RESUMO
A 46-year-old man and a 58-year-old man, both known for several years with HIV infection, were admitted for operations due to aortic valve insufficiency (aortic valve replacement) and posttraumatic coxarthrosis (total hip replacement) respectively. In accordance with the protocol, preoperative viral infections (HIV, hepatitis B and C) were inventoried, the HIV viral load was lowered medicinally and the operation team informed. During each operation a consultant was present in the operating theatre to provide advice in the case of a needlestick or cut accident. No accidents occurred. Both patients were discharged to home in a good condition.
Assuntos
Insuficiência da Valva Aórtica/cirurgia , Artroplastia de Quadril , Cirurgia Geral , Infecções por HIV/transmissão , Lesões do Quadril/cirurgia , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Insuficiência da Valva Aórtica/complicações , Infecções por HIV/complicações , Lesões do Quadril/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Carga ViralRESUMO
Three chemotherapy-induced neutropenic hematologic patients with severe systemic infection caused by Fusobacterium nucleatum, a Gram-negative anaerobic rod, are described. Anaerobic infections are not very common in this patient category, but in a short period of time, several such patients were seen. The infection was considered to be caused by a combination of chemotherapy-induced mucositis, which served as a portal of entry for the systemic infection, and the antibiotic regime used in these patients. This is a serious infection with a high mortality. In hematological neutropenic patients suffering from severe mucositis and fever, antibiotic therapy should cover anaerobic bacteria.