RESUMO
A 42-year-old man was directly admitted to the ICU with respiratory failure and hypotension. Two weeks prior and just after returning from Bangladesh, he presented to a polyclinic with fever, right knee pain, and generalized aches, for which he received oral antibiotics. He was a farmer, had diabetes, never smoked, and consumed alcohol occasionally.
Assuntos
Artrite Infecciosa/etiologia , Articulação do Joelho , Melioidose/complicações , Insuficiência Respiratória/etiologia , Choque Séptico/complicações , Adulto , Artrite Infecciosa/diagnóstico , Artrite Infecciosa/etnologia , Bangladesh/etnologia , Burkholderia pseudomallei/isolamento & purificação , Diagnóstico Diferencial , Humanos , Kuweit/epidemiologia , Masculino , Melioidose/diagnóstico , Melioidose/etnologia , Radiografia Torácica , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/etnologia , Choque Séptico/diagnóstico , Choque Séptico/etnologia , Líquido Sinovial/microbiologia , Tomografia Computadorizada por Raios X , ViagemRESUMO
BACKGROUND: We report a case of bacteremia caused by Streptobacillus moniliformis. CASE PRESENTATION AND INTERVENTION: A 2 years and 3 months female Kuwaiti child presented with febrile convulsions, mild cough and vomiting. The patient's history, clinical findings and radiological investigations were reviewed. There was no history of rat/animal bite, but the child had been camping in the desert prior to the illness and may have been exposed to rodent excreta. On two occasions, blood culture specimens yielded pure growth of the organism which was identified by standard diagnostic criteria. The patient was successfully treated with cefotaxime and clarithromicin. CONCLUSION: S. moniliformis may be a cause of bacteremia even in the absence of rat/animal bites.
Assuntos
Bacteriemia/diagnóstico , Infecções por Fusobacterium/diagnóstico , Streptobacillus , Antibacterianos/uso terapêutico , Bacteriemia/tratamento farmacológico , Cefotaxima/uso terapêutico , Claritromicina/uso terapêutico , Feminino , Infecções por Fusobacterium/tratamento farmacológico , Humanos , LactenteAssuntos
Cólera/epidemiologia , Cólera/microbiologia , Doenças Transmissíveis Emergentes/epidemiologia , Doenças Transmissíveis Emergentes/microbiologia , Vibrio cholerae O1 , Adulto , Variação Genética , Humanos , Índia/etnologia , Kuweit/epidemiologia , Masculino , Filipinas/etnologia , Migrantes , Vibrio cholerae O1/classificação , Vibrio cholerae O1/genéticaRESUMO
OBJECTIVE: To report an incident of bacteremia caused by Ochrobactrum anthropi. CASE PRESENTATION AND INTERVENTION: The case of a female child aged 2 years and 10 months with a known history of long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency who developed O. anthropi bacteremia during hospital stay is presented. Patient's history, clinical findings, laboratory and radiological investigations were thoroughly reviewed. The cultured organism was identified using MicroScan WalkAway 96 SI (Dade Behring) as well as by conventional techniques. Imipenem resistance was confirmed by the conventional Kirby-Bauer disk diffusion technique on Muller-Hinton agar with no zone of inhibition around a 10-mug imipenem disk (Hi Media) using the 0.5 McFarland standard. CONCLUSION: This report shows O. anthropi as a rare nosocomial pathogen that affected a patient who was immunocompromised. The O. anthropi showed multidrug resistance.
