  
Ataxia Syndrome ◽  
Magnetic Resonance Imaging Mri ◽  
First Time

Background: Different alleles of Fragile X Mental Retardation1 (FMR1) gene with separate molecular etiologies cause Fragile X Syndrome (FXS) and Fragile X-associated Tremor and Ataxia Syndrome (FXTAS). Premutation alleles with 55 to 200 repeats in the FMR1 gene lead to FXTAS. It is carried by 1 in 209 women and 1 in 430 men. FXTAS commonly appears in 50- to 70-year-old adults. Case Presentation: An 11 months old boy was referred to the hospital due to clinical presentations of productive cough seizure, mental disability, and ataxia. Magnetic Resonance Imaging (MRI), Electroencephalography (EEG), hematology, biochemistry, hormone, and genetic tests were done. Triplet repeat PCR (TP PCR) showed 99 CGG repeats as permutation alleles. Conclusion: In this study, the authors reported the early onset of FXTAS in an 11 months old boy for the first time.

scholarly journals Post-traumatic rectourethral fistula in an adolescent managed via a transperineal approach using a local gluteal tissue interposition flap: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Toshinori Hirano ◽  
Hiroki Ohge ◽  
Yusuke Watadani ◽  
Shinnosuke Uegami ◽  
Norimitsu Shimada ◽  
...  
Keyword(s):  
Conservative Management ◽  
Fecal Diversion ◽  
Rectourethral Fistula ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Fistula Repair ◽  
Case Presentation ◽  
Clinical Presentations ◽  
Post Traumatic ◽  
Tissue Flap

Abstract Background Rectourethral fistula is a rare disease with a wide variety of etiologies and clinical presentations. A definitive surgical procedure for rectourethral fistula repair has not been established. Case presentation A 13-year-old boy sustained a penetrating injury to the perineum, and developed a symptomatic rectourethral fistula thereafter. Conservative management through urinary diversion and transanal repair was unsuccessful. Fecal diversion with loop colostomy was performed, and three months later, a fistula repair was performed via a transperineal approach with interposition of a local gluteal tissue flap. There were no postoperative complications, and magnetic resonance imaging studies confirmed the successful closure of the fistula. The urinary and fecal diversions were reverted 1 and 6 months after the fistula repair, respectively, and postoperative excretory system complications did not occur. Conclusions The transperineal approach with interposition of a local gluteal tissue flap provides a viable surgical option for adolescent patients with rectourethral fistulas who are unresponsive to conservative management.

scholarly journals Modified Commando Procedure in Complicated Infective Endocarditis - A Case Series.

2020 ◽  
Author(s):  
Po Sung Chen ◽  
Chungyi Chang ◽  
Yicheng Chuang ◽  
Ichen Chen ◽  
Tingchao Lin
Keyword(s):  
Infective Endocarditis ◽  
Prosthetic Valve ◽  
Case Series ◽  
Prosthetic Valve Endocarditis ◽  
Surgical Mortality ◽  
Native Valve ◽  
Case Presentation ◽  
Native Valve Endocarditis ◽  
Fibrous Body ◽  
Urgent Surgery

Abstract Background: Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. Case presentation: We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding. Conclusions: We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.

Sign in / Sign up

Export Citation Format

Share Document