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1.
J Med Microbiol ; 60(Pt 9): 1375-1378, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21459911

ABSTRACT

Mycobacterium fortuitum is a non-tuberculous mycobacterium that can cause pneumonia, abscess and empyema in subjects with predisposing lung diseases. However, pleurisy with effusion is rare. Herein, we report the case of a 74-year-old immunocompetent female patient without apparent risk factors, who suffered haemorrhagic pleural effusion as the main clinical manifestation. Pleural nodules were detected by computed tomography scan, and microbiological analysis revealed M. fortuitum in the absence of other pathogens. The patient was treated with ceftriaxone and ciprofloxacin, and full recovery ensued in 4 weeks. To our knowledge, this is the first reported case of haemorrhagic pleural effusion in an immunocompetent patient without underlying diseases. Although non-tuberculous mycobacterial infections are rarely accompanied by pleural involvement, M. fortuitum should be considered in such cases, especially when microbiology fails to detect the usual pathogens, and when the clinical picture is unclear.


Subject(s)
Mycobacterium Infections, Nontuberculous/diagnosis , Mycobacterium Infections, Nontuberculous/pathology , Mycobacterium fortuitum/isolation & purification , Pleural Effusion/diagnosis , Pleural Effusion/pathology , Aged , Anti-Bacterial Agents/administration & dosage , Ceftriaxone/administration & dosage , Ciprofloxacin/administration & dosage , Female , Humans , Mycobacterium Infections, Nontuberculous/microbiology , Radiography, Thoracic , Tomography, X-Ray Computed , Treatment Outcome
2.
Clin Exp Nephrol ; 14(2): 176-9, 2010 Apr.
Article in English | MEDLINE | ID: mdl-19882204

ABSTRACT

We present the case of an 87-year-old woman with history of hypertension, hypercholesterolemia, ischemic heart diseases, urinary tract infections, and cerebrovascular disease who experienced a transient clinical picture characterized by confusion, lethargy, and acute renal dysfunction in the course of urinary tract infection with Escherichia coli bacteremia. Escherichia coli bloodstream infection was associated with brain computed tomography (CT) and magnetic resonance imaging (MRI) patterns in which the lesion distribution was consistent with posterior reversible encephalopathy syndrome (PRES). Diagnosis of PRES was confirmed by demonstration of vasogenic edema on apparent diffusion coefficient (ADC) maps and near-complete resolution of clinical manifestations at discharge.


Subject(s)
Bacteremia/complications , Escherichia coli Infections/complications , Hypertensive Encephalopathy/complications , Aged, 80 and over , Female , Humans , Hypertensive Encephalopathy/diagnosis , Lethargy/etiology , Magnetic Resonance Imaging , Syndrome , Tomography, X-Ray Computed , Urinary Tract Infections/complications
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