RESUMO
The anaerobic Gram-negative rod Fusobacterium nucleatum is an oral commensal and periodontal pathogen that has been associated with a wide variety of infections, yet it is extremely rare to be associated with prosthetic joint infection. After an exhaustive literature review, only two cases of prosthetic joint infection by F. nucleatum have been previously reported. To our knowledge, the case we report on here is the first combined with periprosthetic abscess and related with hemochromatosis. We therefore sought to provide a comprehensive literature review of case reports or series of less commonly encountered anaerobic microorganisms isolated from prosthetic joint infections.
Assuntos
Infecções por Fusobacterium/microbiologia , Fusobacterium nucleatum/fisiologia , Prótese de Quadril/microbiologia , Infecções Relacionadas à Prótese/microbiologia , Adulto , Idoso , Feminino , Fusobacterium nucleatum/genética , Fusobacterium nucleatum/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Critical illness polyneuropathy and myopathy is a neuromuscular disorder resulting in flaccid tetraparesia and difficulty in extubation that occurs in intensive care unit patients, among patients subjected to vascular surgery. The main risk factor for its appearance is the presence of sepsis and systemic inflammatory response syndrome. Case reports: Two cases of Critical illness polyneuropathy were diagnosed in vascular patients treated for a brachiocephalic trunk aneurysm and an abdominal aortic aneurysm who presented difficulty in extubation and flaccid tetraparesia in the postoperative period. Both died after a prolonged stay in hospital. This pathology is relatively frequent in intensive care unit patients, presenting elevated morbidity and mortality. It is important to suspect its presence as well as to know its prognosis. Furthermore, although specific treatment does not exist, it is important to initiate a rehabilitation programme as soon as possible (AU)
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Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Idoso , Polineuropatias/complicações , Doenças Musculares/complicações , Quadriplegia/complicações , Procedimentos Cirúrgicos Vasculares , Aneurisma/cirurgia , Estado Terminal , Recall de Dispositivo Médico , Complicações IntraoperatóriasRESUMO
A case of spontaneous acute infrarenal aortic dissection, with extension to the right common iliac artery and proximally to just below the origin of the renal arteries is presented. This dissection did not involve the visceral vessels nor the iliac system. The diagnosis was made with ultrasonography and computed tomography, without the need for angiography, and confirmed during surgical intervention, in which, prosthetic replacement of the affected segment was carried out.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Dissecção Aórtica/cirurgia , Doença Aguda , Dissecção Aórtica/diagnóstico , Dissecção Aórtica/patologia , Aorta Abdominal/patologia , Aorta Abdominal/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/patologia , Implante de Prótese Vascular , Diagnóstico por Imagem , Humanos , Artéria Ilíaca/patologia , Artéria Ilíaca/cirurgia , Masculino , Pessoa de Meia-IdadeRESUMO
We present a case report of recurrent pericarditis with pericardial effusion and high levels of Coxiella burnetti antibodies (phase II), excluding other possible etiologies. The rarity of this disorder is commented and the necessity of be considered this etiological possibility in a second time, particularly in patients who are susceptible to suffer Q-Fever disease.
