Cases reported "Mycoses"

Filter by keywords:



Filtering documents. Please wait...

1/23. Medical management of beauveria bassiana keratitis.

    PURPOSE: To describe a case of beauveria bassiana keratitis and to discuss the management of this rare condition. methods: An 82-year-old woman underwent surgical repair of a graft wound dehiscence. Seven months later, shortly after the removal of sutures, the patient developed a fungal keratitis. B. bassiana was identified as the infecting organism. The patient was treated with topical natamycin and oral fluconazole. RESULTS: Following antifungal therapy, the corneal ulcer was eradicated, but the patient underwent repeat penetrating keratoplasty for decreased vision due to corneal edema. The graft remains clear and visual acuity is substantially improved. CONCLUSION: The medical management of B. bassiana keratitis has previously been unsuccessful. The use of topical natamycin combined with oral fluconazole in the management of this case is discussed.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

2/23. Mucoraceae infections of antibiotic-loaded cement spacers in the treatment of bacterial infections caused by knee arthroplasty.

    Two clinical cases of mycotic infections secondary to knee spacers medicated with antibiotics against bacterial infections are presented. Care must be taken between the first and second stage (when the spacer is in place), and attention must be paid to the management of the surgical wound to avoid secondary contamination.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

3/23. osteomyelitis following puncture wounds of the foot in children.

    review of the laboratory and clinical findings and treatment of eight patients with osteomyelitis of the foot after puncture wounds revealed that: 1) osteomyelitis after puncture wounds is a infrequent but potentially serious complication, with significant morbidity; 2) osteomyelitis is frequently preceded by inadequate primary care for simple puncture wounds, and when treatment is appropriate, osteomyelitis usually can be avoided; 3) P. aeruginosa is the most commonly recovered organism; 4) the clinical presentation is characterized by a lack of systemic toxicity, paucity of laboratory abnormalities, and evidence of a localized infection process and the patient may be asymptomatic for a few days to several months after the injury before presentation of the osteomyelitis; and 5) once the infection has become established, treatment must be aggressive, including surgical debridement.
- - - - - - - - - -
ranking = 7
keywords = wound
(Clic here for more details about this article)

4/23. Delayed sternotomy wound infection due to paecilomyces variotii in a lung transplant recipient.

    We report a case of sternotomy wound infection caused by paecilomyces variotii in a previously bronchiectatic patient, occurring 10 months after bilateral sequential lung transplantation. The use of prophylactic antifungal therapy, the persistent colonization with paecilomyces, and sternal instability after clamshell incision may have contributed to the development of delayed deep sternal wound infection. Besides antifungal therapy, vigorous surgical debridement is vital for treatment success. With the more liberal use of early post-transplant fungal prophylaxis, potentially drug-resistant fungi, such as the paecilomyces species, may be emerging as important opportunistic pathogens after lung transplantation.
- - - - - - - - - -
ranking = 725.84487728186
keywords = wound infection, wound
(Clic here for more details about this article)

5/23. Extracorporeal expulsion of a vascular endograft used to treat a mycotic aneurysm.

    A 65-year-old woman with a right common iliac artery mycotic aneurysm and an overlying sacral pressure ulcer was treated with placement of a vascular endograft. The mycotic aneurysm was successfully excluded, but 3 months after the procedure, the endograft was expelled through the wound. Fortunately, the patient had minimal clinical sequelae. This case emphasizes the importance of frequent noninvasive imaging of mycotic aneurysms treated with endografts. A rigorous postoperative imaging protocol is proposed based on the current regimen for abdominal aortic aneurysm surveillance after endograft implantation.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

6/23. Effect of voriconazole on a corneal abscess caused by fusarium.

    PURPOSE: To describe a case of corneal abscess caused by fusarium solani that did not respond to common antifungal agents. METHOD: Case report. RESULTS: Twenty days after accidental contact with vegetation, a 56-year-old man presented with a corneal abscess. Corneal ulceration developed and a perforating keratoplasty was performed. After a microbiological examination, the diagnosis of F. solani infection was made. Systemic and topical amphotericin b and fluconazole were prescribed, with no results. A new abscess formed on the transplanted graft and a wound leak developed. We administered topical and systemic voriconazole. No side-effects were observed. The choroidal detachment and the surgical transplant recovered completely in 20 days. A vascular leukoma developed at the site of the transplanted corneal abscess. CONCLUSION: From a functional point of view, another corneal transplant will be necessary. Voriconazole was effective in treating a severe keratomycosis caused by F. solani that was resistant to other topical and systemic antifungal agents.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

7/23. Subcutaneous phaeohyphomycosis caused by Lasiodiplodia theobromae and successfully treated surgically.

    While visiting jamaica, a 50-year-old woman stumbled on an outdoor wooden staircase and sustained an injury to the right leg. The wound was cleaned topically and the patient was given antibacterial therapy. Five weeks later, in canada, she presented with an ulcer at the injury site. An excisional biopsy showed copious broad, septate, melanized fungal filaments penetrating into tissue. culture yielded a nonsporulating melanized mycelium. The isolate was strongly inhibited by cycloheximide and benomyl but grew at 37 degrees C. After 16 weeks cultivation on modified Leonian's agar at 25 degrees C, it developed pycnidia characteristic of Lasiodiplodia theobromae, a common tropical phytopathogen mainly known previously as a rare agent of keratitis and onychomycosis in humans. The patient was not given antifungal chemotherapy, and the ulcer, which had been broadly excised in the biopsy procedure, ultimately resolved after treatment with saline compresses. The six-month follow-up showed no sign of infection. This case, interpreted in light of previously reported cases, shows that on rare occasions L. theobromae is able to act as an agent of subcutaneous phaeohyphomycosis and that, when this occurs, debridement alone may be sufficient to eradicate it.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

8/23. Sternal wound infection by trichosporon inkin following cardiac surgery.

    wound infection following cardiac surgery is well described but is rarely due to fungal infection. We describe a case of sternal wound infection caused by trichosporon inkin with a fatal outcome, in an immunocompetent patient following aortic root surgery.
- - - - - - - - - -
ranking = 604.87073106822
keywords = wound infection, wound
(Clic here for more details about this article)

9/23. fusarium meningoencephalitis in a child with acute leukemia.

    A 15-year-old boy with acute lymphoblastic leukemia (ALL) developed disseminated fusarium infection with meningoencephalitis following a contaminated skin wound. With antifungal therapy, the cutaneous lesions cleared but central nervous system (CNS) infection persisted causing a fibrosing meningitis and a brain granuloma. Fusaria are soil saprophytes that are more commonly associated with superficial eye and skin lesions, but may also cause severe systemic infections with CNS involvement in immuno-compromised patients. The organism may be confused with aspergillus in tissue sections, and can only be diagnosed by culture.
- - - - - - - - - -
ranking = 1
keywords = wound
(Clic here for more details about this article)

10/23. Mycotic wound infections. A new challenge of the surgeon.

    Fungal wound infections have become more common because of the increased use of immunosuppressive and antineoplastic agents, prosthetic devices and grafts, broad-spectrum antibiotics, and hyperalimentation. Severe burns, renal failure, and other debilitating conditions also predispose to invasive mycoses. An aggressive diagnostic approach is particularly important, and tissue biopsy specimens are often necessary to establish a diagnosis. Meticulous surgical technique and minimization of the predisposing factors are crucial in the prevention of these infections, and prophylactic antimycotic agents may be of value in selected high-risk patients. Some mycotic wound infections can be managed effectively without systemic therapy; but when systemic agents are needed, combination antifungal therapy may provide improved results without increased drug toxicity.
- - - - - - - - - -
ranking = 725.84487728186
keywords = wound infection, wound
(Clic here for more details about this article)
| Next ->


Leave a message about 'Mycoses'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.