RESUMEN
We report the case of an 11-year-old child with cystic fibrosis where Geosmithia argillacea has been isolated from sputum. This is a filamentous fungus (mold) recently described as emergent infectious agent in cystic fibrosis patients. In our case, the presence of G. argillacea was not associated with clinical disorder. However, recent evidence shows that it can be responsible for very serious invasive infection, especially in chronic granulomatous disease and may be, after lung transplantation.
Asunto(s)
Fibrosis Quística/microbiología , Eurotiales/aislamiento & purificación , Enfermedades Pulmonares Fúngicas/microbiología , Niño , Fibrosis Quística/complicaciones , Humanos , Enfermedades Pulmonares Fúngicas/complicaciones , Masculino , Esputo/microbiologíaRESUMEN
Meningococcal disease can manifest in very different clinical situations. Meningococcal meningitis and fulminant meningococcemia (or purpura fulminans) are the most common forms of these infections, but many other manifestations can be seen including septic arthritis, pericarditis, pleurisy and conjunctivitis. Brain abscesses have also been described; they are a rare complication of meningococcal disease. We report the case of a 28-year-old immunocompetent patient who developed meningococcal infection associated with brain abscesses and oligo-arthritis.
Asunto(s)
Absceso Encefálico/microbiología , Meningitis Meningocócica/microbiología , Neisseria meningitidis , Adulto , Amoxicilina/uso terapéutico , Antibacterianos/uso terapéutico , Artritis Infecciosa/microbiología , Imagen de Difusión por Resonancia Magnética , Lóbulo Frontal/microbiología , Humanos , Inmunocompetencia , Cápsula Interna/microbiología , Masculino , Examen Neurológico , Tegmento Mesencefálico/microbiologíaRESUMEN
A fatal case of meningoencephalitis caused by Bacillus cereus, an uncommon but potential pathogen, resistant to most beta-lactam antibiotics, is described in a 28-day old premature neonate. Difficulties for clinical diagnosis and treatment are discussed. A review of the literature (26 published cases) is given. Early diagnosis of neonatal B. cereus infection is crucial as it leads to a standard treatment including vancomycin.