Subject(s)
Attitude of Health Personnel , Medically Uninsured , Nursing Care/psychology , Nursing Staff/psychology , Prejudice , Female , Humans , Infant, Newborn , PregnancyABSTRACT
A 73-year-old man presented to our hospital 5 months after a porcine replacement of an aortic valve with persistent fevers, meningoencephalopathy, and progressive renal failure; evidence of systemic emboli was found subsequently. The results of an exhaustive evaluation were negative except for two of 23 blood cultures that were performed; each of these two cultures yielded one colony of Drechslera species (now known as Bipolaris) on one plate. Autopsy revealed a fungal vegetation (9.5 x 3.2 x 3.0 cm) in the ascending aorta that arose from suture material 1.0 cm distal to the aortic valve. Mycologic evaluation of the isolate revealed that it was Bipolaris spicifera.
Subject(s)
Bioprosthesis , Endarteritis/microbiology , Heart Valve Prosthesis , Mitosporic Fungi/isolation & purification , Mycoses/microbiology , Aged , Fungemia/microbiology , Humans , MaleSubject(s)
Fish Oils/adverse effects , Lymph Nodes/pathology , Aged , Female , Humans , Hyperplasia/etiologyABSTRACT
Peripheral blood cytopenia due to documented marrow necrosis is an unusual occurrence. This report describes a diabetic patient who presented with profound anemia and thrombocytopenia. Extensive bone marrow necrosis was demonstrated. He had a large renal cyst that contained hyphae later identified as Mucor species. It is postulated that the marrow necrosis was a direct or indirect result of Mucor infection. The phenomenon of bone marrow necrosis in reviewed.