RESUMEN
Mycoplasma spp. are rarely recognized agents of infective endocarditis. We report a case of Mycoplasma hominis prosthetic valve endocarditis diagnosed by 16S ribosomal DNA (rDNA) PCR and culture of valves in a 74-year-old man. We reviewed the literature and found only 8 other cases reported.
Asunto(s)
Endocarditis/diagnóstico , Endocarditis/patología , Infecciones por Mycoplasma/diagnóstico , Infecciones por Mycoplasma/patología , Mycoplasma hominis/aislamiento & purificación , Infecciones Relacionadas con Prótesis/diagnóstico , Infecciones Relacionadas con Prótesis/patología , Anciano , Antibacterianos/farmacología , ADN Bacteriano/química , ADN Bacteriano/genética , ADN Ribosómico/química , ADN Ribosómico/genética , Endocarditis/microbiología , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Datos de Secuencia Molecular , Infecciones por Mycoplasma/microbiología , Mycoplasma hominis/clasificación , Mycoplasma hominis/efectos de los fármacos , Mycoplasma hominis/genética , Infecciones Relacionadas con Prótesis/microbiología , ARN Ribosómico 16S/genética , Análisis de Secuencia de ADNRESUMEN
Guillain-Barré syndrome (GBS) is an autoimmune disease that can be triggered by different infectious agents. Here we report the case of a 26-year-old Algerian woman who developed GBS associated with a Mycobacterium bovis cervical lymphadenitis. Following intravenous immunoglobulin therapy, the patient's neurologic state returned to normal after 3 months. The lymphadenitis responded more slowly to the antituberculous treatment and an excision of necrotic cervical lymph nodes had to be performed four times. Antibiotics were administered for 16 months: ethambutol was stopped after 2 months, and rifampicin and isoniazid pursued for 14 months. An extensive etiological investigation showed that, in this case, the only likely infectious trigger GBS was the concomitant M. bovis infection. To our knowledge, this is the first report of GBS triggered by M. bovis. We performed a literature review revealing that the association between tuberculosis and Guillain-Barré syndrome is very rare (only seven cases previously reported) but is not coincidental. Physicians should be aware that tuberculosis can be a cause of GBS.
Asunto(s)
Síndrome de Guillain-Barré/diagnóstico , Mycobacterium bovis/aislamiento & purificación , Tuberculosis Ganglionar/complicaciones , Adulto , Antituberculosos/uso terapéutico , Desbridamiento , Femenino , Síndrome de Guillain-Barré/terapia , Humanos , Inmunoglobulinas Intravenosas/uso terapéuticoRESUMEN
We described two cases of acalculous cholecystitis (AAC), due to EBV primary infection in two young Caucasian women and we reviewed other reported cases. In contrast with AAC of other etiologies, antibiotics and surgery are not useful in the management of AAC secondary to EBV.
Asunto(s)
Colecistitis Alitiásica/etiología , Colecistitis Alitiásica/patología , Infecciones por Virus de Epstein-Barr/complicaciones , Infecciones por Virus de Epstein-Barr/diagnóstico , Herpesvirus Humano 4/aislamiento & purificación , Colecistitis Alitiásica/virología , Adolescente , Infecciones por Virus de Epstein-Barr/patología , Femenino , Vesícula Biliar/diagnóstico por imagen , Vesícula Biliar/patología , Humanos , Ultrasonografía , Población Blanca , Adulto JovenRESUMEN
We report Campylobacter fetus meningitis associated with endocarditis in a 75-year-old diabetic man after he consumed raw liver. C. fetus was isolated from blood samples and cerebrospinal fluid. Cure was obtained with combined intravenous imipenem-gentamicin for 4 weeks; no relapse occurred after 6 months of follow-up.
Asunto(s)
Campylobacter fetus/aislamiento & purificación , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico , Enfermedades Transmitidas por los Alimentos/diagnóstico , Enfermedades Transmitidas por los Alimentos/microbiología , Meningitis Bacterianas/complicaciones , Meningitis Bacterianas/diagnóstico , Administración Intravenosa , Anciano , Antibacterianos/uso terapéutico , Sangre/microbiología , Campylobacter fetus/clasificación , Líquido Cefalorraquídeo/microbiología , Quimioterapia Combinada/métodos , Endocarditis Bacteriana/tratamiento farmacológico , Endocarditis Bacteriana/microbiología , Conducta Alimentaria , Enfermedades Transmitidas por los Alimentos/tratamiento farmacológico , Gentamicinas/uso terapéutico , Humanos , Imipenem/uso terapéutico , Masculino , Meningitis Bacterianas/tratamiento farmacológico , Meningitis Bacterianas/microbiología , Resultado del TratamientoRESUMEN
Mycobacterium thermoresistibile is a rapidly growing environmental nontuberculous mycobacterium, seldom reported in human infections. Here, we describe a rare case of tibial-nail-related osteomyelitis due to Mycobacterium thermoresistibile. We also review the literature about the infections caused by this pathogen.
