ABSTRACT
INTRODUCTION: Listeriosis is a food-borne illness leading to bacteriemia or central nervous system infection especially in pregnant women or high-risk patients. It is rarely a localized infection. Breast contamination has rarely been reported in lactating women. We report a breast abscess in man. CASE REPORT: A 80 year old man, hypertensive and arrhythmic, was explored for weakness and dehydration. Type 2 diabetes and chronic lymphocytic leukemia were diagnosed. Clinical examination disclosed a breast abcess related to L monocytogenes infection. Histopathological study also revealed a breast subcutaneous infiltration by chronic lymphocytic leukemia. CONCLUSION: Listeriosis sometimes uncover an unknown immunosuppression, especially in the elderly. Breast is a non-sterile tissue containing a stable microbiome partly from digestive origin. It can thereby be contaminated by Listeria. The specific cutaneous infiltrate of chronic lymphocytic leukemia can create the conditions for a local infection.
Subject(s)
Abscess/diagnosis , Breast Diseases/microbiology , Listeriosis/diagnosis , Abscess/complications , Abscess/microbiology , Aged, 80 and over , Breast Diseases/complications , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/microbiology , Humans , Leukemia, Lymphocytic, Chronic, B-Cell/complications , Leukemia, Lymphocytic, Chronic, B-Cell/microbiology , Listeria/isolation & purification , Listeriosis/complications , MaleABSTRACT
INTRODUCTION: Mondor's disease is a rare superficial thrombophlebitis, historically involving the thoracic venous system of women. However, it can occur in both gender and all over the skin. CASE REPORT: We report a 40-year-old man with type one diabetes who presented with a thrombosis of the superficial dorsal vein of the penis that he treated as a fungal infection. Treatment with non-steroidal anti-inflammatory drugs and low molecular weight heparin contributed to a favorable outcome in 2 weeks. CONCLUSION: Pathogenesis and treatment of Mondor's disease remain incompletely dominated. Some predisposing factors have been highlighted in the literature. It might be interesting to add diabetes, due to its frequent pelvic problems leading to a potential venous inflammatory trigger.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Heparin, Low-Molecular-Weight/therapeutic use , Penile Diseases/diagnosis , Penis/blood supply , Thrombophlebitis/diagnosis , Adult , Diabetes Mellitus, Type 1/complications , Humans , Male , Penile Diseases/drug therapy , Thrombophlebitis/drug therapy , Ultrasonography, Doppler , Veins/pathologySubject(s)
Blepharoptosis/parasitology , Brain Stem/parasitology , Neuroschistosomiasis/parasitology , Schistosoma mansoni/isolation & purification , Adrenal Cortex Hormones/therapeutic use , Adult , Animals , Anthelmintics/therapeutic use , Drug Therapy, Combination , Female , Humans , Neuroschistosomiasis/diagnosis , Neuroschistosomiasis/drug therapy , Praziquantel/therapeutic use , Treatment OutcomeSubject(s)
Lithiasis/diagnosis , Testicular Diseases/diagnosis , Ureaplasma Infections/diagnosis , Ureaplasma urealyticum , Urethral Diseases/microbiology , Urinary Tract Infections/diagnosis , Adult , Anti-Bacterial Agents/therapeutic use , Diagnosis, Differential , Doxycycline/therapeutic use , Humans , Lithiasis/complications , Lithiasis/pathology , Male , Testicular Diseases/complications , Testicular Diseases/pathology , Ureaplasma Infections/complications , Ureaplasma Infections/drug therapy , Urethral Diseases/complications , Urethral Diseases/drug therapy , Urinary Tract Infections/complications , Urinary Tract Infections/drug therapyABSTRACT
INTRODUCTION: Acute gout arthritis and tophaceous gout of the spine is rare. EXEGESIS: We report the case of a 54-year-old man with chronic low back pain. Physical examination and myelography showing neurological compression on L4 laminectomy evidenced tophaceous gout. CONCLUSION: Gout arthritis should always be suspected and investigated in patients with either chronic low back pain or non-specific spinal cord compression.
Subject(s)
Arthritis, Gouty/diagnosis , Spinal Cord Compression/etiology , Spinal Diseases/diagnosis , Arthritis, Gouty/diagnostic imaging , Arthritis, Gouty/pathology , Back Pain/etiology , Chronic Disease , Humans , Male , Middle Aged , Radiography , Spinal Diseases/diagnostic imaging , Spinal Diseases/pathologyABSTRACT
Infective complications after epidural anesthesia for delivery are uncommon. We reviewed 21 cases of epidural abscesses, 7 cases of meningitis and one spondylitis reported in the literature. These infections usually occurred in debilitated patients either by direct contamination at puncture or indirectly from a neighboring infection or from the blood stream. Prognosis depends on early diagnosis. The first manifestations are spinal stiffness or local pain. Signs of neurological deficiency come later at a stage when complete recovery is compromised. This emphasizes the importance of the clinical examination before delivery in search for skin or deep infections.
Subject(s)
Abscess/etiology , Anesthesia, Epidural/adverse effects , Anesthesia, Obstetrical/adverse effects , Cross Infection/etiology , Meningitis/etiology , Spondylitis/etiology , Female , Humans , Infection Control , Prognosis , Risk FactorsABSTRACT
Bromocriptine, used in the treatment of acromegaly, hyperprolactinemia and Parkinson's disease, may be responsible in this last case, for pleuro-pulmonary complications in higher doses. Since 1981 about thirty cases were described. It was mostly pleural effusions, pleural thickening and parenchymal lung fibrosis. The prevalence of pleuro-pulmonary diseases is between 2 to 5% after 5 years with bromocriptine that varied in dosage from 20 to 90 mg daily. The patients developed symptoms from nine months to four years. We report a case of a patient treated for one year for Parkinson's disease with daily dose of 105 mg of bromocriptine in whom bilateral pulmonary infiltrate was discovered with a deterioration in the general physical state and dyspnea. There was a favorable clinical and chest roentgenogram outcome following the cessation of treatment, in six months. The hypotheses to explain the pathogenesis of these disorders were always discussed: a vascular theory, an immunological theory or a toxic fibrogenesis induced by the molecule acting on dopaminergic receptors and serotonergic synapses. Now, in our knowledge, these complications justify a clinical and chest roentgenogram follow up for any patients treated with bromocriptine.