RESUMO
Pasteurella multocida a small gram-negative coccobacilli is primarily found as normal flora of cats and dogs. These organisms can cause a variety of infections in humans, usually the result of scratches, bites and licks by percutaneous inoculation of the organism. Most cases of septic arthritis involve a cat or dog bite distal to the involved joint without direct penetrating injury to the joint. On scenarios were Pasteurella infection is suspected within a prosthetic joint, aggressive surgical debridement and/or removal of the prosthesis with intravenous antibiotics is recommended. Prosthetic joint infections secondary to animal bites are an extremely rare complication and few cases have been reported in the literature. This is a case report of a patient that suffered a cat's bite of his right prosthetic knee and against all odd was able to save it without surgical intervention.
Assuntos
Artrite Infecciosa/etiologia , Artroplastia do Joelho , Infecções por Pasteurella/etiologia , Pasteurella multocida/isolamento & purificação , Complicações Pós-Operatórias/etiologia , Infecção dos Ferimentos/etiologia , Idoso , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Ampicilina/uso terapêutico , Animais , Antibacterianos/uso terapêutico , Artrite Infecciosa/tratamento farmacológico , Artrite Infecciosa/microbiologia , Artrite Infecciosa/cirurgia , Mordeduras e Picadas/complicações , Mordeduras e Picadas/microbiologia , Gatos/microbiologia , Terapia Combinada , Desbridamento , Humanos , Masculino , Boca/microbiologia , Osteoartrite do Joelho/cirurgia , Infecções por Pasteurella/tratamento farmacológico , Infecções por Pasteurella/microbiologia , Infecções por Pasteurella/cirurgia , Complicações Pós-Operatórias/tratamento farmacológico , Complicações Pós-Operatórias/microbiologia , Complicações Pós-Operatórias/cirurgia , Infecções Relacionadas à Prótese/diagnóstico , Sulbactam/uso terapêutico , Infecção da Ferida Cirúrgica/diagnóstico , Infecção dos Ferimentos/tratamento farmacológico , Infecção dos Ferimentos/microbiologia , Infecção dos Ferimentos/cirurgiaRESUMO
Systemic lupus erythematosus is a chronic inflammatory autoimmune disease characterized by autoantibodies specific for highly conserved nuclear antigens, such as double-stranded DNA, histones and ribonuclear proteins. The course of the disease is unpredictable and nine times more common in females. Among the neurological manifestations of collagen vascular diseases is the most commonly recognized and better studied disease. Central nervous system lupus is a serious and potentially treatable illness presenting as difficult diagnostic challenge. This is a case report of a patient that suffered central nervous system manifestations of severe active lupus. Early recognition of this entity is essential to expedite appropriate to treatment and avoid future complications.
