ABSTRACT
The common sites of esophageal diverticula are the pharyngoesophageal junction, midesophagus and epiphrenic. The pathophysiological mechanisms of acquired esophageal diverticula are traction and pulsion forces. Traction diverticula of the midesophagus are usually asymptomatic, and found incidentally on an esophagogastroduodenoscopy or barium contrast esophagogram. Midesophageal traction diverticula are caused by inflammatory processes between the external wall of the esophagus and the adjacent structure. Pneumonia, bronchoesophageal fistula and gastrointestinal bleeding can occur due to an extension of inflammatory process into the lung or blood vessels. There are a few reports of midesophageal diverticular bleeding. We present a case of massive upper gastrointestinal bleeding from a traction diverticulum of the midesophagus that was successfully managed by endoscopic treatment.
Subject(s)
Barium , Blood Vessels , Diverticulum , Diverticulum, Esophageal , Endoscopy , Endoscopy, Digestive System , Esophagus , Fistula , Hemorrhage , Lung , Pneumonia , TractionABSTRACT
Gemella morbillorum is catalase-negative, facultative, anaerobic, gram-positive cocci which is generally thought to be normal inhabitants of mucous membrane in oral cavity, upper respiratory tract, and genitourinary tract of human. It rarely causes infective endocaditis, bacteremia, pneumonia, and localized infection such as lung empyema, brain abscess, and liver abscess. We report a case of bacteremia caused by G. morbillorum in a 44-year-old man who had been an alcoholic and suffered from dental caries. He was successfully treated with antimicrobial therapy
Subject(s)
Adult , Humans , Alcoholics , Bacteremia , Brain Abscess , Dental Caries , Empyema , Gemella , Gram-Positive Cocci , Liver Abscess , Lung , Mouth , Mucous Membrane , Pneumonia , Respiratory SystemABSTRACT
Flavimonas oryzihabitans is a yellow-pigmented, non-spore forming, gram-negative bacillus mainly found in damp environments such as soil and stagnant water. F. oryzihabitans is an uncommon cause of clinically significant human infection. This organism has been mainly reported to cause infection related to indwelling intravenous catheters, continuous ambulatory peritoneal dialysis catheters or surgical procedures in immune compromised hosts or cancer patients. We report a case of community-acquired infective endocarditis caused by F. oryzihabitans in a 24-year-old man who had no significant past medical history. He was successfully treated by antimicrobial therapy and mitral valvuloplasty.
Subject(s)
Humans , Young Adult , Bacillus , Catheters , Community-Acquired Infections , Endocarditis , Peritoneal Dialysis, Continuous Ambulatory , Pseudomonas , SoilABSTRACT
Gemella morbillorum is catalase-negative, facultative, anaerobic, gram-positive cocci which is generally thought to be normal inhabitants of mucous membrane in oral cavity, upper respiratory tract, and genitourinary tract of human. It rarely causes infective endocaditis, bacteremia, pneumonia, and localized infection such as lung empyema, brain abscess, and liver abscess. We report a case of bacteremia caused by G. morbillorum in a 44-year-old man who had been an alcoholic and suffered from dental caries. He was successfully treated with antimicrobial therapy
Subject(s)
Adult , Humans , Alcoholics , Bacteremia , Brain Abscess , Dental Caries , Empyema , Gemella , Gram-Positive Cocci , Liver Abscess , Lung , Mouth , Mucous Membrane , Pneumonia , Respiratory SystemABSTRACT
Flavimonas oryzihabitans is a yellow-pigmented, non-spore forming, gram-negative bacillus mainly found in damp environments such as soil and stagnant water. F. oryzihabitans is an uncommon cause of clinically significant human infection. This organism has been mainly reported to cause infection related to indwelling intravenous catheters, continuous ambulatory peritoneal dialysis catheters or surgical procedures in immune compromised hosts or cancer patients. We report a case of community-acquired infective endocarditis caused by F. oryzihabitans in a 24-year-old man who had no significant past medical history. He was successfully treated by antimicrobial therapy and mitral valvuloplasty.