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Больше, чем кажется на первый взгляд: Nocardia farcinica, Candida dubliniensis и Aspergillus spp. совместное инфекция у пациента с множественным миэломой, лечащегося различными режимами лечения.

КОЛИЧЕСТВО: Инвазивные инфекционные инфекции Нокардийской фарциники, видов Аспергиллуса (Spp.) и Candida dubliniensis представляют собой редкие инфекционные осложнения у пациентов, у которых диагностировали множественные миеломы. В данном случае мы описываем пациента, получившего three с протеиновыми ингибиторами, кортикостероидами, циклофосфамидом и линалидомидом, которые были одновременно инфицированы этими веществами. three Оппортунистические патогены. Инфекция кровеносного потока C. dubliniensis 4 Недели анидулуфунгина. Аспергиллус был очищен. 12 недель с вориконазолом. Н. фарсиническое ле

Совпадение в аннотации оригинала
BACKGROUND: Invasive infections by Nocardia farcinica, Aspergillus species (spp.) and Candida dubliniensis are rare infectious complications … nt was continued indefinitely with co-trimoxazole and moxifloxacin after regression at discharge of brain abscesses and the pulmonary aspergilloma. CONCLUSION: The diagnostic challenges and management in this particularly vulnerable patient are highlighted.

18F-FDG Imaging of a Case of Disseminated Nocardiosis.

Nocardiosis is an uncommon infection caused by ubiquitous environmental aerobic gram-positive filamentous bacteria, present in soil and water. Skin and lungs are usually the main targets of localized infections. Rarely, disseminated forms can occur in immunocompromised individuals. A 63-year-old man with a history of late-onset asthma and nasal and sinus polyposis treated with oral low-dose corticosteroid regimen presented with fever, headache, myalgia, skin erythematous plaques, and pustules. Brain MRI revealed multiple abscesses and pachymeningitis. F-FDG PET/CT was performed to assess the e

[Listeriosis of central nervous system in patients with ulcerative colitis - case study].

In the recently an increase morbidity inflammatory bowel disease, including ulcerative colitis was observed. The use of purine analogs and their metabolites are associated with a higher incidence of infections in this group of patients. Listeriosis is an infectious disease caused by a relatively anaerobic gram-positive bacteria - Listeria monocytogenes. Common symptoms include fever, nausea, vomiting and diarrhea, but these pathogens can also cause myocarditis, central nervous system infections, including brain abscesses and sepsis. Since the incidence of Listeria monocytogenes is higher in pa…

Neurologic diseases in llamas and alpacas.

Llamas and alpacas are affected by a wide range of neurologic diseases, including listeriosis, polioencephalomalacia, encephalitis caused by West Nile virus and equine herpesvirus, and meningeal worm. Cervical luxations and subluxations appear to be more common in camelids than in other species. Camelids that have otitis or discospondylitis may not present with clinical signs until the underlying pathology is severe. Meningitis and brain abscesses are an important complication of failure of passive transfer of immunity in crias. The cerebrospinal fluid tap is especially useful for diagnosing m…

Disseminated mucormycosis: report of a successfully treated immunosuppressed child with clinical, radiographic and pathological findings.

Disseminated mucormycosis is an uncommon condition with a high mortality rate and is infrequently diagnosed ante mortem. It is most frequently seen in immunosuppressed patients who are at risk for other unusual infections. The radiological features are not specific. We report the case of a 12-year-old girl in second haematological remission who was successfully treated for a brain abscess due to cerebral mucormycosis and for mucormycosis of the kidney which presented as a pyelonephritis. In her first haematological remission she was diagnosed as having a non-specific pneumonitis, which in retr…

[Intractable bacterial infections in the nervous system].

It is not exaggeration to say that infectious meningitis is most often seen among infections of the nervous system caused by various microorganisms, in which viruses are main causative pathogens. Infectious meningitis due to bacteria includes purulent one with acute progress, tuberculous and fungal ones which are representative for subacute meningitis. They can not be easily treated. As brain abscess is similar to them, diagnosis and chemotherapy on these four diseases are briefly summarized here. It is needless to say that the prognosis is influenced by early diagnosis and how fast appropriat…

Insights into Accelerated MRI Protocols for Pediatric Brain Assessment in Emergency Cases.

Two accelerated magnetic resonance imaging (MRI) protocols for pediatric brain imaging, GOBrain and Deep Resolve Swift Brain, developed by S … ase overview, including therapy-related leukencephalopathy in acute lymphoblastic leukemia (ALL), a brain abscess, traumatic diffuse axonal injury (DAI), a posterior circulation infarction due to vertebral artery dissection, leuokostasis syndrome, and a posterior fossa tumor with obstructive hydrocephalus, demonstrates the potential clinical feasibility of both …

[Traumatic, infectious or degenerative pathology].

CRANIO-ENCEPHALIC TRAUMAS: Scanography remains the examination of choice. However, MRI can be useful in diagnosis of diffuse axional lesions, not clearly visualized with scanography, and for screening the subsequent lesions. INFECTIOUS OR INFLAMMATORY LESIONS: Some are very evocative with MRI: cerebral abscesses, notably herpetic encephalitis and Creutzfeldt-Jacob's disease. If multiple sclerosis is suspected, MRI is considered as the principle para-clinical examination able to confirm the diagnosis with the first episode. It also supplies data for the diagnosis of metabolic, toxic and degener

Case of penetrating orbitocranial injury caused by wood.

A case of retained intraorbital and intracerebral wooden foreign body following an orbitocranial penetrating injury through the lower lid of an adult is described. Initial failure to recognise the true nature of the injury led to intracerebral abscess formation and monocular blindness. Diagnosis and management of such cases are discussed.

Computerised axial tomography.

Computerised axial tomography has made an impressive impact on surgical neurology, and when the body scanner becomes available it will no doubt have similar advantages for the other specialities. It is a safe non-invasive method of investigating pathological processes of the brain. The amount of information so obtained is accurate to within 1% and at least a hundred times more inforation is obtained than from ordinary X-ray investigations. A review of 1 000 patients scanned is presented. Computerised axial tomography, if artefacts are eliminated completely, is most unlikely to yield a false po

Fulminant Fusobacterium necrophorum Meningoencephalitis Secondary to Frontal Sinusitis in a Previously Healthy Young Adult: A Case Report.

BACKGROUND: Fusobacterium necrophorum is an anaerobic Gram-negative organism classically associated with severe head and neck infections and Lemierre syndrome. Central nervous system involvement is uncommon but may be rapidly progressive and fatal, particularly when associated with sinusitis, intracranial empyema, cerebritis, or brain abscess. CASE PRESENTATION: We report the case of a previously healthy 18-year-old male who presented after four days of high fever up to 41.5 °C, severe holocranial headache, vomiting, and acute hyperactive delirium. On admission, he had meningismus, markedly e…

An alluring case of an infected hepatic hydatid cyst: A case report.

INTRODUCTION AND IMPORTANCE: Hydatid cyst is a tapeworm infection that most commonly involves the liver and lungs. Other organs that have been found to be involved are the brain, heart, and bones. Humans are accidental, intermediate hosts and become infected after ingesting the eggs of the parasite. The rupture of the cyst can lead to infection which can subsequently lead to the development of an abscess causing complications like peritonitis. CASE PRESENTATION: Here we present a case of a 48-year-old female who was known case of hypertension and diabetes, on medication presented with complai

Vacuum Sealing Drainage against Surgical Site Infection after Intracranial Neurosurgery.

Background: Surgical site infections (SSIs) remain a conundrum for neurosurgeons. This study examines the efficacy and outcome of vacuum sea … dural SSIs combined with intracranial infections (including 5 meningitis, 1 subdural abscess, and 1 brain abscess). All the patients consented to medical device implantation (including 5 titanium webs, 6 bone flap fixation devices, and 12 duraplasties), most of which were removed during debridement. The median duration from primary surgical procedure to an SSI …

From the Oral Cavity to the Spine: Prevalence of Oral Cavity Infections in Patients with Pyogenic Spinal Infection.

Background incidence of pyogenic spinal infections has increased in recent years. In addition to treating the spinal infection, optimal care … patients with an oral cavity infection revealed an increased incidence of endocarditis, sepsis and brain abscess. A spinal epidural abscess, a multilevel affection of the infection, and an elevated CRP value were also found in patients with a co-existing oral cavity infection. Back pain assessed at admission and 3 months after surgery was also more pronounced …

Parasitoses of the human central nervous system.

Cerebral involvement in parasitoses is an important clinical manifestation of most of the human parasitoses. Parasites that have been descri … ous amoebic encephalitis), Naegleria (primary amoebic meningo-encephalitis), Entamoeba histolytica (brain abscess), Plasmodium falciparum (cerebral malaria), Trypanosoma brucei gambiense/rhodesiense (sleeping sickness) or Trypanosoma cruzi (cerebral Chagas disease)). Adults or larvae of helminths or protozoa enter the CNS and cause meningitis, encephalitis, ven …

Epidemiology and antimicrobial resistance of B. fragilis group organisms isolated from clinical specimen and human intestinal microbiota.

Epidemiological aspects and the antimicrobial susceptibility profile of the Bacteroides fragilis group isolated from clinical and human intestinal specimens were examined in this study. B. fragilis group strains were isolated from 46 (37%) of 124 clinical specimens and the source of the samples was: Blood culture (3), intraabdominal infection (27), brain abscess (2), soft tissue infection (17), respiratory sinus (3), pleural aspirate (9), breast abscess (3), surgical infected wound (22), pelvic inflammatory disease (22), chronic otitis media (9) and miscellaneous (7). Intraabdominal and soft t…

Post Trauma Acinetobacter Baumanii Meningitis Treatment Approach.

A. baumannii, which is said to be associated with nosocomial infections is considered a significant mortality risk if not adequately addressed. A. baumannii infections typically occur in the aftermath of surgery or trauma. Our patient developed complicated A. baumannii meningitis with lateral ventriculitis and a lumbar abscess post surgery after suffering from a fall. The patient was treated with a 21-day regimen of intrathecally administered colistin and polymyxin B. Following this therapeutic period, the patient's condition improved, ultimately leading to successful recovery and subsequent d

Clinical Cure of a Difficult-to-Treat Resistant Pseudomonas aeruginosa Ventriculitis Using Cefiderocol: A Case Report and Literature Review.

Ventriculitis is a complication of meningitis (community-acquired or nosocomial) or other central nervous system (CNS) infections such as brain abscess. They are associated with a different spectrum of microorganisms, from resistant gram-negative bacilli to staphylococci, that can lead serious illness with high mortality. Difficult-to-treat resistance (DTR) gram-negative bacilli may increase to 20% of deaths respective to susceptible isolates of the same bacteria. We present the first report of a clinical cured case of DTR Pseudomonas aeruginosa ventriculitis in which cefiderocol penetration i…