Asunto(s)
Infecciones Bacterianas/patología , Hemangioma Capilar/patología , Neoplasias Cutáneas/patología , Linfocitos T/patología , Infecciones Bacterianas/complicaciones , Proliferación Celular , Femenino , Granuloma Piogénico/patología , Hemangioma Capilar/microbiología , Humanos , Vasos Linfáticos/patología , Persona de Mediana Edad , Neoplasias Cutáneas/microbiología , Linfocitos T/microbiologíaRESUMEN
UNLABELLED: We report a case of group A streptococcal meningitis in an infant resulting from an infected capillary haemangioma. The child suffered significant morbidity including cerebral infarction, epilepsy, and developmental delay. Treatment of infected capillary haemangiomas remains controversial and inconsistent. CONCLUSION: Our experience of this infant, resulting in profound neurological morbidity suggests that group A Streptococcus can be a virulent organism in the young child and that capillary haemangiomas must be treated aggressively at the first sign of infection.
Asunto(s)
Hemangioma Capilar/complicaciones , Meningitis Bacterianas/microbiología , Neoplasias Cutáneas/complicaciones , Infecciones Cutáneas Estafilocócicas/microbiología , Streptococcus pyogenes , Encefalopatías/etiología , Discapacidades del Desarrollo/microbiología , Hemangioma Capilar/microbiología , Humanos , Lactante , Masculino , Neoplasias Cutáneas/microbiologíaRESUMEN
A 45-year-old woman experienced diffuse bilateral pulmonary capillary hemangiomatosis within 3 months after bilateral lung transplantation. The donor was a 41-year-old man with excellent lung function and without histologic or macroscopic pulmonary lesions at the time of retrieval. This case supports the theory that persistent infection or inflammation may be an inciting factor in uncontrolled angiogenesis, leading ultimately to diffuse pulmonary capillary hemangiomatosis.
Asunto(s)
Hemangioma Capilar/etiología , Hipertensión Pulmonar/etiología , Neoplasias Pulmonares/etiología , Trasplante de Pulmón/efectos adversos , Complicaciones Posoperatorias/etiología , Adulto , Biopsia , Femenino , Volumen Espiratorio Forzado/fisiología , Hemangioma Capilar/microbiología , Hemangioma Capilar/patología , Humanos , Hipertensión Pulmonar/microbiología , Hipertensión Pulmonar/patología , Neoplasias Pulmonares/microbiología , Neoplasias Pulmonares/patología , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/microbiología , Complicaciones Posoperatorias/patología , Infecciones por Pseudomonas/complicaciones , Infecciones por Pseudomonas/microbiología , Infecciones por Pseudomonas/patología , Pseudomonas aeruginosa , Capacidad Vital/fisiologíaRESUMEN
PURPOSE: To report atypical clinical features of Bartonella henselae neuroretinitis treated with combination antibiotics. METHOD: Case report. RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery occlusion with ischemic maculopathy, and vision loss that failed to improve with clindamycin. Treatment with doxycycline and rifampin led to rapid clinical improvement. The severe vision loss in this case is atypical. CONCLUSIONS: Ocular findings associated with B. henselae infection may include retinal angiomatous lesion and branch retinal artery occlusion. Doxycycline and rifampin were successful in treating the infection.
