RESUMO
â¢Tracheostomy wound myiasis is rarely observed in unconscious and immobile patients.â¢Maggots in the vicinity of the tracheostomy site should be closely monitored.â¢Controlling myiasis in hospitals requires fly control and patient fluid management.
RESUMO
Amenamevir has been approved for the treatment of herpes zoster (HZ); however, its therapeutic efficacy against central nervous system (CNS) infection may be insufficient due to its low spinal fluid permeability. We herein report a case of aseptic meningitis in a 91-year-old Japanese man treated with amenamevir for HZ in the trigeminal nerve region. Several cases of CNS infection have been reported in patients receiving amenamevir treatment for HZ. Patients with CNS complications often have skin rashes near the trigeminal region. Thus, we should be alert for signs of CNS infection when administering amenamevir to patients with such rashes.
Assuntos
Exantema , Herpes Zoster , Meningite Asséptica , Idoso de 80 Anos ou mais , Antivirais/uso terapêutico , Herpes Zoster/complicações , Herpes Zoster/tratamento farmacológico , Herpesvirus Humano 3 , Humanos , Masculino , Meningite Asséptica/tratamento farmacológico , Meningite Asséptica/etiologia , Oxidiazóis , Nervo TrigêmeoRESUMO
Severe acute respiratory syndrome coronavirus 2 rapid antigen detection (RAD) test kits are widely used as primary screening test in Japan because rapid diagnosis of coronavirus disease 2019 (COVID-19) is critical for infection control. We report cases with RAD test false-positive results in a ward for patients with disabilities. RAD tests potentially evoke hospital operational risk. It is desirable that performing PCR test appropriately when patients admitted to a medical treatment ward with COVID-19 symptoms instead of RAD test.