scholarly journals A Case of Capnocytophaga Canimorsus Meningitis in Immunocompetent Host: A Zoonotic Agent in the Lombardian Alpes in Italy

2021 ◽  
Vol 2 (10) ◽  
pp. 902-904
Author(s):  
Rocco Galimi
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Human Infection ◽  
Clinical Suspicion ◽  
History Taking ◽  
Immunocompetent Host ◽  
Capnocytophaga Canimorsus ◽  
Neurological Sequelae

The author reports the case of C. canimorsus meningitis consecutive to Capnocytophaga canimorsus infection in a 51-year-old man. Human infection is rare but can lead to devastating outcomes. In patients in whom shortly after a dog or cat bite symptoms of meningitis occurred, C. canimorsus infection should be considered. The purpose of this report is to raise awareness of C. canimorsus among physicians when faced with a patient presenting with meningitis, who has been exposed to dogs or cats. Clinicians should adopt a higher clinical suspicion in the absence of classical risk factors. Although mortality is relatively low, survivors often have neurological sequelae. This case report highlights the importance of thorough history taking to assess risk of underlying C. canimorsus infection, even in immunocompetent hosts.

Rare case of Capnocytophaga canimorsus meningitis in a man without risk factors

2021 ◽  
Vol 14 (5) ◽  
pp. e241686
Author(s):  
Faheem Malik ◽  
William Orchard ◽  
George Jacob
Keyword(s):  
Risk Factors ◽  
Rare Case ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Dog Bite ◽  
Capnocytophaga Canimorsus ◽  
Animal Exposure

Capnocytophaga canimorsus meningitis is an uncommon but potentially serious cause of meningitis, which is considered particularly rare in healthy and immunocompetent individuals. We present a case of C. canimorsus meningitis in a young, immunocompetent patient which was acquired following a dog bite. We review the literature and propose that underdiagnosis of this condition is likely. To avoid misdiagnosis, and thus improper management, clinicians should ensure that they identify animal exposure in all meningitic patients, and adopt a higher clinical suspicion in the absence of classical risk factors.

Septic Pulmonary Emboli From Peripheral Suppurative Thrombophlebitis: A Case Report and Literature Review

2018 ◽  
Vol 52 (8) ◽  
pp. 633-635 ◽  
Author(s):  
Vy T. Ho ◽  
Kara A. Rothenberg ◽  
Graeme McFarland ◽  
Kenneth Tran ◽  
Oliver O. Aalami
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Literature Review ◽  
Treatment Options ◽  
Clinical Suspicion ◽  
Superficial Vein ◽  
Pulmonary Emboli ◽  
Disease Entity ◽  
Unsuccessful Treatment ◽  
High Level

Background: We report the case of a 90-year old woman who presented with septic pulmonary emboli due to suppurative thrombophlebitis at an old peripheral intravenous site. Methods: After unsuccessful treatment with antibiotics, the patient was taken to the operating room for excision and drainage of the purulent superficial vein. Results: We review the literature and discuss the presentation, risk factors, treatment options, and complications of this often-overlooked disease entity. Conclusions: Suppurative thrombophlebitis is a rare but morbid disease that requires a high level of clinical suspicion to diagnose.

scholarly journals Multifocal Severe Coronary Artery Vasospasm Mistaken for Diffuse Atherosclerosis: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Sarfraz Ahmed Nazir ◽  
Sheraz Nazir ◽  
Sanjay Kumar ◽  
Charles Ilsley
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Coronary Artery ◽  
Clinical Suspicion ◽  
History Taking ◽  
Catheter Angiography ◽  
Coronary Artery Vasospasm ◽  
Severe Coronary Artery ◽  
Diagnostic Coronary Angiography ◽  
Coronary Obstruction

Spontaneous severe multivessel coronary artery vasospasm is a rare but important cause of morbidity. One-third of patients have normal coronary vasculature, and these pose a significant therapeutic dilemma as lack of clinical suspicion might potentially lead to unnecessary revascularization therapies. A patient with resting chest pain and ischaemic electrocardiography demonstrated severe coronary obstruction at catheter angiography. Preangioplasty further information highlighted spasm as the likely cause and the angiographic abnormalities resolved post intracoronary nitrate. This paper emphasises thorough history-taking and judicious use of nitrates during diagnostic coronary angiography in such patients. This may negate the need for more complex cardiac interventions.

scholarly journals Enterococcus gallinarum meningitis in an immunocompetent host: a case report

2010 ◽  
Vol 52 (2) ◽  
pp. 111-112 ◽  
Author(s):  
Vicente Sperb Antonello ◽  
Francis de Moura Zenkner ◽  
Josiane França ◽  
Breno Riegel Santos
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Rare Case ◽  
Human Infection ◽  
High Dose ◽  
Immunocompetent Host ◽  
First Case ◽  
History Of ◽  
Enterococcus Gallinarum ◽  
Gentamicin Therapy

We describe a rare case of a 53-year-old man with a long history of alcohol abuse, with Enterococcus gallinarum meningitis, an organism that rarely causes human infection and is primarily found in the gastrointestinal tract of poultry. The patient improved with high-dose ampicillin and gentamicin therapy. To our knowledge, this is the first Brazilian reported case of E. gallinarum meningitis and probably the first case described in an immunocompetent host.

scholarly journals Pediatric spinal epidural abscess in an immunocompetent host without risk factors: Case report and review of the literature

IDCases ◽  
2015 ◽  
Vol 2 (4) ◽  
pp. 109-115 ◽  
Author(s):  
Alessandra Vergori ◽  
Alfonso Cerase ◽  
Lucia Migliorini ◽  
Maria Grazia Pluchino ◽  
Giuseppe Oliveri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Review Of The Literature ◽  
Immunocompetent Host ◽  
Spinal Epidural

scholarly journals Candida Tropicalis Spondylodiscits in an Immunocompetent Host: A Case Report and Literature Review

2021 ◽  
Vol 40 (04) ◽  
pp. e412-e416
Author(s):  
Arthur Lopes ◽  
Rafael Albanez Andrade ◽  
Rebeca Gonelli Andrade ◽  
Bianca Berardo Pessoa Zirpoli ◽  
Arthur Burgos Souto Maior ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Literature Review ◽  
Candida Tropicalis ◽  
Case Description ◽  
Immunocompetent Host

Abstract Background Fungal spondylodiscitis is not common but should be suspected in some cases. Candida tropicalis infections are being more frequently diagnosed due to some factors related to the microorganism. Case Description A C. tropicalis spondylodiscitis is described in a 72-year-old man who was treated with a combination of echinocandin (micafungin) and surgery. Conclusion The presence of some risk factors should promptly raise the suspicion of fungal spondylodiscitis. Treatment should be instituted as early as possible for the best outcome for the patient.

1800 Spontaneous Pyomyoma in A Premenopausal Nulliparous Woman without Risk Factors: A Case Report

2019 ◽  
Vol 26 (7) ◽  
pp. S143
Author(s):  
C Persenaire ◽  
J Friedman ◽  
J Traylor ◽  
A Chaudhari ◽  
SC Tsai
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Nulliparous Woman

scholarly journals Case Report: Papillary Thyroid Cancer in a Patient with Celiac Disease and Thalassemia Trait

2020 ◽  
Vol 13 (3) ◽  
pp. 1364-1367
Author(s):  
Afaf Albattah ◽  
Yahia Imam ◽  
Ahmed Osman Saleh ◽  
Khalid Ahmed ◽  
Tarek Aboursheid ◽  
...  
Keyword(s):  
Risk Factors ◽  
Thyroid Cancer ◽  
Celiac Disease ◽  
Case Report ◽  
Papillary Thyroid Cancer ◽  
Thalassemia Major ◽  
Papillary Thyroid ◽  
Unique Case ◽  
Thalassemia Trait ◽  
Common Risk Factors

Thyroid cancer is the most frequent endocrine neoplasm in the general population. Common risk factors include gender, radiation exposure, and genetic backgrounds. The association of papillary thyroid cancer and celiac disease has frequently been reported in the literature; however, the association of papillary thyroid cancer and thalassemia trait is rare. Likewise, the association of thalassemia major and celiac disease is also rare. We hereby report a unique case of papillary thyroid cancer in a patient with celiac disease and thalassemia trait.

scholarly journals Low Maternal Immunoglobulin G Avidity and Single Parity as Adverse Implications of Human Cytomegalovirus Vertical Transmission in Pregnant Women with Immunoglobulin M Positivity

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 866
Author(s):  
Masatoki Kaneko ◽  
Junsuke Muraoka ◽  
Kazumi Kusumoto ◽  
Toshio Minematsu
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Vertical Transmission ◽  
Human Cytomegalovirus ◽  
Multiple Logistic Regression Analysis ◽  
Clinical Signs ◽  
Immunoglobulin M ◽  
Igg Antibody ◽  
Neurological Sequelae ◽  
Previous Pregnancy

Human cytomegalovirus (CMV) is the leading cause of neurological sequelae in infants. Understanding the risk factors of primary CMV infection is crucial in establishing preventive strategies. Thus, we conducted a retrospective cohort study to identify risk factors of vertical transmission among pregnant women with immunoglobulin (Ig) M positivity. The study included 456 pregnant women with IgM positivity. Information on age, parity, occupation, clinical signs, IgM levels, and IgG avidity index (AI) was collected. The women were divided into infected and non-infected groups. The two groups showed significant differences in IgM level, IgG AI, number of women with low IgG AI, clinical signs, and number of pregnant women with single parity. In the multiple logistic regression analysis, pregnant women with single parity and low IgG AI were independent predictors. Among 40 women who tested negative for IgG antibody in their previous pregnancy, 20 showed low IgG AI in their current pregnancy. Among the 20 women, 4 had vertical transmission. These results provide better understanding of the risk factors of vertical transmission in pregnant women with IgM positivity.

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