1/155. Clones of lactobacillus casei and Torulopsis glabrata associated with recurrent abdominal wall abscess.Infectious disease caused by Lactobacillus sp has not been previously reported in taiwan. We present a case of recurrent abdominal wall abscess in a chronically ill 36-year-old woman, and review the literature on Lactobacillus infection. Five isolates of L. casei were recovered from blood and pus samples, and two isolates of Torulopsis glabrata were isolated from two blood specimens 3 months apart. Two clones of L. casei and T. glabrata were identified by means of antibiotyping with the E test and molecular methods. The abscess was surgically removed because of poor response to 7 months of antimicrobial therapy for the second infectious episode. Recurrent Lactobacillus infection can occur in chronically ill or immunosuppressed patients. Treatment of these infections may require a longer duration of antibiotic therapy, or surgical intervention.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/155. Hepatosplenic candidiasis after neutropenic phase of acute leukaemia.Hepatosplenic candidiasis following granulocytopenic periods is a relatively recently recognised problem in immunocompromised patients, particularly in those with acute leukaemia. We present three patients in whom diagnosis of hepatosplenic candidiasis was suspected on the basis of ultrasonographic (US), computed tomographic (CT) findings and confirmed by laparoscopy and biopsy of liver lesions. All three patients were successfully treated briefly with amphotericin b, followed by a longer period of fluconazole. In one patient laparotomy and surgical evacuation of abscesses was performed. This condition could be more often recognised by careful follow-up of liver function test, c-reactive protein level, ultrasonography, CT and MRI after recovery from chemotherapy-induced neutropenia.- - - - - - - - - - ranking = 0.16666666666667keywords = abscess (Clic here for more details about this article) |
3/155. Sonographic detection of multiple staphylococcus aureus hepatic microabscesses mimicking Candida abscesses.We report the sonographic, CT, and clinical findings in a patient presenting with clinical sepsis and multiple staphylococcus aureus hepatic microabscesses. Although contrast-enhanced CT has had a higher sensitivity than sonography in detecting hepatic microabscesses in some studies, this examination was negative in our patient. On sonography, numerous small hypoechoic lesions were present. Some target-like lesions had a striking similarity to candida albicans microabscesses. The hepatic lesions were believed to be pyogenic liver microabscesses, as several blood cultures were positive for S. aureus. Following prolonged intravenous antibiotic therapy, all the hypoechoic hepatic lesions disappeared, along with the clinical and biochemical signs of sepsis.- - - - - - - - - - ranking = 2keywords = abscess (Clic here for more details about this article) |
4/155. Pancreatic infection with Candida parapsilosis.Candida species other than C. albicans have been implicated as pathogens in intravascular (bloodstream, intravascular devices, endocarditis) and extravascular (arthritis, osteomielitis, endophtalmitis) infections. C. parapsilosis, however, is rarely implicated in intra-abdominal infections (peritonitis during peritoneal dialysis, complicating surgery or solid-organ transplantation). We describe a case of a 48-y-old male with acute pancreatitis who had a pancreatic abscess produced by primary C. parapsilosis infection. Although he received adequate treatment with antifungal medication and surgical drainage, the outcome was fatal. Because the clinical findings are indistinguishable from bacterial abscesses, Candida species should be considered in cases of complicated pancreatitis, in order to establish a prompt adequate treatment.- - - - - - - - - - ranking = 0.33333333333333keywords = abscess (Clic here for more details about this article) |
5/155. Subacute primary Candida lung abscess.A case of primary subacute Candida lung abscess is described. The most reliable way to diagnose a rare pulmonary disease is to perform an open lung biopsy. A review of the literature suggests that the diagnosis of a primary subacute abscess due to candida albicans in vivo is unique.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
6/155. Intralenticular Candida species abscess in a premature infant.PURPOSE: To report the clinical and histopathologic findings of a premature infant with severe retinopathy of prematurity complicated by the development of an intralenticular fungal abscess. methods: Case report and literature review. RESULTS: A markedly premature infant developed Candida septicemia at 29 weeks postconception. Over the ensuing 10 weeks, cataract and intraocular inflammation developed sequentially in each eye, as did progressive retinopathy of prematurity with tractional retinal detachment. Pars plana vitrectomy and lensectomy revealed intralenticular Candida species abscess. CONCLUSION: Progressive cataract and intraocular inflammation in a low birth weight infant may be caused by endogenous intraocular infection secondary to systemic candidiasis. cataract secondary to retinopathy of prematurity is rare.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
7/155. Spondylodiscitis and epidural abscess due to candida albicans.A 32-year-old woman, addicted to heroin, presented with a dorsal spondylodiscitis due to candida albicans associated with epidural abscess. Antimycotic treatment was successful, and no neurosurgical decompression was necessary. To our knowledge, this is the first case of documented epidural involvement in candidal spondylodiscitis. The diagnosis of candidal spondylodiscitis should be considered in cases of para- or tetraplegia occurring in intravenous drug abusers.- - - - - - - - - - ranking = 0.83333333333333keywords = abscess (Clic here for more details about this article) |
8/155. Ascending cholangitis as a cause of pyogenic liver abscesses complicated by a gastric submucosal abscess and fistula.Ruptures of nonamebic (pyogenic) liver abscesses into the thorax and peritoneum are very uncommon; but, hepatoduodenal and hepatocolonic fistulas are ever more rare. We report a case where ascending cholangitis was associated with pyogenic liver abscess formation and a gastric fistula. drainage into the stomach was demonstrated by gastroduodenal endoscopy for gastric bleeding. After fistula formation, we could successfully treat the inflammation caused by infection of citrobacter freundii and candida albicans with intravenous infusion of both antibiotic and antifungal agents.- - - - - - - - - - ranking = 1.6666666666667keywords = abscess (Clic here for more details about this article) |
9/155. Successful treatment with liposomal amphotericin b of an intraabdomianl abscess due to Candida norvegensis associated with a Gore-Tex mesh infection.There are few reports of severe infections caused by Candida norvegensis. We here describe a case of C. norvegensis-associated intraabdominal abscess and Gore-Tex mesh-associated infection, successfully treated with liposomal amphotericin b and removal of the mesh. This is, to our knowledge, the first report of C. norvegensis causing this type of infection.- - - - - - - - - - ranking = 0.83333333333333keywords = abscess (Clic here for more details about this article) |
10/155. Candida endophthalmitis: an unusual complication of prolonged intravenous access.A 16 year old boy awaiting a defunctioning colostomy for Crohn's disease complained of reduced vision in his left eye. Four weeks previously candida had been isolated from his central line used for parenteral feeds. Fundal examination of the left eye revealed a macular abscess with a classic "string of pearls" appearance of multiple vitreous abscesses. This was treated with pars plana vitrectomy and intravitreal antifungal therapy. Microbiological studies confirmed a diagnosis of candida endophthalmitis.- - - - - - - - - - ranking = 0.33333333333333keywords = abscess (Clic here for more details about this article) |
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