ABSTRACT
Enterobacter cloacae cardiac implantable electronic device infections are rare but can be associated with significant morbidity and mortality. We report an 11-year-old female with Enterobacter cloacae infection of a dual-chamber transvenous pacemaker pocket. The report is supplemented by a comprehensive review of the literature on Enterobacter cloacae cardiac implantable electronic device infections.
Subject(s)
Intestinal Obstruction , Humans , Infant , Intestinal Obstruction/microbiology , Intestinal Obstruction/etiology , Mycobacterium avium/isolation & purification , Intestine, Small/microbiology , Intestine, Small/pathology , Male , Mycobacterium avium-intracellulare Infection/diagnosis , Mycobacterium avium-intracellulare Infection/complications , Mycobacterium avium-intracellulare Infection/microbiology , Mycobacterium avium-intracellulare Infection/drug therapy , Tuberculosis, Gastrointestinal/complications , Tuberculosis, Gastrointestinal/diagnosis , Tuberculosis, Gastrointestinal/drug therapy , Female , Mycobacterium avium Complex/isolation & purificationABSTRACT
We describe a case of a 22-year-old male who presented to our facility 1 hour after a snake bite, which he identified as the desert black snake. He presented with severe weakness and respiratory distress. He was treated with polyvalent antivenom and observed in the Intensive Care Unit (ICU) with resolution of his respiratory symptoms. He developed paresthesias locally around his wound and later complained of diplopia. Two days later, he had total resolution of his symptoms. This is one of the only clinical reports of neurotoxic effects after Walterinnesia morgani envenomation.
Subject(s)
Antivenins/administration & dosage , Elapid Venoms/antagonists & inhibitors , Neurotoxicity Syndromes/therapy , Snake Bites/therapy , Animals , Diagnosis, Differential , Dyspnea/etiology , Emergency Treatment , Fatigue/etiology , Humans , Male , Neurotoxicity Syndromes/complications , Neurotoxicity Syndromes/diagnosis , Snake Bites/complications , Snake Bites/diagnosis , Young AdultABSTRACT
Necrobacillosis due to Fusobacterium necrophorum is an uncommon anaerobic infection. It has a wide range of presentations and commonly presents as Lemierre's syndrome. We present a case of necrobacillosis defined by F. necrophorum bacteremia with epidural and pararectal fluid collection without evidence of internal jugular vein thrombophlebitis.
Subject(s)
Fusobacterium Infections/diagnosis , Fusobacterium necrophorum/isolation & purification , Sepsis/diagnosis , Adolescent , Epidural Abscess/diagnosis , Epidural Abscess/pathology , Fusobacterium Infections/microbiology , Head/diagnostic imaging , Humans , Male , Radiography , Sepsis/complications , Sepsis/microbiology , TomographySubject(s)
Feces/parasitology , Helminths/isolation & purification , Parasitic Diseases/diagnosis , Animals , Humans , Infant , Infant, Newborn , MaleABSTRACT
We report a 1-month-old infant with Kawasaki disease and peripheral gangrene. We advocate using the newly published American Heart Association guidelines advising early laboratory and echocardiogram investigations in infants with fever but without other classic manifestations of Kawasaki disease. Initiation of early therapy may prevent this serious complication with its permanent sequelae.
Subject(s)
Foot/pathology , Ischemia/etiology , Mucocutaneous Lymph Node Syndrome/complications , Abciximab , Amputation, Surgical , Anti-Bacterial Agents/therapeutic use , Antibodies, Monoclonal/therapeutic use , Anticoagulants/therapeutic use , Antithrombin III/antagonists & inhibitors , Aspirin/therapeutic use , Dipyridamole/therapeutic use , Foot/surgery , Gangrene/etiology , Gangrene/therapy , Glucocorticoids/therapeutic use , Heparin/therapeutic use , Humans , Immunoglobulin Fab Fragments/therapeutic use , Immunoglobulins, Intravenous/therapeutic use , Infant , Ischemia/therapy , Male , Methylprednisolone/therapeutic use , Mucocutaneous Lymph Node Syndrome/diagnosis , Mucocutaneous Lymph Node Syndrome/drug therapy , Nitroglycerin/therapeutic use , Platelet Aggregation Inhibitors/therapeutic use , Vasodilator Agents/therapeutic useABSTRACT
A 3-month-old infant of 33 weeks' gestation was hospitalized with pneumonia caused by Bordetella pertussis. Respiratory insufficiency worsened, and on hospital day 3, there was severe pulmonary dysfunction (arterial oxygen pressure/fraction of inspired oxygen ratio: 120), extreme leukocytosis (white blood cell count 104,000/mm3), and severe pulmonary hypertension as assessed by 2-dimensional echocardiogram. A double volume exchange transfusion was performed to reduce the leukocyte mass. Oxygenation began to improve during the exchange and continued to improve over the ensuing 31 hours (arterial oxygen pressure/fraction of inspired oxygen ratio: 280). The white blood cell count fell dramatically after the exchange, and the rate of rise was slower after exchange therapy compared with preexchange.
