RESUMO
We report the case of a patient who developed bacteraemia and septic pulmonary emboli with Lactobacillus acidophilus after taking a probiotic containing this organism.
Assuntos
Síndrome da Imunodeficiência Adquirida/tratamento farmacológico , Bacteriemia/diagnóstico , Infecções por Bactérias Gram-Positivas/diagnóstico , Doença de Hodgkin/tratamento farmacológico , Lactobacillus acidophilus , Probióticos/efeitos adversos , Síndrome da Imunodeficiência Adquirida/complicações , Adulto , Bacteriemia/etiologia , Diagnóstico Diferencial , Infecções por Bactérias Gram-Positivas/etiologia , Doença de Hodgkin/complicações , Humanos , MasculinoRESUMO
Infections from Streptococcus dysgalactiae ssp. equisimilis (SDSE) can cause a wide variety of infections, ranging from mild cellulitis to invasive disease, such as endocarditis and streptococcal toxic shock-like syndrome (TSLS). Despite prompt and appropriate antibiotics, mortality rates associated with shock have remained exceedingly high, prompting the need for adjunctive therapy. IVIG has been proposed as a possible adjunct, given its ability to neutralize a wide variety of superantigens and modulate a dysregulated inflammatory response. We present the first reported cases of successful IVIG therapy for reversing shock in the treatment of SDSE TSLS.
RESUMO
To our knowledge, pseudotumor cerebri as a complication of Lyme disease has been described only in children. We report the first case of an adult with pseudotumor cerebri due to Lyme disease and the use of serial lumbar punctures as the sole therapy.