ABSTRACT
We report the case of a patient who presented with a thrombus of the aortic arch complicated with splenic, renal and peroneal artery embolisms, associated with transient lupus anticoagulant, during a Mycoplasma pneumoniae infection. The outcome was good under antibiotic and anticoagulant treatment. We also review the medical literature on M. pneumoniae-related thromboses.
Subject(s)
Aortic Diseases/complications , Mycoplasma pneumoniae/isolation & purification , Pneumonia, Mycoplasma/complications , Thromboembolism/complications , Thromboembolism/diagnosis , Adult , Anti-Bacterial Agents/therapeutic use , Anticoagulants/therapeutic use , Aortic Diseases/microbiology , Echocardiography, Transesophageal , Humans , Kidney/pathology , Male , Perineum/pathology , Pneumonia, Mycoplasma/microbiology , Spleen/pathology , Thromboembolism/pathology , Treatment OutcomeABSTRACT
We report a secondary case of rifampicin-resistant meningococcal disease and our experience in managing contact cases. Rifampicin resistance resulting from rpoB gene mutations is still uncommon enough that changing the current recommendations for chemoprophylaxis is unwarranted. However, ensuring limited but appropriate chemoprophylaxis may prevent the development of antimicrobial resistance. Thus, the definition of contact cases should be strictly respected. In the case of culture-positive Neisseria meningitidis, in vitro susceptibility testing to rifampicin must be systematically performed in order to detect rifampicin-resistant strains and, thus, institute appropriate prophylaxis in order to prevent secondary transmission.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Drug Resistance, Bacterial , Meningitis, Meningococcal/drug therapy , Meningitis, Meningococcal/microbiology , Neisseria meningitidis/drug effects , Rifampin/therapeutic use , Adolescent , Anti-Bacterial Agents/pharmacology , Antibiotic Prophylaxis/methods , Female , Humans , Meningitis, Meningococcal/prevention & control , Meningitis, Meningococcal/transmission , Microbial Sensitivity Tests , Neisseria meningitidis/isolation & purification , Rifampin/pharmacologyABSTRACT
The purpose of this report is to describe a case of Dracunculoidea infection that led to acute arthritis of the knee in a young Polynesian. The implications of this first reported case of Dracunculoidea infection in French Polynesia are discussed.
