RESUMEN
Abstract: We describe a severe case of swimmer's itch in Victoria with widespread bullous eruption, which is a rare manifestation of this condition and presented a diagnostic challenge. This is the first case reported in Victoria, having been previously reported in more northern parts of Australia; with climate change trends, swimmer's itch is likely to become increasingly common in southern parts of the region.
Asunto(s)
Dermatitis , Enfermedades del Sistema Inmune , Esquistosomiasis , Enfermedades Cutáneas Parasitarias , Humanos , Victoria/epidemiología , NataciónRESUMEN
Mycotic aneurysms are a well-recognised complication of non-typhoidal Salmonella bacteraemia; the risk is increased in patients with atherosclerotic disease. The infrarenal abdominal aorta is the most common site of infection; lower extremity aneurysms are uncommon.1Here we present the case of a patient with cardiovascular disease and recurrent non-typhoidal Salmonella bacteraemia, who developed a left-sided popliteal artery mycotic aneurysm with secondary popliteal vein thrombosis. The aneurysm was diagnosed upon rupture, and managed with surgical excision and bypass graft. He went on to have a complete recovery.This case illustrates the importance of clinician awareness of popliteal artery endovascular infection as a rare but significant complication of non-typhoidal Salmonella bacteraemia, which should be considered in cases with cardiovascular risk factors, recurrent or persistent bacteraemia, and lower limb deep vein thrombosis.
Asunto(s)
Aneurisma Infectado , Aneurisma de la Arteria Poplítea , Infecciones por Salmonella , Masculino , Humanos , Aneurisma Infectado/complicaciones , Aneurisma Infectado/diagnóstico por imagen , Aneurisma Infectado/cirugía , Arteria Poplítea/diagnóstico por imagen , Arteria Poplítea/cirugía , Salmonella , Infecciones por Salmonella/complicaciones , Infecciones por Salmonella/diagnóstico , Extremidad InferiorRESUMEN
Vasculitic skin rash is a rare but known manifestation of azathioprine hypersensitivity reactions, with several published case reports. In this report, we describe the case of a 63-year-old man on azathioprine for autoimmune hepatitis, who developed a delayed systemic hypersensitivity reaction with biopsy-proven vasculitis, approximately 10 months into his treatment. This resolved after azathioprine discontinuation and has not recurred to date after subsequent administration of 6-mercaptopurine. This case highlights the need for continued monitoring for delayed hypersensitivity reactions to azathioprine after initiation of therapy.