ABSTRACT
Reported here is the case of a 22-year-old man who developed pneumonia with unusual pathogens after a near-drowning incident. On day 7 following admission, Rhizopus spp. and Aspergillus fumigatus were cultured from the patient's bronchoalveolar lavage fluid. One week later, sputum cultures revealed N. cyriacigeorgici as well as N. farcinica. The patient recovered fully after prolonged therapy with liposomal amphotericin B, amikacin, meropenem and cotrimoxazole.
Subject(s)
Aspergillus fumigatus/isolation & purification , Fungemia/diagnosis , Lung Diseases, Fungal/diagnosis , Nocardia/classification , Rhizopus/isolation & purification , Adult , Antifungal Agents/therapeutic use , Aspergillosis/complications , Aspergillosis/diagnosis , Aspergillosis/drug therapy , Drug Therapy, Combination , Follow-Up Studies , Fungemia/drug therapy , Humans , Lung Diseases, Fungal/drug therapy , Male , Mucormycosis/complications , Mucormycosis/diagnosis , Mucormycosis/drug therapy , Near Drowning , Nocardia/isolation & purification , Nocardia Infections/complications , Nocardia Infections/diagnosis , Nocardia Infections/drug therapy , Risk Assessment , Severity of Illness Index , Treatment OutcomeABSTRACT
Four cases of Paget disease of the skull were studied with magnetic resonance (MR) imaging. With optimal use of projection and technical factors, MR permits simultaneous demonstration of osseous deformity and its relation to the underlying soft tissues. Effects on the brain caused by thickened calvaria and brainstem compression from basilar impression can be detected readily on a single sagittal scan.
