ABSTRACT
Tuberculosis infection occurs relatively frequently in solid organ transplant recipients, although the occurrence of tuberculous hepatic abscesses is uncommon. Anti-tuberculous therapy has several concerns in transplant recipients, including an increased risk of cellular rejection and potential hepatotoxicity. We present the case of a human immunodeficiency virus-infected liver transplant patient who developed multiple tuberculous liver abscesses. Treatment with isoniazid, ethambutol, pyrazinamide, and moxifloxacin was efficacious, well tolerated, and safe.
Subject(s)
HIV Infections/complications , Hepatitis B/complications , Hepatitis C/complications , Liver Abscess/microbiology , Liver Transplantation , Tuberculosis/drug therapy , Adult , Anti-HIV Agents/administration & dosage , Anti-HIV Agents/therapeutic use , Antitubercular Agents/administration & dosage , Antitubercular Agents/therapeutic use , Humans , Liver Abscess/drug therapy , Liver Cirrhosis/virology , Male , Mycobacterium tuberculosisSubject(s)
Colonic Neoplasms , Lymphoma, B-Cell , Age Factors , Aged , Antibodies, Monoclonal/administration & dosage , Antibodies, Monoclonal/therapeutic use , Antibodies, Monoclonal, Murine-Derived , Antineoplastic Agents/administration & dosage , Antineoplastic Agents/therapeutic use , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Colonic Neoplasms/diagnosis , Colonic Neoplasms/diagnostic imaging , Colonic Neoplasms/drug therapy , Colonic Neoplasms/mortality , Colonoscopy , Cyclophosphamide/therapeutic use , Doxorubicin/therapeutic use , Female , Humans , Lymphoma, B-Cell/diagnosis , Lymphoma, B-Cell/diagnostic imaging , Lymphoma, B-Cell/drug therapy , Lymphoma, B-Cell/epidemiology , Lymphoma, B-Cell/mortality , Male , Middle Aged , Prednisone/therapeutic use , Prognosis , Radiography, Abdominal , Rituximab , Sex Factors , Tomography, X-Ray Computed , Vincristine/therapeutic useABSTRACT
No disponible
Subject(s)
Female , Middle Aged , Humans , Lymphoma, Non-Hodgkin/complications , Lymphoma, Non-Hodgkin/diagnosis , Colonoscopy/methods , Colonography, Computed Tomographic/methods , Tomography, Emission-Computed/methods , Antibodies, Monoclonal , Colonic Neoplasms/complications , Colonic Neoplasms/diagnosis , Prognosis , Radiography, Thoracic/methods , Cyclophosphamide/therapeutic use , Vincristine/therapeutic use , Prednisone/therapeutic use , Doxorubicin/therapeutic useABSTRACT
No disponible
Subject(s)
Female , Adult , Middle Aged , Humans , Lung Abscess/complications , Lung Abscess/diagnosis , Myositis/diagnosis , Staphylococcus aureus/isolation & purification , Immunosuppression Therapy , Pleural Effusion/complications , Bronchoscopy/methods , Anti-Bacterial Agents/therapeutic use , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Cloxacillin/therapeutic use , Bacteria/pathogenicity , Myositis/complications , Comorbidity , Staphylococcus aureus/pathogenicity , Radiography, Thoracic/methods , Tomography, Emission-Computed/methods , Echocardiography/methodsSubject(s)
Endocarditis, Bacterial/microbiology , Escherichia coli Infections/microbiology , Escherichia coli/pathogenicity , Pacemaker, Artificial/adverse effects , Aged , Anti-Bacterial Agents/therapeutic use , Cefotaxime/therapeutic use , Diarrhea/complications , Diarrhea/microbiology , Endocarditis, Bacterial/drug therapy , Escherichia coli/isolation & purification , Escherichia coli Infections/drug therapy , Female , Gentamicins/therapeutic use , Humans , Pacemaker, Artificial/microbiologyABSTRACT
Pacemaker endocarditis is a rare but serious complication of permanent transvenous pacing. The most common presentation is fever syndrome or gram positive bacteremia. For the diagnostic it is important to performed blood cultures and an echocardiography. A retrospective study included the cases of pacemaker endocarditis diagnosed in the Internal Medicine Department of our Hospital between 1989-2003. Six patients were included. Repeated manipulation of the system and diabetes were the most frequent risk factors. The most frequently detected causative microorganisms were Staphylococci. In spite of the low sensitivity of the transthoracic echocardiography in expert hands it can improve, in this series it places in 66 %. Surgical treatment with cardiopulmonary bypass and implantation of a new system was performed in the same intervention in all patients. None relapsed and the overall mortality was 17%.
Subject(s)
Endocarditis, Bacterial/etiology , Pacemaker, Artificial/adverse effects , Aged , Endocarditis, Bacterial/diagnosis , Female , Humans , Male , Middle Aged , Retrospective Studies , Risk FactorsABSTRACT
No disponible
No disponible
Subject(s)
Male , Adult , Humans , Antipsychotic Agents/adverse effects , Clozapine/adverse effects , Myocarditis/chemically inducedABSTRACT
La endocarditis del marcapasos es una complicación poco frecuente pero grave. La forma más frecuente de presentación es como síndrome febril y/o bacteriemia por gérmenes gram positivos. Dos elementos claves para el diagnóstico son los hemocultivos y el ecocardiograma. Se realiza un análisis retrospectivo de los pacientes con endocarditis del marcapasos ingresados en el Servicio de Medicina Interna de nuestro hospital entre 1989-2003. Se incluyeron 6 pacientes. En este estudio la manipulación repetida del sistema y la diabetes mellitus fueron los factores de riesgo más frecuentes. Los microorganismos más frecuentemente implicados fueron los Staphylococcus spp. A pesar de la menor sensibilidad del ecocardiograma transtorácico, en manos expertas puede mejorar su rendimiento, en esta serie se sitúa en el 66%. Se realizó extracción mediante cirugía extracorpórea e implantación de un nuevo sistema en la misma intervención en todos, sin ningún caso de recidiva y con una mortalidad del 17%
Pacemaker endocarditis is a rare but serious complication of permanent transvenous pacing. The most common presentation is fever syndrom or gram positive bacteremia. For the diagnostic it is important to performed blood cultures and an echocardiography. A retrospective study included the cases of pacemaker endocarditis diagnosed in the Internal Medicine Department of our Hospital between 1989-2003. Six patients were included. Repeated manipulation of the system and diabetes were the most frequent risk factors. The most frequently detected causative microorganisms were Staphylococci. In spite of the low sensitivity of the transthoracic echocardiography in expert hands it can improve, in this series it places in 66 %. Surgical treatment with cardiopulmonar bypass and implantation of a new system was performed in the same intervention in all patients. None relapsed and the overall mortality was 17%
Subject(s)
Male , Female , Middle Aged , Humans , Endocarditis/complications , Endocarditis/diagnosis , Pacemaker, Artificial/adverse effects , Pacemaker, Artificial , Endocarditis, Bacterial/complications , Risk Factors , Staphylococcus , Staphylococcus/isolation & purification , Thoracotomy/methods , Anti-Bacterial Agents/therapeutic use , Pacemaker, Artificial/trends , Retrospective Studies , Fever/complications , Fever/diagnosis , Fever/therapy , Bacteremia/complications , Splenomegaly/complicationsSubject(s)
Cerebellar Ataxia/virology , Herpes Zoster/complications , Acute Disease , Adult , Humans , MaleABSTRACT
No disponible
Subject(s)
Female , Aged , Humans , Carcinoma, Renal Cell/pathology , Bronchial Neoplasms/secondary , Kidney Neoplasms/pathology , Neoplasm Metastasis/pathologySubject(s)
Community-Acquired Infections/microbiology , Pneumonia, Bacterial/microbiology , Proteus Infections/diagnosis , Proteus mirabilis/isolation & purification , Aged, 80 and over , Community-Acquired Infections/diagnosis , Community-Acquired Infections/diagnostic imaging , Diverticulum/complications , Humans , Male , Pneumonia, Bacterial/diagnosis , Pneumonia, Bacterial/diagnostic imaging , Prostatic Hyperplasia/complications , Prostatic Hyperplasia/therapy , Proteus Infections/diagnostic imaging , Radiography , Urinary Bladder Diseases/complications , Urinary Catheterization/adverse effects , Urinary Tract Infections/complications , Urinary Tract Infections/microbiologyABSTRACT
In the last years an increment has taken place in the pacemaker and implantable cardioverter-defibrillator indications that will have as consequence an increase of the prevalence of endocarditis associated to intravascular devices, for what acquires special relevance for the clinician to know this entity and to include it in his differential diagnoses. The objective of this article is to describe the epidemiology, clinic characteristics, diagnosis, treatment and outcome of the pacemaker endocarditis.
Subject(s)
Endocarditis, Bacterial/etiology , Pacemaker, Artificial/adverse effects , Prosthesis-Related Infections/epidemiology , Endocarditis, Bacterial/diagnosis , Endocarditis, Bacterial/epidemiology , Endocarditis, Bacterial/therapy , Humans , Prosthesis-Related Infections/diagnosis , Prosthesis-Related Infections/therapyABSTRACT
No disponible
Subject(s)
Male , Aged , Humans , Sarcoma, Kaposi/complications , Heart Failure/complications , Cardiac Tamponade/diagnosis , Echocardiography , Pericardial Effusion/complicationsABSTRACT
No disponible
No disponible
Subject(s)
Male , Adult , Humans , Cerebellar Ataxia/diagnosis , Cerebellar Ataxia/therapy , Chickenpox/diagnosis , Acetaminophen/therapeutic use , Hydroxyzine/therapeutic use , Tomography, Emission-Computed/methods , Metoclopramide/therapeutic use , Exanthema/complications , Exanthema/diagnosis , Acyclovir/therapeutic use , Chickenpox/complications , Chickenpox , Cerebellar Ataxia/complications , Antiviral Agents/pharmacology , Antiviral Agents/pharmacokinetics , Antiviral Agents/therapeutic useABSTRACT
En los últimos años se ha producido un incremento en las indicaciones de marcapasos y desfibriladores autoimplantables que tendrá como consecuencia un aumento de la prevalencia de la endocarditis asociada a dispositivos intravasculares, por lo que adquiere especial relevancia para el clínico conocer esta entidad e incluirla en sus diagnósticos diferenciales. El objetivo de este articulo es describir la epidemiología, características clínicas, diagnóstico, tratamiento y pronóstico de la endocarditis asociada al marcapasos
In the last years an increment has taken place in the pacemaker and implantable cardioverter-defibrillator indications that will have as consequence an increase of the prevalencia of the endocarditis associated to intravascular devices, for what acquires special relevance for the clinical one to know this entity and to include it in his differential diagnoses. The objetive of this article is to describe the epidemiology, clinic characteristics, diagnosis, treatment and outcome of the pacemaker endocarditis
Subject(s)
Male , Female , Humans , Pacemaker, Artificial/adverse effects , Endocarditis/complications , Endocarditis/diagnosis , Antibiotic Prophylaxis/methods , Adrenal Cortex Hormones/therapeutic use , Prognosis , Pacemaker, Artificial/statistics & numerical data , Pacemaker, Artificial/trends , Anti-Bacterial Agents/therapeutic useABSTRACT
No disponible