RESUMO
Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations. We report a 59 years old male with severe sequelae of a previous cerebrovascular accident that consulted in the emergency room for fever of 15 days of evolution. A right empyema was diagnosed. The bacteriological culture of the effusion disclosed the presence of Streptococcus constellatus and two anaerobic strains (Prevotella intermedia and Fusobacterium urealyticus). The patient was treated with a pleural drainage and received ceftriaxone and clindamycin during six weeks. He was discharged in good conditions and is asymptomatic after eight months of follow up.
Assuntos
Empiema Pleural/microbiologia , Infecções Estreptocócicas/complicações , Streptococcus constellatus , Drenagem , Empiema Pleural/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Estreptocócicas/terapia , Acidente Vascular Cerebral/complicaçõesRESUMO
BACKGROUND: Atrial fibrillation (AF) is well-known risk factor for cardiac embolic events, especially cerebrovascular events. The association between AF and lipid markers was evaluated. Among all these markers, lipoprotein(a), or (Lp(a), was also investigated. The aim of our study was to evaluate the characteristics of the lipid profile in patients with AF, focusing on Lp(a) levels. MATERIAL/METHODS: One hundred and one patients with AF were included in the study group. We used 101 patients without AF, matched by sex and age with the study group, as the control group. Total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, Lp(a), and the LDL/HDL, COL/LDL, and COL/HDL indexes were measured. The study was performed in Spain with a Caucasian population. RESULTS: Among all the variables included there was statistical difference only between groups in the COL/HDL index, showing a greater value in the group of patients with AF. No difference was found in Lp(a) levels between the groups. CONCLUSIONS: Although some studies have tried to show a possible relationship between AF and high Lp(a) levels, we found no such relationship in our study, although ethnic differences could explain, at least in part, these results in our patients when compared with other ethnic populations.
Assuntos
Fibrilação Atrial , Lipídeos/sangue , Lipoproteína(a)/sangue , Idoso , Biomarcadores/sangue , Estudos de Casos e Controles , Colesterol/sangue , Colesterol/genética , HDL-Colesterol/sangue , HDL-Colesterol/genética , LDL-Colesterol/sangue , LDL-Colesterol/genética , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Lipídeos/genética , Lipoproteína(a)/genética , Lipoproteínas LDL/sangue , Lipoproteínas LDL/genética , Masculino , Fatores de Risco , Triglicerídeos/sangue , Triglicerídeos/genética , População Branca/genéticaRESUMO
Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations. We report a 59 years old male with severe sequelae of a previous cerebrovascular accident that consulted in the emergency room for fever of 15 days of evolution. A right empyema was diagnosed. The bacteriological culture of the effusion disclosed the presence of Streptococcus constellatus and two anaerobic strains (Prevotella intermedia and Fusobacterium urealyticus). The patient was treated with a pleural drainage and received ceftriaxone and clindamycin during six weeks. He was discharged in good conditions and is asymptomatic after eight months of follow up.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Empiema Pleural/microbiologia , Infecções Estreptocócicas/complicações , Streptococcus constellatus , Drenagem , Empiema Pleural/terapia , Infecções Estreptocócicas/terapia , Acidente Vascular Cerebral/complicaçõesRESUMO
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