ABSTRACT
Coagulase-negative staphylococci and Staphylococcus aureus are the commonest pathogens involved in infections of pacemaker-defibrillator systems. Among causative Gram-negative bacteria, infections due to Klebsiella, Serratia, Pseudomonas, Acinetobacter and other species have been reported. We report herein a unique case of an automatic implantable cardioverter defibrillator infection due to Providencia rettgeri in a 65-year-old male who was admitted to our service with bacteremia and infection of the generator and subcutaneous array in a recently implanted device.
ABSTRACT
A case of a patient is reported who was admitted with massive intestinal haemorrhaging after 10 days of medical discomfort, characterized by persistent fever, headache and abdominal pain. The patient did not respond to medical treatment: antibiotics, blood transfusions and fluid replacement and required emergency surgical intervention. Intestinal resection with primary anastomosis was performed, controlling the bleeding. Following the testing of blood cultures and histopathological study infection by the S. tiphy bacteria was recorded by testing. In Latin America this strain of typhoid fever was common until the beginning of the 90's, before the cholera epidemic and has rarely been seen in the past 15 years.
Subject(s)
Gastrointestinal Hemorrhage/etiology , Typhoid Fever/complications , Adult , Humans , Male , Recurrence , Severity of Illness IndexABSTRACT
Reportamos el caso de un paciente que fue admitido por presentar un cuadro de enterorragia masiva luego de 10 días de evolución, caracterizado por fiebre persistente, cefalea global y dolor abdominal, el cual no respondió al tratamiento médico con antibióticos, transfusiones y resucitación con fluidos, requiriendo intervención quirúrgica de emergencia. Se realizó una resección intestinal con anastomosis primaria, controlando así el sangrado. Se documentó la infección con S. tiphy en los hemocultivos y en la histopatología. En América Latina esta complicación de fiebre tifoidea fue común hasta inicios de la década del 90, antes de la epidemia del cólera. Este tipo de complicación ha sido raramente vista en los últimos 15 años.
A case of a patient is reported who was admitted with massive intestinal haemorrhaging after 10 days of medical discomfort, characterized by persistent fever, headache and abdominal pain. The patient did not respond to medical treatment: antibiotics, blood transfusions and fluid replacement and required emergency surgical intervention. Intestinal resection with primary anastomosis was performed, controlling the bleeding. Following the testing of blood cultures and histopathological study infection by theS.tiphy bacteria was recorded by testing. In Latin America this strain of typhoid fever was common until the beginning of the 90´s, before the cholera epidemic and has rarely been seen in the past 15 years.
