Cases reported "Abscess"

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1/9. Left leg paralysis in a renal transplant.

    The postoperative course of renal transplant patients is often complicated by opportunistic infection. Up to 4% of posttransplant infections are caused by nocardia species. We present an unusual case of a nocardial spinal cord abscess that caused left leg paralysis.
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keywords = opportunistic infection
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2/9. Subcutaneous fusarium foot abscess in a renal transplant patient.

    fusarium species are ubiquitous plant and grain phytopathogens that rarely cause opportunistic infections in immunocompromised patients. While disseminated fusarium infections are almost always fatal, localized infections may be responsive to a combination of systemic antibiotic therapy and surgical debridement. We present a diabetic renal transplant patient who developed a foot abscess due to fusarium solani. Infection persisted despite aggressive surgical debridement and a 3-month course of intravenous liposomal amphotericin b.
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keywords = opportunistic infection
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3/9. Pancreatic abscess due to mycobacterial infection associated with the acquired immunodeficiency syndrome.

    Two patients with a history of intravenous drug abuse developed a pancreatic abscess due to mycobacterial infection as their initial evident opportunistic infection in association with the acquired immunodeficiency syndrome (AIDS). This presentation of mycobacterial infection has been previously reported in nine patients. The two patients reported here are the second and third reported cases in association with AIDS. As this entity should be considered a cause of a pancreatic lesion in immunosuppressed patients, fluid drained from a pancreatic abscess should have histologic stains and cultures for mycobacteria.
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keywords = opportunistic infection
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4/9. A pink-pigmented, oxidative, nonmotile bacterium as a cause of opportunistic infections.

    We describe two cases of bacteremia due to a pink-pigmented, oxidative, nonmotile, gram-negative, rod-shaped organism. One case occurred in a febrile neutropenic patient and another in a chronically debilitated patient with pancreatic abscess. The first patient was cured with gentamicin and ticarcillin, but the second patient died while receiving cefamandole therapy. The organisms described here are similar to methylobacterium mesophilicum (pseudomonas mesophilica) and the "unnamed taxon" organisms. A major difference from M mesophilicum is the lack of methanol utilization. Further distinctions between our isolates and M mesophilicum are the lack of flagella in our organisms, growth at 42 degrees C, growth on MacConkey's agar, lack of acetamide assimilation, and citrate utilization. The lack of flagella is the principle difference between our isolates and those in the unnamed taxon. Both of the isolates were resistant to the cephalosporins, but susceptible to the aminoglycosides, ticarcillin-clavulanic acid, sulfamethoxazole and trimethoprim, and imipenem. With the growing population of immunocompromised and chronically ill patients, these organisms may emerge as important pathogens.
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keywords = opportunistic infection
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5/9. A case of invasive penicilliosis in hong kong with immunologic evaluation.

    A 53-yr-old Chinese sailor developed prolonged pyrexia with unresolved lobar pneumonia, cervical lymphadenopathy, generalized subcutaneous abscesses, and pericardial effusion. penicillium marneffei was isolated from pericardial fluid and subcutaneous pus and was demonstrated on histologic sections of lymph nodes and lung tissue. The penicilliosis was treated successfully with amphotericin b, ketoconazole, and 5-fluorocytosine. Subsequently, he also developed other T-lymphocyte-related opportunistic infections such as disseminated cutaneous herpes zoster and chronic osteomyelitis of sternum caused by salmonella typhimurium. He was also a chronic carrier of cytomegalovirus. Further investigations showed that he had persistent depression of T-lymphocyte function and enhancement of B-lymphocyte activity, the cause of which was undetermined.
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keywords = opportunistic infection
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6/9. Aspergillus terreus, an uncommon fungus causing aortic root abscess and pseudoaneurysm.

    Aspergillus Terreus is a rare fungus which can cause opportunistic infection in humans. A fifteen year old girl had undergone open aortic valvotomy for aortic stenosis and post-stenotic dilatation of the ascending aorta. She was discharged after an uneventful post-operative period. She was reoperated later for para-aortic abscess. The pus on culture yielded pure growth of Aspergillus Terreus from multiple media. To our knowledge, this is the first report from india of Aspergillus Terreus causing human infection. Clinical awareness of the rising importance of fungal infections is alerted.
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ranking = 1
keywords = opportunistic infection
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7/9. Tuberculous pancreatic abscess as an initial AIDS-defining disorder in a patient infected with the human immunodeficiency virus: case report and review.

    tuberculosis (TB) is the most common opportunistic infection worldwide in human immunodeficiency virus (hiv)-infected patients. Intraabdominal TB includes lymphadenopathy and focal lesions of solid viscera. Symptomatic expression of tuberculous invasion of the pancreas (supplemented by demonstration of a mass on imaging) is rare among hiv-infected patients. We report the case of an hiv-infected patient with a tuberculous pancreatic abscess and review nine similar cases. All patients presented with persistent fever and abdominal pain. The diagnosis was made on the basis of detection of pancreatic mass lesions on computed tomographic (CT) scans and the results of cultures and/or acid-fast stains of peripancreatic abscess material and/or other body fluids. Despite an excellent response to antituberculous therapy, three patients died of unrelated causes. In the setting of a febrile illness with abdominal symptoms, tuberculous pancreatic abscess should be considered in the differential diagnosis for hiv-infected patients with a CT-identified mass lesion.
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keywords = opportunistic infection
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8/9. Fungal osteomyelitis of the foot. A report of an unusual case.

    mucormycosis is an opportunistic infection that very occasionally causes osteomyelitis and avascular necrosis of bone. The infection may prove fatal if not diagnosed promptly. If early treatment is instituted the prognosis is good.
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keywords = opportunistic infection
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9/9. Renal abscesses in an AIDS patient caused by aspergillus fumigatus.

    BACKGROUND: Aspergillus abscesses of the kidneys are very rare complications of AIDS which usually have fatal outcome. The 4 patients described in the literature, 2 of whom had bilateral involvement, died due to this opportunistic infection. methods: Case report of a 33-year-old patient with AIDS in stage C3 and aspergillus abscesses of the kidney. RESULTS: Successful treatment of bilateral aspergillus abscesses of the kidneys with purely conservative antimycotic measures. This was largely due to stabilization of the immune status by supplementing antiretroviral treatment with the proteinase inhibitor indinavir. CONCLUSIONS: The options now available for improving immune status in AIDS also improve the treatment chances in renal aspergillosis.
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keywords = opportunistic infection
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