RESUMO
Reported here is the case of a 22-year-old man who developed pneumonia with unusual pathogens after a near-drowning incident. On day 7 following admission, Rhizopus spp. and Aspergillus fumigatus were cultured from the patient's bronchoalveolar lavage fluid. One week later, sputum cultures revealed N. cyriacigeorgici as well as N. farcinica. The patient recovered fully after prolonged therapy with liposomal amphotericin B, amikacin, meropenem and cotrimoxazole.
Assuntos
Aspergillus fumigatus/isolamento & purificação , Fungemia/diagnóstico , Pneumopatias Fúngicas/diagnóstico , Nocardia/classificação , Rhizopus/isolamento & purificação , Adulto , Antifúngicos/uso terapêutico , Aspergilose/complicações , Aspergilose/diagnóstico , Aspergilose/tratamento farmacológico , Quimioterapia Combinada , Seguimentos , Fungemia/tratamento farmacológico , Humanos , Pneumopatias Fúngicas/tratamento farmacológico , Masculino , Mucormicose/complicações , Mucormicose/diagnóstico , Mucormicose/tratamento farmacológico , Afogamento Iminente , Nocardia/isolamento & purificação , Nocardiose/complicações , Nocardiose/diagnóstico , Nocardiose/tratamento farmacológico , Medição de Risco , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Four cases of Paget disease of the skull were studied with magnetic resonance (MR) imaging. With optimal use of projection and technical factors, MR permits simultaneous demonstration of osseous deformity and its relation to the underlying soft tissues. Effects on the brain caused by thickened calvaria and brainstem compression from basilar impression can be detected readily on a single sagittal scan.
