1/44. vibrio parahemolyticus bacteremia: case report.vibrio parahemolyticus (V. parahemolyticus) is a halophilic gram-negative bacillus that lives in the ocean. It is the leading cause of infectious diarrhea in taiwan and sometimes produces soft tissue infections, but it is rarely a cause of bacteremia. There have been only 11 cases reported in the literature. Most of the cases involved a history of ingestion of seafood or exposure to seawater. In addition, those patients were all immunosuppressed, especially with leukemia and cirrhosis. We report a 60-year-old male patient with chronic hepatitis c and adrenal insufficiency. He developed V. parahemolyticus bacteremia following ingestion of seafood one week prior to admission. His condition was complicated with neck and right lower leg soft tissue infection, as well as multiple organ failure. The patient survived after intravenous ceftazidime, oral doxycycline, and surgical debridement. To our knowledge, this is the 12th reported cases on medline, and the second bacteremic case in taiwan. After reviewing the literature, we suggest that all patients with immunosuppressed conditions or adrenal insufficiency should eat foods that are well cooked and avoid raw seafood. Moreover, when patients who are at risk to develop fever, diarrhea, and soft tissue infection after ingestion of seafood, V. parahemolyticus infection should be suspected. All culture specimens should be inoculated on Vibrios selective media.- - - - - - - - - - ranking = 1keywords = hepatitis (Clic here for more details about this article) |
2/44. Ischaemic hepatitis in an elderly woman.An elderly woman presented with very high levels of transaminases and lactic dehydrogenase in her liver function tests. Viral and drug-induced hepatitis were considered unlikely because of the absence of risk factors. sepsis was suspected and antibiotic treatment was started with clinical improvement. A retrospective diagnosis of ischaemic hepatitis due to septicaemia was made. Markedly raised liver transaminases need not always be drug-induced or viral-related, especially in the elderly. It could be ischaemic in origin and the serious underlying condition needs to be sought and treated urgently.- - - - - - - - - - ranking = 6keywords = hepatitis (Clic here for more details about this article) |
3/44. Fatal hepatitis and renal failure during treatment with nimesulide.A healthy 70-year-old woman who took nimesulide for 5 days, presented 2 weeks later with jaundice for which no other cause was found. Laboratory evidence of coagulopathy, hypoalbuminaemia and hypoglycaemia were present on admission, and liver biopsy showed massive necrosis of hepatocytes and severe inflammatory infiltrate. Despite supportive and corticosteroid treatment, her jaundice deepened and progressive acute renal failure developed, characterized by a 'prerenal' profile changing into irreversible acute tubular necrosis pattern, coma, occult Gram-negative sepsis and death. Although rare, nimesulide-associated hepatotoxicity and nephrotoxicity may occur and should be recognized as early as possible, to ensure immediate drug withdrawal and treatment.- - - - - - - - - - ranking = 4keywords = hepatitis (Clic here for more details about this article) |
4/44. fatal outcome of erysipelothrix rhusiopathiae bacteremia in a patient with oropharyngeal cancer.bacteremia due to erysipelothrix rhusiopathiae is rare; the most common presentation reported in the literature is endocarditis. We report a 32-year-old man with oropharyngeal cancer who developed aspiration pneumonia and E. rhusiopathiae bacteremia, and presented with fever, chills, dyspnea, and productive cough with purulent sputum. Despite treatment with amoxicillin/clavulanate and nutritional support for 9 days, he died of respiratory failure. He had no clinical evidence of endocarditis. He had no history of animal or occupational exposure, and might have been colonized with E. rhusiopathiae in the oral cavity, followed by aspiration pneumonia and bacteremia. A fatal outcome in a patient with bacteremia due to E. rhusiopathiae without endocarditis is rare.- - - - - - - - - - ranking = 2.0264197737958keywords = animal (Clic here for more details about this article) |
5/44. helicobacter cinaedi septic arthritis and bacteremia in an immunocompetent patient.We report on the first case of documented helicobacter cinaedi septic arthritis in an immunocompetent heterosexual young man. The patient presented no identified risk factor except for contact with animals that have been incriminated as a possible source of infection, particularly for these patients. Despite prolonged bacteremia, the response to long-term therapy with ciprofloxacin and rifampin was excellent.- - - - - - - - - - ranking = 2.0264197737958keywords = animal (Clic here for more details about this article) |
6/44. Meningococcemia in a patient coinfected with hepatitis c virus and hiv.We describe the first reported case of meningococcemia in a patient coinfected with hepatitis c virus and hiv. Hypocomplementemia secondary to hepatic dysfunction may have enhanced the patient's susceptibility to meningococcal infection.- - - - - - - - - - ranking = 5keywords = hepatitis (Clic here for more details about this article) |
7/44. Two cases of lymphadenopathy with liver dysfunction due to mycoplasma pneumoniae infection with mycoplasmal bacteraemia without pneumonia.We present two cases of unusual manifestations of mycoplasma pneumoniae infection: lymphadenopathy with liver dysfunction without pneumonia. One was diagnosed as an infectious mononucleosis-like syndrome and the other as Kawasaki disease. polymerase chain reaction successfully detected mycoplasma pneumoniae dna using blood samples. mycoplasma pneumoniae can be included in the panel of aetiological agents in patients with lymphadenitis and hepatitis even in the absence of pneumonia.- - - - - - - - - - ranking = 1keywords = hepatitis (Clic here for more details about this article) |
8/44. Chronic fatigue syndrome (CFS) associated with staphylococcus spp. bacteremia, responsive to potassium arsenite 0.5% in a veterinary surgeon and his coworking wife, handling with CFS animal cases.Chronic fatigue syndrome (CFS) in human patients remain a controversial and perplexing condition with emerging zoonotic aspects. Recent advances in human medicine seem to indicate a bacterial etiology and the condition has already been described in horses, dogs, cats and birds of prey in association with micrococci-like organisms in the blood. To evaluate the possibility of a chronic bacteremia, a veterinary surgeon (the author) and his coworking wife, both diagnosed with CFS and meeting the CDC working case definition, were submitted to rapid blood cultures and fresh blood smears investigations. blood cultures proved Staph-positive and micrococci-like organisms in the blood were repeatedly observed in the 3-year period preceding the arsenical therapy, during which several medicaments, including antibiotics, proved unsuccessful. Following treatment with a low dosage arsenical drug (potassium arsenite 0.5%, im., 1 ml/12 h, for 10 days) both patients experienced complete remission. At the post-treatment control made 1 month later, micrococci had disappeared from the blood, and the CD4/CD8 ratio was raising.- - - - - - - - - - ranking = 8.1056790951833keywords = animal (Clic here for more details about this article) |
9/44. Case report. Epididymo-orchitis and bacteremia caused by plesiomonas shigelloides in an hiv-infected patient.Invasive infection and extraintestinal complications are rarely caused by plesiomonas shigelloides, a waterborne bacterium implicated in gastroenteritis. Recent evidence from several reports suggests its importance in causing opportunistic infections in immunocompromised hosts. We report a case of P shigelloides bacteremia and epididymo-orchitis in a patient with hiv infection and chronic hepatitis c. This case illustrates a novel site of involvement by P shigelloides and underscores its role as an opportunistic pathogen.- - - - - - - - - - ranking = 1keywords = hepatitis (Clic here for more details about this article) |
10/44. Septicemia due to pasteurella pneumotropica: 16S rRNA sequencing for diagnosis confirmation.bacteremia due to pasteurella pneumotropica occurs infrequently. We report a case of septicemia in a 72-year-old woman who had no underlying illness. The microorganism was isolated from 10 blood cultures and identified by conventional and molecular methods. This is the first reported case of P. pneumotropica septicemia in an immunocompetent patient. The history of P. pneumotropica diseases in animals and humans and their varied clinical features are reviewed.- - - - - - - - - - ranking = 2.0264197737958keywords = animal (Clic here for more details about this article) |
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