RESUMEN
Mucormycosis are opportunist infections occurring usually among predisposed patients. We report a case of an 18-year-old male with a severe thoracic trauma who developed an Absidia infection on his contused pulmonary parenchyma, without presenting the usual risk factors (diabetes mellitus, immunodeficiency). The early diagnosis using bronchoscopy has probably improved the outcome by allowing a faster treatment. After 18-months, the infectious process resolved thanks to a combination of a medical treatment composed of high-dose amphotericin B lipid formulation, itraconazole and a complementary surgical treatment.
Asunto(s)
Absidia/aislamiento & purificación , Enfermedades Pulmonares Fúngicas/etiología , Mucormicosis/etiología , Traumatismo Múltiple/complicaciones , Adolescente , Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Ciclismo/lesiones , Daño Encefálico Crónico/etiología , Lesiones Encefálicas/complicaciones , Tronco Encefálico/irrigación sanguínea , Hemorragia Cerebral/etiología , Terapia Combinada , Quimioterapia Combinada , Humanos , Itraconazol/uso terapéutico , Absceso Pulmonar/tratamiento farmacológico , Absceso Pulmonar/etiología , Absceso Pulmonar/cirugía , Enfermedades Pulmonares Fúngicas/tratamiento farmacológico , Enfermedades Pulmonares Fúngicas/cirugía , Masculino , Mucormicosis/tratamiento farmacológico , Mucormicosis/cirugía , Neumonectomía/métodos , Traumatismos Torácicos/complicaciones , Vancomicina/uso terapéuticoRESUMEN
The vacuum-assisted closure (VAC) system is used for the treatment of complicated wounds and large tissular dehiscences. The study aim was to report a case of perineal gangrene extended to the abdominal wall in a 53-year old woman. After several extensive surgical debridments, using of the VAC was followed by a good and rapid healing of the wound.
Asunto(s)
Músculos Abdominales/patología , Músculos Abdominales/cirugía , Perineo/patología , Perineo/cirugía , Femenino , Gangrena/terapia , Humanos , Persona de Mediana Edad , Procedimientos Quirúrgicos Operativos/métodos , VacioRESUMEN
We report a case of severe Adenovirus type 7 pleuropneumonia in an immunocompetent adult. The treatment required a mechanical ventilation with tracheostomy. The sequelae was a restrictive respiratory insufficiency. Adenovirus is a common cause of pneumonia in children, in military recruits or in immunocompromised adults. However, it is an infrequent cause of such a severe complication in a healthy adult.