RESUMO
Corynebacterium ulcerans is a bacterium able to infect humans by inducing a disease close to diphtheria. We describe the case of a 83-year-old patient hospitalized as a matter of urgency in intensive care for which C. ulcerans was isolated in pure culture in its bronchial samples. Even if the isolate was not secreting toxin in vitro, it possesses the tox gene which motivated the use of specific antitoxin serum. After two months of intensive care the patient went out of the service. It is about a remarkable case of clinicobiologic collaboration.
Assuntos
Infecções por Corynebacterium/complicações , Corynebacterium/isolamento & purificação , Atelectasia Pulmonar/microbiologia , Infecções Respiratórias/microbiologia , Síndrome Respiratória Aguda Grave/microbiologia , Idoso de 80 Anos ou mais , Cuidados Críticos , Feminino , Humanos , Atelectasia Pulmonar/terapia , Infecções Respiratórias/terapia , Síndrome Respiratória Aguda Grave/terapiaRESUMO
When seen, some habits of calcium oxalate monohydrate crystals (whewellite) are so typical of ethylene glycol intoxication that they may be helpful for its diagnosis when circumstances are not clearly established.
Assuntos
Oxalato de Cálcio/urina , Etilenoglicol/intoxicação , Acidose/etiologia , Adulto , Alcoolismo/complicações , Anuria/induzido quimicamente , Anuria/terapia , Coma/induzido quimicamente , Cristalização , Feminino , Hemofiltração , Humanos , Masculino , Pessoa de Meia-Idade , Intoxicação/terapia , Diálise Renal , Tentativa de SuicídioRESUMO
Corynebacterium ulcerans is a bacterial species with high importance because it causes infections in animals and, rarely, in humans. Its virulence mechanisms remain unclear. The current study describes the draft genome of C. ulcerans FRC58, which was isolated from the bronchitic aspiration of a patient in France.
RESUMO
Metronidazole resistance among Prevotella spp. is rare. We report here the first case of bacteremia due to a high-level metronidazole-resistant Prevotella sp. responsible for treatment failure.