RESUMO
Corynebacteria are more commonly being recognized as significant human pathogens. We describe a case of Coryneform group A-4 sepsis secondary to infection of a Hickman catheter in an immunocompromised man; the organism was identified by biochemical analysis conducted at the Louisiana State Reference Laboratory.
Assuntos
Infecções por Actinomycetales/etiologia , Actinomycetales/patogenicidade , Sepse/etiologia , Actinomycetales/classificação , Actinomycetales/isolamento & purificação , Infecções por Actinomycetales/tratamento farmacológico , Infecções por Actinomycetales/microbiologia , Bacteriemia/tratamento farmacológico , Bacteriemia/etiologia , Bacteriemia/microbiologia , Cateteres de Demora/efeitos adversos , Ceftriaxona/uso terapêutico , Cefalosporinas/uso terapêutico , Humanos , Hospedeiro Imunocomprometido , Masculino , Pessoa de Meia-Idade , Sepse/tratamento farmacológico , Sepse/microbiologiaRESUMO
Peritonitis, a common complication of chronic ambulatory peritoneal dialysis (CAPD), arises from various bacterial pathogens. We report the case of a patient with CAPD-associated peritonitis caused by Serratia marcescens. This case was further complicated by the development of osteomyelitis believed to have occurred from hematogenous seeding of Serratia marcescens.
Assuntos
Infecção Focal , Osteomielite/microbiologia , Diálise Peritoneal Ambulatorial Contínua/efeitos adversos , Peritonite/microbiologia , Osso Púbico/microbiologia , Infecções por Serratia , Serratia marcescens/isolamento & purificação , Adulto , Antibacterianos , Quimioterapia Combinada/administração & dosagem , Quimioterapia Combinada/uso terapêutico , Humanos , Masculino , Osteomielite/complicações , Peritonite/complicaçõesRESUMO
Fever and neutropenia is occurring in a wider variety of clinical settings, and the proper antibiotic therapy for its treatment is an area of debate. Our study is a retrospective analysis of the experience of the Oncology Division of the Medical Center of Baton Rouge, which used ceftazidime as monotherapy in the empiric treatment of fever and neutropenia. A total of 53 episodes in 38 patients were studied. Using ceftazidime as monotherapy in our study population was associated with an 8% mortality rate, indicating that monotherapy is a viable option for the treatment of fever and neutropenia.
Assuntos
Ceftazidima/uso terapêutico , Febre/tratamento farmacológico , Neoplasias/complicações , Neutropenia/tratamento farmacológico , Febre/etiologia , Bactérias Gram-Negativas , Humanos , Neutropenia/etiologia , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Axillary streptococcal cellulitis is rare but has been known to clinicians for years. Usually associated with trauma, it may, however, occur in previously healthy individuals who for unknown reasons can be slowly responsive to appropriate antibiotics.
