1/21. pasteurella multocida: a case report of bacteremic pneumonia and 10-year laboratory review.pasteurella multocida is a normal oral commensal in animals. Animal bites are often complicated by severe wound infection due to P. multocida, but systemic infection is rare. We report a patient with bacteremic pneumonia successfully treated with ceftriaxone and ciprofloxacin. We also review the clinical isolates of P. multocida reported by a major teaching hospital laboratory over a 10-year period. There were 23 patients, comprising the present case, 17 patients with wound infections following animal bites, one case of neonatal meningitis and associated maternal vaginal carriage of P. multocida, and three sputum isolates of doubtful significance.- - - - - - - - - - ranking = 1keywords = pneumonia (Clic here for more details about this article) |
2/21. psittacosis. A flu like syndrome.BACKGROUND: psittacosis is a relatively common cause of community acquired pneumonia in adults in australia. Although the illness is usually mild to moderate in severity, it can, be life threatening. It should be considered as a possible cause of any flu like illness. OBJECTIVE: This article aims to describe the clinical presentation, diagnostic investigation and outpatient management of psittacosis. DISCUSSION: The key to the management of psittacosis is considering the diagnosis. If a history is obtained of contact with birds, a careful search for respiratory symptoms, signs or chest X-ray changes should take place. If the clinical likelihood is high, empirical therapy with doxycycline should be started. Acute and convalescent serology should then be taken to help establish the diagnosis.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
3/21. Emerging viral infections in australia.hendra virus infection should be suspected in someone with close association with horses or bats who presents acutely with pneumonia or encephalitis (potentially after a prolonged incubation period). Australian bat lyssavirus infection should be suspected in a patient with a progressive neurological illness and a history of exposure to a bat. rabies vaccine and immunoglobulin should be strongly considered after a bite, scratch or mucous membrane exposure to a bat. Japanese encephalitis vaccine should be considered for people intending to reside in or visit endemic areas of southern or eastern asia for more than 30 days.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
4/21. Hepatic hydatid cysts with superinfection in a non-endemic area in taiwan.Hepatic hydatid cysts are extremely rare in taiwan. We report a case of complicated, multivesicular, hydatid cysts in the liver and a secondary infection with klebsiella pneumoniae. The cysts were detected in an early stage by ultrasonography and computed tomography and treated successfully with radical resection.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
5/21. New World leishmaniasis from spain.A 69 year old man living in spain contracted mucocutaneous leishmaniasis involving the nose. The infecting organism was leishmania infantum, which only rarely causes the New World form of the disease. The source of infection was probably a neighbour's dog. The patient began treatment with liposomal amphotericin b but died of pneumonia two months later.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
6/21. Report of three children with leptospirosis in rural area of the east of turkey.leptospirosis is a systemic infection usually producing fever with hepatorenal involvement, meningoencephalitis, and hemorrhage. In this article, we present three children between 10 and 13 years of age with leptospirosis. The purpose of this paper is to emphasize that leptospirosis is a problem in our country with farmers/cattle and that leptospirosis should be considered in certain ill children. The main symptoms were headache, fever, fatigue, abdominal pain and unconsciousness. Two patients had hepatic and renal involvement. The other had hepatic, pulmonary and probably pericardial involvement. In all children spirochetes were demonstrated in blood and urine smears by dark-field microscopy and they were also isolated from urine and blood cultures by using Flecher medium. All patients were treated with penicillin; however, one subsequently required additional antibiotics due to klebsiella pneumoniae septicemia. While one patient was discharged in a good health, the others were taken to their home by parents without completing treatment. In conclusion, we would like to emphasize that leptospirosis is still a public health problem in our region (Eastern turkey) in where the majority of population are farmers and raise domestic animals such as cattle in rural areas. Additionally, leptospirosis should be considered in children admitted with headache, unconsciousness, fever and abdominal pain.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
7/21. bordetella bronchiseptica infection in pediatric lung transplant recipients.bordetella bronchiseptica are small, pleomorphic Gram-negative coccobacilli which are commensal organisms in the upper respiratory tract of many wild and domestic animals ('kennel cough' in dogs). While it is common for health care providers to ask about exposure to ill family/friends, most do not routinely inquire about the health or immunization status of household pets. We report two cases of B. bronchiseptica pneumonia in lung transplant recipients [cystic fibrosis (CF); ages 10 and 15 yr; one male] who contracted B. bronchiseptica from pet dogs. We compared their course and outcome to four children (two CF, one congenital heart disease and one Duchenne's muscular dystrophy; four males, age range 6 months to 14 yr) with B. bronchiseptica cultured from the respiratory tract. Two of the four patients also acquired their illnesses from pet dogs and two from unknown sources. One lung transplant recipient expired from progressive respiratory failure. We conclude that B. bronchiseptica can cause serious infections in both immunosuppressed and immunocompetent children. We speculate that a detailed history of exposure to ill pets (particularly dogs), and the immunization status of all pets should be included in the routine evaluation of all pediatric transplant recipients.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
8/21. Pneumonia due to cryptococcus neoformans in a patient receiving infliximab: possible zoonotic transmission from a pet cockatiel.The use of humanized antibody against tumor necrosis factor alpha (TNF-alpha) may increase the risk of various opportunistic infections, including tuberculosis and fungal infections. We report a case of cryptococcal pneumonia in a patient who was taking infliximab for rheumatoid arthritis. A temporally related exposure history raised the possibility that our patient acquired the infection from his pet cockatiel. It seems prudent to advise patients receiving infliximab to avoid exposure to pet avian excreta.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
9/21. Fatal septicemia due to mycoplasma arginini: a new human zoonosis.A 64-year-old slaughterhouse worker with advanced non-Hodgkin's lymphoma developed septicemia and pneumonia. mycoplasma arginini, a wall-free prokaryote found in a variety of domestic animal hosts, was repeatedly isolated from blood and bronchial washings from the patient. immunosuppression, in part caused by hypogammaglobulinemia, probably played a key role in predisposing the patient to a fatal infection. This case suggests that animal mycoplasmas should be considered in the list of infectious agents acquired by immunosuppressed hosts.- - - - - - - - - - ranking = 0.2keywords = pneumonia (Clic here for more details about this article) |
10/21. Community-acquired pneumonia due to pasteurella multocida.Most cases of community-acquired pneumonia result from infection with predictable common pathogens. However, rare patients develop pneumonia from unusual bacterial species such as pasteurella multocida, a Gram-negative oral commensal of most dogs and cats. The majority of P. multocida infections involve skin and soft tissue and complicate a bite or scratch. I report the case of an elderly man who owned 16 cats and developed bacteremic pneumonia with P. multocida. .- - - - - - - - - - ranking = 1.4keywords = pneumonia (Clic here for more details about this article) |
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