RESUMO
Helicobacter cinaedi causes bacteremia, cellulitis, and gastroenteritis. We report the first case of vertebral osteomyelitis caused by H. cinaedi in an elderly man with low back pain and fever. The pathogen was detected in blood and lumbar disc, and the infection was successfully treated with oral doxycycline for 11 weeks.
Assuntos
Infecções por Helicobacter/diagnóstico , Infecções por Helicobacter/patologia , Helicobacter/isolamento & purificação , Osteomielite/diagnóstico , Osteomielite/patologia , Espondilite/diagnóstico , Espondilite/patologia , Idoso , Antibacterianos/administração & dosagem , Doxiciclina/administração & dosagem , Infecções por Helicobacter/tratamento farmacológico , Infecções por Helicobacter/microbiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Osteomielite/tratamento farmacológico , Osteomielite/microbiologia , Radiografia , Coluna Vertebral/diagnóstico por imagem , Espondilite/tratamento farmacológico , Espondilite/microbiologia , Resultado do TratamentoRESUMO
Elevation of ALP is an abnormal feature in TAFRO syndrome, but the cause is unknown. This article is the first report that histologically showed intrahepatic cholangitis may be the cause of ALP elevation in TAFRO syndrome.
RESUMO
Exacerbation of liver enzymes after the initiation of feeding in malnourished patients is caused by refeeding syndrome or persistent starvation. There are no definite clinical markers for distinguishing between the two conditions. We herein report a 63-year-old woman with starvation-induced liver enzyme elevation. Her body weight was inversely associated with the liver enzyme levels after refeeding, which was a different course from refeeding syndrome. Normalization of liver enzymes ensued as the caloric intake increased and weight gain progressed. Daily changes in body weight can be a useful clinical marker for distinguishing between refeeding syndrome and starvation-induced liver enzyme elevation.