RESUMEN
Enterobacter cloacae cardiac implantable electronic device infections are rare but can be associated with significant morbidity and mortality. We report an 11-year-old female with Enterobacter cloacae infection of a dual-chamber transvenous pacemaker pocket. The report is supplemented by a comprehensive review of the literature on Enterobacter cloacae cardiac implantable electronic device infections.
RESUMEN
We describe a case of a 22-year-old male who presented to our facility 1 hour after a snake bite, which he identified as the desert black snake. He presented with severe weakness and respiratory distress. He was treated with polyvalent antivenom and observed in the Intensive Care Unit (ICU) with resolution of his respiratory symptoms. He developed paresthesias locally around his wound and later complained of diplopia. Two days later, he had total resolution of his symptoms. This is one of the only clinical reports of neurotoxic effects after Walterinnesia morgani envenomation.
Asunto(s)
Antivenenos/administración & dosificación , Venenos Elapídicos/antagonistas & inhibidores , Síndromes de Neurotoxicidad/terapia , Mordeduras de Serpientes/terapia , Animales , Diagnóstico Diferencial , Disnea/etiología , Tratamiento de Urgencia , Fatiga/etiología , Humanos , Masculino , Síndromes de Neurotoxicidad/complicaciones , Síndromes de Neurotoxicidad/diagnóstico , Mordeduras de Serpientes/complicaciones , Mordeduras de Serpientes/diagnóstico , Adulto JovenRESUMEN
Necrobacillosis due to Fusobacterium necrophorum is an uncommon anaerobic infection. It has a wide range of presentations and commonly presents as Lemierre's syndrome. We present a case of necrobacillosis defined by F. necrophorum bacteremia with epidural and pararectal fluid collection without evidence of internal jugular vein thrombophlebitis.
Asunto(s)
Infecciones por Fusobacterium/diagnóstico , Fusobacterium necrophorum/aislamiento & purificación , Sepsis/diagnóstico , Adolescente , Absceso Epidural/diagnóstico , Absceso Epidural/patología , Infecciones por Fusobacterium/microbiología , Cabeza/diagnóstico por imagen , Humanos , Masculino , Radiografía , Sepsis/complicaciones , Sepsis/microbiología , TomografíaAsunto(s)
Obstrucción Intestinal , Humanos , Lactante , Obstrucción Intestinal/microbiología , Obstrucción Intestinal/etiología , Intestino Delgado/microbiología , Intestino Delgado/patología , Mycobacterium avium/aislamiento & purificación , Complejo Mycobacterium avium/aislamiento & purificación , Infección por Mycobacterium avium-intracellulare/diagnóstico , Infección por Mycobacterium avium-intracellulare/complicaciones , Infección por Mycobacterium avium-intracellulare/microbiología , Infección por Mycobacterium avium-intracellulare/tratamiento farmacológico , Tuberculosis Gastrointestinal/complicaciones , Tuberculosis Gastrointestinal/diagnóstico , Tuberculosis Gastrointestinal/tratamiento farmacológicoAsunto(s)
Bacteriemia/diagnóstico , Huésped Inmunocomprometido , Lupus Eritematoso Sistémico/complicaciones , Nocardiosis/diagnóstico , Neumonía Bacteriana/diagnóstico , Antibacterianos , Bacteriemia/complicaciones , Bacteriemia/tratamiento farmacológico , Biopsia con Aguja , Niño , Quimioterapia Combinada/administración & dosificación , Estudios de Seguimiento , Humanos , Lupus Eritematoso Sistémico/diagnóstico , Lupus Eritematoso Sistémico/inmunología , Masculino , Nocardiosis/complicaciones , Nocardiosis/tratamiento farmacológico , Nocardiosis/inmunología , Neumonía Bacteriana/complicaciones , Neumonía Bacteriana/tratamiento farmacológico , Neumonía Bacteriana/inmunología , Recurrencia , Medición de Riesgo , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
We report a 1-month-old infant with Kawasaki disease and peripheral gangrene. We advocate using the newly published American Heart Association guidelines advising early laboratory and echocardiogram investigations in infants with fever but without other classic manifestations of Kawasaki disease. Initiation of early therapy may prevent this serious complication with its permanent sequelae.
Asunto(s)
Pie/patología , Isquemia/etiología , Síndrome Mucocutáneo Linfonodular/complicaciones , Abciximab , Amputación Quirúrgica , Antibacterianos/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Anticoagulantes/uso terapéutico , Antitrombina III/antagonistas & inhibidores , Aspirina/uso terapéutico , Dipiridamol/uso terapéutico , Pie/cirugía , Gangrena/etiología , Gangrena/terapia , Glucocorticoides/uso terapéutico , Heparina/uso terapéutico , Humanos , Fragmentos Fab de Inmunoglobulinas/uso terapéutico , Inmunoglobulinas Intravenosas/uso terapéutico , Lactante , Isquemia/terapia , Masculino , Metilprednisolona/uso terapéutico , Síndrome Mucocutáneo Linfonodular/diagnóstico , Síndrome Mucocutáneo Linfonodular/tratamiento farmacológico , Nitroglicerina/uso terapéutico , Inhibidores de Agregación Plaquetaria/uso terapéutico , Vasodilatadores/uso terapéuticoRESUMEN
A 3-month-old infant of 33 weeks' gestation was hospitalized with pneumonia caused by Bordetella pertussis. Respiratory insufficiency worsened, and on hospital day 3, there was severe pulmonary dysfunction (arterial oxygen pressure/fraction of inspired oxygen ratio: 120), extreme leukocytosis (white blood cell count 104,000/mm3), and severe pulmonary hypertension as assessed by 2-dimensional echocardiogram. A double volume exchange transfusion was performed to reduce the leukocyte mass. Oxygenation began to improve during the exchange and continued to improve over the ensuing 31 hours (arterial oxygen pressure/fraction of inspired oxygen ratio: 280). The white blood cell count fell dramatically after the exchange, and the rate of rise was slower after exchange therapy compared with preexchange.