RESUMO
We report a case of Chromobacterium violaceum infection and we review the literature for all published cases. C. violaceum grew from a peritoneal fluid of a 47-year-old woman operated on for peritonitis following perforative gastroduodenal ulcer. She was just coming back from a 1-month-holyday in French Guyana, where she might have been in contact with this micro-organism. The patient fully recovered after surgical management associated with antibiotic therapy consisting of ofloxacin plus piperacillin-tazobactam. Among the more than a hundred of published cases of human infections with C. violaceum that we retrieved, there was not any other case of peritonitis.
Assuntos
Antibacterianos/uso terapêutico , Chromobacterium , Infecções por Bactérias Gram-Negativas/diagnóstico , Úlcera Péptica Perfurada/complicações , Úlcera Péptica Perfurada/cirurgia , Peritonite/microbiologia , Quimioterapia Combinada , Feminino , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Humanos , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
A new case of neurological complication of an osteoporotic vertebral fracture is reported. Authors emphasize electromyography which explained the clinical presentation of pseudo-evisceration by showing an injury of the 12th spinal nerve. To their knowledge, this kind of complication was never reported before, but they think that the development of electromyographic practice would allow to find many others cases. Authors emphasize MRI which gives strong argument for osteoporotic nature of a vertebral fracture and could avoid having recourse to vertebral biopsy.