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4.
Int. microbiol ; 25(1): 99-110, Ene. 2022. ilus, graf, tab
Artigo em Inglês | IBECS | ID: ibc-216015

RESUMO

Microbial biodiversity is represented by a variety of genomic landscapes adapted to dissimilar environments on Earth. These genomic landscapes contain functional signatures connected with the community phenotypes. Here, we assess the genomic microbial diversity landscape at a high-resolution level of a polluted river–associated microbiome (Morelos, México), cultured in a medium enriched with anthraquinone Deep Blue 35 dye. We explore the resultant textile dye microbiome to infer links between predicted biodegradative functions, and metagenomic and metabolic potential, especially using the information obtained from individual reconstructed genomes. By using Hi-C proximity-ligation deconvolution method, we deconvoluted 97 genome composites (80% potentially novel species). The main taxonomic determinants were Methanobacterium, Clostridium, and Cupriavidus genera constituting 50, 22, and 11% of the total community profile. Also, we observed a rare biosphere of novel taxa without clear taxonomic standing. Removal of 50% chemical oxygen demand with 23% decolorization was observed after 30 days of dye enrichment. Genes related to catalase-peroxidase, polyphenol oxidase, and laccase enzymes were predicted as associated with textile dye biodegradation phenotype under our study conditions, highlighting the potential of metagenome-wide analysis to predict biodegradative determinants. This study prompts high-resolution screening of individual genomes within textile dye river sediment microbiomes or complex communities under environmental pressures.(AU)


Assuntos
Humanos , Microbiota , Biodegradação Ambiental , Cupriavidus , Clostridium , Methanobacterium , Microbiologia , México
5.
Rev. esp. cir. ortop. traumatol. (Ed. impr.) ; 64(4): 281-285, jul.-ago. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-197334

RESUMO

OBJETIVO: Se ha realizado una revisión sobre las infecciones producidas por Clostridium celerecrescens que aparecen recogidas en la literatura. C. celerecrescens es un patógeno emergente relacionado con infecciones de heridas traumáticas que progresan a infecciones profundas y osteomielitis. MÉTODOS: En la literatura solo se han encontrado 4 casos con suficientes datos para ser analizados; nosotros añadimos un nuevo caso y experiencia en el manejo de la infección. La identificación se realizó mediante espectrometría desorción/ionización láser asistida por matriz acoplada a un detector de tiempo de vuelo (MALDI-TOF) o mediante galería API. Se realizó secuenciación del ARNr 16S en todos los casos. RESULTADOS: La identificación de la bacteria fue discrepante según el método utilizado debido a las similitud fenotípica y genética con otras especies del mismo género. La identificación mediante MALDI-TOF y galerías API no resulta adecuada para la determinación a nivel de especie, siendo necesaria la secuenciación del ARNr 16S. El tratamiento de la infección incluye combinaciones de antibióticos complejas y tratamiento quirúrgico junto con curas de piel y partes blandas debido a la persistencia de la bacteria a lo largo del tiempo. CONCLUSIÓN: El presente estudio manifiesta el potencial patogénico de C. celerecrescens en infecciones postraumáticas y la necesidad de mejorar el tratamiento de estas infecciones


PURPOSE: We reviewed the clinical features of post-traumatic infections produced by Clostridium celerecrescens reported in the literature. C. celerecrescens is an emerging pathogen involved in traumatic wound infection that progresses to deep infection and osteomyelitis. METHODS: We found only 4 cases reported in the literature with enough data to be analysed and we added our own case and experience with this type of infection. The identification was performed by matrix-assisted desorption ionization-time of flight mass spectrometry (MALDI TOF) or API gallery, and 16S rRNA gene sequencing were performed to confirm identification in all cases. RESULTS: Identification of the bacteria is discrepant according to the method used due to the genetic and phenotypic similarities of other species of the genus. Identification through MALDI-TOF and API gallery is not suitable for determining the specie, confirmation by 16S rRNA sequencing being necessary. Treatment of the infection included complex antibiotic combinations and surgical treatment together with skin and soft tissue dressings due to the persistence of the pathogen over time. CONCLUSION: This report supports the pathogenic role of C. celerecrescens in post-traumatic infections and the need to improve the management of these difficult-to-treat infections


Assuntos
Humanos , Feminino , Adulto , Osteomielite/terapia , Clostridium/patogenicidade , Infecções por Clostridium/tratamento farmacológico , Traumatismo Múltiplo/complicações , Infecção dos Ferimentos/terapia , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Ferimentos e Lesões/complicações , Infecção Hospitalar/complicações
8.
Rev. esp. quimioter ; 29(5): 239-243, oct. 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-156277

RESUMO

Las especies incluidas en el género Clostridium son muy heterogéneas, tanto que desde un punto de vista fenotípico como filogenético. Los avances en la taxonomía polifásica y en particular en la filogenia están permitiendo resolver esta disfunción reclasificando a numerosas especies en otros géneros, aunque aún resta trabajo por hacer. Los cambios en las denominaciones genéricas son algo normal en taxonomía pero puede convertirse en un problema cuando afectan a especies con gran impacto clínico conocidas desde hace muchos años como es el caso de algunas especies tradicionales del género Clostridium. Tras conocerlos los microbiólogos clínicos, en cuyo quehacer la taxonomía es fundamental, deben valorar que está antes, la comunicación con los profesionales de la salud o la filogenia y valorar que quizás haya posibilidades de combinar ambos hechos. Este artículo revisa alguno de los cambios taxonómicos acaecidos en especies conocidas del género Clostridium, que genéticamente no pertenecen a este género, que pueden tener interés en clínica y evalúa, en lo posible, su trascendencia en la comunicación científica y sanitaria (AU)


The various species included in the genus Clostridium are very heterogeneous, both from a phenotypic and a phylogenetic point of view. The advances in polyphasic taxonomy, particularly in phylogeny, are allowing to resolve this dysfunction reclassifying several species in other genres, although there is still work to be done. Changes in generic denominations are quite normal in taxonomy, but can turn into a problem when they affect species with strong clinical impact and that have been recognised for a long time, as in the case of some traditional Clostridium species. After knowing these changes clinical microbiologists, in whose work taxonomy is an essential tool, should evaluate what matters most, if the communication with other health professionals or the phylogeny, and think about the possibility of combining both things. This paper reviews some of the taxonomic changes that have took place in well-known Clostridium species that can be clinically interesting and evaluates, as far as possible, their significance in the scientific and medical communication (AU)


Assuntos
Humanos , Clostridioides difficile/classificação , Clostridium/classificação , Fenômenos Microbiológicos , Clostridiales/classificação , Infecções por Clostridium/microbiologia , Enterocolite Pseudomembranosa/microbiologia , Técnicas Microbiológicas/métodos
11.
An. pediatr. (2003. Ed. impr.) ; 82(6): 417-l425, jun. 2015. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-139817

RESUMO

Introducción: Clostridium difficile es la principal causa de diarrea nosocomial en adultos, y su incidencia está aumentado en los últimos años. Es difícil determinar su impacto en niños debido a las altas tasas de colonización. Material y métodos: Estudio retrospectivo en menores de 15 años ingresados con diarrea a lo largo de un año. Se estudiaron las características epidemiológicas, clínicas, analíticas y la evolución de los niños con infección por Clostridium difficile (ICD) en comparación con otros aislamientos. Los factores predictores de ICD fueron determinados mediante análisis multivariante. Resultados: Se identificaron 250 niños con diarrea, realizándose estudio microbiológico completo en 174. En 79 (45,4%) se llegó al diagnóstico: 25,6% ICD (n=19; 13 enterotoxigénicos); 28,6% otras bacterias (n=21) y 45,8% virus (n=34; rotavirus n=31; adenovirus n=3). Un 68,4% fueron menores de 2 años, y un 15,8% fueron adquiridos en la comunidad. En comparación con otras causas de diarrea, la ICD se asoció a comorbilidad (p<0,0001), contacto reciente con el sistema sanitario (p<0,0001), estancia en UCI (p=0,003) y exposición reciente a antibióticos (p<0,0001). Los pacientes con ICD cursaron de forma oligosintomática. No hubo diferencias clínicas entre las ICD productoras o no de toxina, siendo la comorbilidad el principal asociado con la ICD (OR 40,02; IC 95% 6,84-232,32; p<0,0001). Conclusiones: El aislamiento de Clostridium difficile es frecuente en niños hospitalizados con diarrea en nuestro medio. La ICD resultó más frecuente en niños pequeños con comorbilidad y contacto reciente con el sistema sanitario, presentado, en su mayoría, un curso clínico oligosintomático. Se necesitan más estudios para conocer la epidemiología de esta infección en niños (AU)


Introduction: Clostridium difficile is the leading cause of nosocomial and antibiotic-associated diarrhea in adults, and its incidence has substantially risen over the last few years. The prevalence of this infection in children is difficult to assess due to the high rates of colonization in this setting. Material and methods: A one-year retrospective study was conducted on children under 15 years admitted to hospital with acute diarrhea. Epidemiological, clinical, laboratory findings and outcome of children with Clostridium difficile infection (CDI) were compared to other causes of diarrhea. Risk factors for CDI were identified by multivariate analysis. Results: Two hundred and fifty children with acute diarrhea were identified. A microbiological pathogen was identified in 79 (45.4%) of 174 patients who underwent complete testing: 19 CDI (25.6%, 13 of which were enterotoxin-producing), 21 other bacteria (28.6%), and 34 viruses (45.8%; rotavirus n=31; adenovirus n=3). The estimated incidence of CDI was 3 cases/1,000 admissions, with 68.4% of them occurring in children younger than 2 years. Overall, 15.8% were community-acquired. Compared to other causes of diarrhea, CDI was associated with comorbidity (P<.0001), recent contact with the health-care system (P<.0001) or intensive care unit stay (P=.003) and exposure to antibiotics in the previous month (P<.0001). The clinical course of children with CDI was less symptomatic. There were no clinical differences between Clostridium difficile toxin-producers and non-toxin producers. Comorbidity was identified as the main risk factor associated with CDI (OR 40.02, 95% CI 6.84-232.32; P<.0001). Conclusions: The isolation of Clostridium difficile is common in hospitalized children with diarrhea in our setting. CDI is more frequent in children with comorbidity and recent contact with the health-care system, presenting a mostly oligosymptomatic clinical course. Further studies are needed to understand the epidemiology of this infection in pediatrics, especially the percentage of asymptomatic carriers (AU)


Assuntos
Criança , Humanos , Disenteria/complicações , Disenteria/diagnóstico , Gastroenterite/complicações , Gastroenterite/genética , Clostridium/citologia , Clostridium/metabolismo , Apoptose/genética , Disenteria/metabolismo , Disenteria/patologia , Gastroenterite/metabolismo , Gastroenterite/patologia , Clostridium/classificação , Clostridium/patogenicidade , Apoptose/fisiologia
12.
Int. microbiol ; 17(4): 195-204, dic. 2014. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-138143

RESUMO

The current energy model based on fossil fuels is coming to an end due to the increase in global energy demand. Biofuels such as ethanol and butanol can be produced through the syngas fermentation by acetogenic bacteria. The present work hypothesizes that formate addition would positively impact kinetic parameters for growth and alcohol production in Clostridium ljungdahlii PETC and Clostridium carboxidivorans P7 by diminishing the need for reducing equivalents. Fermentation experiments were conducted using completely anaerobic batch cultures at different pH values and formate concentrations. PETC cultures were more tolerant to formate concentrations than P7, specially at pH 5.0 and 6.0. Complete growth inhibition of PETC occurred at sodium formate concentrations of 30.0 mM; however, no differences in growth rates were observed at pH 7.0 for the two strains. Incubation at formate concentrations lower than 2.0 mM resulted in increased growth rates for both strains. The most recognizable effects of formate addition on the fermentation products were the increase in the total carbon fixed into acids and alcohols at pH 5.0 and pH 6.0, as well as, a higher ethanol to total products ratio at pH 7.0. Taken all together, these results show the ability of acetogens to use formate diminishing the energy demand for growth, and enhancing strain productivity (AU)


No disponible


Assuntos
Feminino , Humanos , Masculino , Clostridium/crescimento & desenvolvimento , Clostridium/metabolismo , Etanol/metabolismo , Formiatos/metabolismo , Biocombustíveis/análise , Reatores Biológicos/microbiologia , Butanóis/metabolismo , Clostridium/química , Meios de Cultura/química , Meios de Cultura/metabolismo , Fermentação , Concentração de Íons de Hidrogênio , Cinética
13.
Int. microbiol ; 16(1): 53-62, mar. 2013. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-114745

RESUMO

To improve bacterial hydrogen production, ten hydrogen-producing strains belonging to Clostridium spp. were isolated from various sludges under low vacuum. Hydrogenogenesis by dark fermentation in batch cultures of these strains was optimal at about 35 ºC and an initial pH of 6.5, which for all strains gradually dropped to ca. pH 4 during the fermentation. Clostridium roseum H5 and C. diolis RT2 had the highest hydrogen yields per total substrate (120 ml H2/g initial COD). Substrate consumption alone by C. beijerinckii UAM and C. diolis RT2 reached 573 and 475 ml H2/g consumed COD, respectively. Butyric acid fermentation was predominant, with butyrate and acetate as the major by-products and propionate, ethanol, and lactate as secondary metabolites. The acetate: butyrate ratios and fermentation pathways varied depending on the strains and environmental conditions. Hydrogenogenesis was studied in greater detail in C. saccharobutylicum H1. In butyric acid fermentation by this representative strain, acetoacetate was detected as an intermediate metabolite. Hydrogenogenesis was also analyzed in an enrichment culture, which behaved similarly to the axenic cultures (AU)


No disponible


Assuntos
Águas Residuárias/microbiologia , Hidrogênio/isolamento & purificação , Clostridium/crescimento & desenvolvimento , Fermentação , Biodegradação Ambiental , Acetoacetatos/análise , Cultura Axênica
16.
Nutr. hosp ; 27(1): 123-129, ene.-feb. 2012. tab
Artigo em Inglês | IBECS | ID: ibc-104861

RESUMO

Introduction: Prebiotics positively affect gut microbiota composition, thus improving gut function. These properties may be useful for the treatment of constipation. Objectives: This study assessed the tolerance and effectiveness of a prebiotic inulin/partially hydrolyzed guargum mixture (I-PHGG) for the treatment of constipation in females, as well as its influence on the composition of intestinal microbiota and production of short chain fattyacids. Methods: Our study enrolled 60 constipated female health worker volunteers. Participants reported less than3 bowel movements per week. Volunteers were randomized to treatment with prebiotic or placebo. Treatment consisted of 3 weeks supplementation with 15 g/d IPHGG (fiber group) or maltodextrin (placebo group).Abdominal discomfort, flatulence, stool consistency, and bowel movements were evaluated by a recorded daily questionnaire and a weekly interview. Changes in fecal bacterial population and short chain fatty acids were assessed by real-time PCR and gas chromatography, respectively. Results: There was an increased frequency of weekly bowel movements and patient satisfaction in both the fiber and placebo groups with no significant differences. Total Clostridium sp significantly decreased in the fibergroup (p = 0.046) and increased in the placebo group (p =0.047). There were no changes in fecal short chain fatty acid profile. Conclusions: Consumption of I-PHGG produced clinical results comparable to placebo in constipated females, but had additional protective effects on gut microbiota by decreasing the amount of pathological bacteria of the Clostridium genera (AU)


Introducción: Los prebióticos influyen positivamente en la composición de la microbiota intestinal, mejorando así la función intestinal. Estas propiedades pueden ser útiles para el tratamiento del estreñimiento. Objetivos: Este estudio evaluó la tolerancia y la eficacia de una mezcla de prebiótico inulina con la goma guar parcialmente hidrolizada (I-PHGG) para el tratamiento de mujeres con estreñimiento, así como su influencia en la composición de la microbiota intestinal y la producción de ácidos grasos de cadena corta. Métodos: Nuestro estudio contó con la participación de60 mujeres voluntarias con estreñimiento y profesionales de la salud. Las participantes informaron tener menos de tres evacuaciones por semana y fueron asignadas aleatoriamente a tratamiento con prebióticos o placebo. El tratamiento consistió en 3 semanas de suplementación con 15 gd I-PHGG (grupo de fibras) o maltodextrina (grupo placebo). Malestar abdominal, flatulencia, consistencia de las heces, y los movimientos intestinales se evaluaron mediante un cuestionario de registro diario y una entrevista semanal. Cambios en la población de bacterias fecales y los ácidos grasos de cadena corta fueron evaluados por PCR entiempo real y cromatografía de gases, respectivamente. Resultados: Hubo un aumento en la frecuencia de las evacuaciones intestinales por semana y la satisfacción del paciente, tanto en la fibra y el grupo placebo, sin diferencias significativas. El total de Clostridium sp disminuyó significativamente en el grupo de fibras (p = 0,046) y aumentó en el grupo placebo (p = 0,047). No hubo cambios en el perfil fecal de ácidos grasos de cadena corta. Conclusiones: El consumo de I-PHGG ha producido resultados clínicos comparables a placebo en mujeres con estreñimiento, pero ofreció otros efectos protectores sobre la microbiota intestinal al disminuir la cantidad de bacterias patológicas de lo género Clostridium (AU)


Assuntos
Humanos , Feminino , Constipação Intestinal/dietoterapia , Biota , Extratos Vegetais/farmacocinética , Inulina/farmacocinética , Cyamopsis , Clostridium , Ácidos Graxos Voláteis/análise
17.
Cir. plást. ibero-latinoam ; 37(2): 165-169, abr.-jun. 2011. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-93159

RESUMO

La fascitis necrosante es una enfermedad de origen infeccioso que afecta a la fascia muscular y progresa rápidamente. Para el manejo de este tipo de pacientes es clave un diagnóstico precoz y un tratamiento adecuado que combine antibioticoterapia y cirugía. Presentamos el caso de una paciente de 77 años de edad con diagnóstico de fascitis necrosante de presentación atípica por la bilateralidad de las lesiones, la ausenciad e factores predisponentes y la presencia de un único germen causal (AU)


Necrotizing fasciitis is an infectious disease that involves muscular fascia and has a quickly progress. Early diagnosis and proper treatment that consists on antibiotic therapy and surgery are the key of patient management. We report the case of a 77 years old woman with necrotizing fasciitis diagnosis with atypical presentation due to bilateral skin lesions, lack of risk factors and only one germ as causal pathogen (AU)


Assuntos
Humanos , Feminino , Idoso , Fasciite Necrosante/cirurgia , Desbridamento/métodos , Procedimentos de Cirurgia Plástica/métodos , Antibacterianos/uso terapêutico , Clostridium/patogenicidade
18.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. impr.) ; 36(10): 593-596, dic. 2010. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-82861

RESUMO

La colitis pseudomembranosa es una complicación grave de la diarrea asociada a Clostridium difficile que puede llegar a ser mortal. La diarrea asociada a Clostridium difficile es más frecuente a nivel hospitalario y se produce tras la toma previa de antibióticos en pacientes con factores de riesgo asociados, sin embargo desde la década de los 90 la incidencia de esta enfermedad en la comunidad ha aumentado. El Clostridium difficile puede llegar a producir desde colitis de intensidad variable hasta afectación de órganos extraintestinales. Describimos un caso de un varón de 89 años que presentó un episodio de diarrea con mala evolución a pesar del tratamiento que tenía como antecedente previo la toma de antibióticos (AU)


Pseudomembranous colitis is a serious complication of Clostridium difficile associated diarrhoea, which can be fatal. Clostridium difficile associated diarrhoea is more common in hospitals and follows the previous antibiotic treatment in patients with associated risk factors. However, since the 90s the incidence of this disease in the community has increased. Clostridium difficile can produce colitis of varying intensity including extra-intestinal organ involvement. We describe a case of an 89 year-old man who had an episode of diarrhoea with an poor outcome despite treatment and previous antibiotic treatment (AU)


Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Enterocolite Pseudomembranosa/diagnóstico , Enterocolite Pseudomembranosa/terapia , Infecções por Clostridium/complicações , Infecções por Clostridium/diagnóstico , Infecções por Clostridium/microbiologia , Diarreia/complicações , Diarreia/diagnóstico , Radiografia Abdominal/métodos , Metronidazol/uso terapêutico , Fatores de Risco , Enterocolite Pseudomembranosa/fisiopatologia , Atenção Primária à Saúde/métodos , Clostridium/isolamento & purificação , Enterocolite Pseudomembranosa/complicações , Atenção Primária à Saúde/tendências , Atenção Primária à Saúde , Clostridioides difficile/patogenicidade , Hipertensão/complicações
19.
Gastroenterol. hepatol. (Ed. impr.) ; 31(supl.4): 42-46, oct. 2008.
Artigo em Espanhol | IBECS | ID: ibc-61285

RESUMO

Se presentaron alrededor de 1.000 comunicaciones sobreenfermedad inflamatoria intestinal en la DDW 2008. Nuestraintención en este trabajo es resumir lo más importantepresentado con respecto a métodos diagnósticos, tabaco,cáncer, en relación con las EII. La resonancia megnéticaparece que está adquiriendo cada vez más importancia enel diagnóstico de la enfermedad de Crohn. Siguen acumulándosedatos que demuestran que el tabaco influye negativamenteen la evolución de la enfermedad de Crohn tambiéncuando es tratada en unidades muy especializadas,incluso con dosis moderadas. Al incluir los estudios de basepoblacional, el cáncer colorrectal no es tan frecuente comoseñalan los estudios procedentes de centros de referencia.Sin embargo, su incidencia sigue justificando las medidasde vigilancia, aunque cada vez más datos sugieren que unbuen control de la inflamación es clave para disminuir laincidencia del cáncer(AU)


At DDW 2008 around 1000 abstracts on inflammatory boweldisease were presented. Our goal in this report is to sumariesthe most important new data on diagnosis, smokingand cancer related to IBD. MRI is emerging as a basic diagnostictool in Crohn’s disease. New data are accumulatingdemonstrating that smoking has a negative impacto on naturalhistory of CD even when treated in very specializedunits, and with moderate tobacco use. When population-basedstudies are considered, colorrectal cancer is not so a frequentcomplication as has been reported in referente centres.However, its incidente does fully justify surveillance,although more and more data show that the key point to disminshthe incidence of cancer is a good control of inflammation(AU)


Assuntos
Humanos , Masculino , Feminino , Doenças Inflamatórias Intestinais/complicações , Doenças Inflamatórias Intestinais/epidemiologia , Doença de Crohn/complicações , Doença de Crohn/epidemiologia , Colite Ulcerativa/complicações , Colite Ulcerativa/epidemiologia , Neoplasias Colorretais/complicações , Neoplasias Colorretais/epidemiologia , Clostridium/patogenicidade , Infecções por Clostridium/complicações , Imageamento por Ressonância Magnética/métodos , Doenças Inflamatórias Intestinais/diagnóstico , /métodos , Doenças Inflamatórias Intestinais/genética
20.
Rev. ortop. traumatol. (Madr., Ed. impr.) ; 51(2): 80-83, mar.-abr. 2007. ilus
Artigo em Es | IBECS | ID: ibc-65531

RESUMO

Objetivo y caso clínico. Se expone el caso clínico de un paciente de 64 años de edad diagnosticado de leucemia mieloide aguda (LMA) con aplasia medular que desarrolló un proceso compatible con una infección necrosante de partes blandas (INPB) en el muslo derecho en un plazo de 12 horas. Se realizó de urgencia una fasciotomía y desbridamiento radical de la extremidad afecta y se instauró tratamiento antibiótico con penicilina. A las cuatro horas de la intervención se produjo el fallecimiento del paciente. Conclusiones. La singularidad del caso presentado reside en el hallazgo en la necropsia de una mionecrosis de la extremidad inferior, producida por contigüidad a partir de una enterocolitis necrosante por Clostridium septicum en el contexto de un paciente inmunodeprimido, hecho que sin duda contribuyó al rápido desenlace del cuadro clínico, a pesar del tratamiento realizado


Purpose and clinical case. This is a clinical case of a 64 year-old patient diagnosed with acute myeloid leukemia (AML) with medullary aplasia who developed infectious soft tissue necrosis (ISTN) of the right thigh in a time-frame of 12 hours. An emergency fasciotomy and radical debridement of the affected limb were carried out and antibiotic treatment with penicillin was initiated. Four hours after surgery the patient died. Conclusions. The unique nature of this case lies in the fact that on autopsy lower limb myonecrosis was found, caused by contiguity to necrotizing enterocolitis caused by Clostridium septicum in an immunodepressed patient, a fact that undoubtedly contributed to the rapid clinical progress of the condition and its end-result, in spite of the treatment applied (AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Necrose , Infecções dos Tecidos Moles/complicações , Infecções por Clostridium/complicações , Clostridium/patogenicidade , Leucemia Mieloide Aguda/complicações , Penicilinas/uso terapêutico , Desbridamento , Coxa da Perna
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