RESUMO
The 1st recorded capture of Toxorhynchites rutilus in Massachusetts, USA, is reported. This capture represents the northernmost record of Tx. rutilus. The implications of this capture are discussed in the context of range expansion, evolution, and climatic change.
Assuntos
Culicidae/classificação , Animais , Feminino , Masculino , MassachusettsRESUMO
Prototheca wickerhamii is an algae-like organism rarely implicated in skin or soft tissue infections. We describe the first case (to our knowledge) of Prototheca tenosynovitis which followed median nerve release for carpal tunnel syndrome. Clinical presentation, operative findings, histopathology, microbiology and treatment of this unusual infection are discussed.
Assuntos
Prototheca , Infecção da Ferida Cirúrgica , Tenossinovite/etiologia , Anfotericina B/uso terapêutico , Síndrome do Túnel Carpal/cirurgia , Drenagem , Feminino , Humanos , Cetoconazol/uso terapêutico , Pessoa de Meia-Idade , Reoperação , Sinovectomia , Membrana Sinovial/patologia , Tenossinovite/cirurgiaRESUMO
The first case of Legionnaires' disease recognized in Pennsylvania since the Philadelphia epidemic of 1976 was that of a 53-year-old emphysematous man who had extensive unilateral pneumonia accompanied by high fever, hypoxemia, and disorientation. His illness progressed despite treatment with cephalothin, but he recovered coincident with the administration of gentamicin and erythromycin. The diagnosis was established serologically by a 32-fold rise in antibody titer to the agent of Legionnaires' disease. Similar illness did not affect others in his community, and infection in four family members was excluded clinically and serologically.
