RESUMO
Abstract Eggerthella lenta is a gram-positive anaerobic bacillus that has been associated with life-threatening infections. Bacteremia is always clinically significant and is mostly but not always associated with gastrointestinal disease. We present a unique case of abrupt deterioration and rapid development of septic shock secondary to periurethral abscess caused by E. lenta infection. This case highlights the atypical clinical presentation, risk factors, uncommon source of infection, challenges in therapy, and outcome of this infrequent infection. There is still a gap in the understanding of E. lenta pathogenicity, and more literature is needed to establish clear management recommendations.
Assuntos
Humanos , Masculino , Doenças Uretrais/diagnóstico por imagem , Bacteriemia/microbiologia , Actinobacteria/isolamento & purificação , Abscesso/diagnóstico por imagem , Doenças Uretrais/tratamento farmacológico , Tomografia Computadorizada por Raios X , Fatores de Risco , Infecções por Bactérias Gram-Positivas/diagnóstico , Infecções por Bactérias Gram-Positivas/microbiologia , Actinobacteria/classificação , Infecção Pélvica/diagnóstico , Infecção Pélvica/microbiologia , Abscesso/microbiologia , Abscesso/tratamento farmacológico , Pessoa de Meia-Idade , Antibacterianos/uso terapêuticoRESUMO
Hydatid disease is an infection caused by larval stage of Echinococcus granulosus in humans, which are carried as tapeworms by canines. The most frequent organs affected in humans are liver and lungs. We presented a case of pelvic hydatic cyst which is a rare occurrence. There was a 75 years old man with a history of admission for left lower limb edema suspected to DVT. The patient was suffering from generalized abdominal pains especially in LLQ. On pelvic ultrasound and CT scan, a cystic mass with internal septation on the left side of pelvis was reported. After surgery, pathology report of removed cyst confirmed the hydatid cyst. In endemic regions, in patients complaining of lower limb edema and suspected to have DVT, pelvic mass lesions such as hydatic cyst should be born in mind
Assuntos
Humanos , Masculino , Idoso , Echinococcus granulosus , Infecção Pélvica/microbiologia , Edema/diagnóstico , Extremidade InferiorRESUMO
Pelvic actinomycosis is a chronic granulomatous suppurative disease caused by actinomyces israeli. Intravenous penicillin is the preferred antimicrobial but it requires hospitalization up to one month. An outpatient treatment strategy would be cost effective and a good choice for patients. Here we present three cases in which intramuscular ceftriaxone was successfully used in the outpatient settings following surgery and IV penicillin treatment in the hospital.