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1.
Ann Vasc Surg ; 72: 664.e1-664.e6, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33227459

RESUMO

Degenerative aneurysms of the superficial femoral artery (SFA) are relatively rare and often recognized when they become symptomatic such as rupture. Infected SFA aneurysms are much rarer, especially those caused by Campylobacter fetus bacteremia. We report a case of a 67-year-old woman referred to our hospital owing to the presence of a painful reddish swelling on her left thigh. A huge SFA aneurysm rupture was diagnosed, and endovascular treatment with a covered stent was performed. C. fetus was detected in the blood culture thereafter, and antibacterial therapy was successfully performed without any additional surgical interventions. She remained well without any evidence of indolent infection 19 months after the endovascular treatment. The endovascular approach with appropriate prolonged antibacterial therapy would be a feasible alternative for managing selected infected aneurysm cases.


Assuntos
Aneurisma Infectado/cirurgia , Aneurisma Roto/cirurgia , Implante de Prótese Vascular , Infecções por Campylobacter/cirurgia , Campylobacter fetus/isolamento & purificação , Procedimentos Endovasculares , Artéria Femoral/cirurgia , Idoso , Aneurisma Infectado/diagnóstico por imagem , Aneurisma Infectado/microbiologia , Aneurisma Roto/diagnóstico por imagem , Aneurisma Roto/microbiologia , Antibacterianos/uso terapêutico , Bacteriemia/tratamento farmacológico , Bacteriemia/microbiologia , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Infecções por Campylobacter/diagnóstico por imagem , Infecções por Campylobacter/microbiologia , Procedimentos Endovasculares/instrumentação , Feminino , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/microbiologia , Humanos , Stents , Resultado do Tratamento
2.
BMJ Case Rep ; 13(3)2020 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-32205380

RESUMO

A 58-year-old woman presented to the emergency department in a district general hospital with severe abdominal pain and diarrhoea, after collapsing at home. She was admitted to the intensive care unit (ICU) in septic shock, and with acute kidney injury. An initial CT scan was suggestive of colitis. She was treated for suspected gastroenteritis and her microbiology results showed Campylobacter coli as the causative organism. She failed to respond to antibiotics, and underwent serial contrast CTs which showed no progression of colitis. Colonoscopy performed on day 10 of her admission, however, revealed fulminant colitis. After a multidisciplinary meeting among gastroenterologists, general surgeons and intensivists, the patient underwent total colectomy with ileostomy. She made a slow but steady recovery in ICU, and subsequently in the ward, and was discharged to a local community hospital for further rehabilitation.


Assuntos
Infecções por Campylobacter/complicações , Colite/microbiologia , Megacolo Tóxico/microbiologia , Insuficiência de Múltiplos Órgãos/microbiologia , Infecções por Campylobacter/cirurgia , Campylobacter coli , Colectomia , Colite/complicações , Diagnóstico Diferencial , Feminino , Humanos , Ileostomia , Megacolo Tóxico/cirurgia , Pessoa de Meia-Idade , Insuficiência de Múltiplos Órgãos/cirurgia
3.
World Neurosurg ; 119: 353-357, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30144607

RESUMO

BACKGROUND: Infectious aneurysm is a rare complication in intracranial aneurysm. Moreover, giant aneurysm is a rare entity in intracranial aneurysm. In the great majority of infectious intracranial aneurysms, vasculitis and/or endocarditis is associated. CASE DESCRIPTION: Here, we report the case of an 83-year-old man who developed a giant infectious intracranial aneurysm on the anterior communicating artery. This patient had never shown any intracranial bleeding. A surgery was performed, and purulent liquid and aneurysm wall were removed during procedure. The bacteriologic analyses reported Campylobacter fetus. CONCLUSIONS: This bacterium seems to be more and more frequent in North America and Europe, according to the current literature. Moreover, cases of mycotic extracranial aneurysm were reported. Here we report the first case of intracranial giant infectious aneurysm in an adult patient, without any endocarditis or vasculitis. This new entity could be the cause of a bacterial graft on an asymptomatic giant preexisting intracranial aneurysm or a consequence of campylobacteriosis.


Assuntos
Aneurisma Infectado/complicações , Infecções por Campylobacter/complicações , Campylobacter/patogenicidade , Aneurisma Intracraniano/etiologia , Idoso de 80 Anos ou mais , Aneurisma Infectado/diagnóstico por imagem , Aneurisma Infectado/microbiologia , Aneurisma Infectado/cirurgia , Infecções por Campylobacter/diagnóstico por imagem , Infecções por Campylobacter/cirurgia , Angiografia por Tomografia Computadorizada , Humanos , Aneurisma Intracraniano/diagnóstico por imagem , Aneurisma Intracraniano/microbiologia , Aneurisma Intracraniano/cirurgia , Imageamento por Ressonância Magnética , Masculino
4.
Intern Med ; 54(16): 2021-4, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26278295

RESUMO

A 67-year-old man with a persistent high fever was diagnosed to have an infective aneurysm in his left internal iliac artery. A blood culture detected a gram-negative spiral rod that was first identified as Campylobacter fetus subsp. venerealis based on a matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS) analysis. However, the strain was finally confirmed to be Campylobacter fetus subsp. fetus based on a genetic analysis. The infection was successfully treated with emergency resection of the aneurysm, followed by 4 weeks of antibiotic therapy. Involvement of the peripheral artery is uncommon in cases of C. fetus-infective aneurysm. To figure out the epidemiology and pathogenicity of C. fetus infection, the accurate identification of the responsible organisms is essential.


Assuntos
Aneurisma Infectado/diagnóstico , Infecções por Campylobacter/diagnóstico , Campylobacter fetus/isolamento & purificação , Febre/microbiologia , Aneurisma Ilíaco/diagnóstico , Artéria Ilíaca/microbiologia , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Idoso , Aneurisma Infectado/tratamento farmacológico , Aneurisma Infectado/cirurgia , Antibacterianos/administração & dosagem , Infecções por Campylobacter/tratamento farmacológico , Infecções por Campylobacter/cirurgia , Cefotaxima/administração & dosagem , Febre/etiologia , Humanos , Aneurisma Ilíaco/tratamento farmacológico , Aneurisma Ilíaco/cirurgia , Levofloxacino/administração & dosagem , Masculino , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Resultado do Tratamento
6.
Ann Vasc Surg ; 29(1): 122.e9-11, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24930978

RESUMO

BACKGROUND: Mycotic aneurysms of the popliteal artery are uncommon. Popliteal aneurysms rarely rupture. The authors present the second reported case of popliteal artery rupture as a result of Campylobacter fetus infection. This report confirms the arterial destructive potential of C. fetus infection in a peripheral artery. METHODS: An 85-year-old male who had previously undergone endovascular abdominal aortic aneurysm repair in 2007 presented with positive blood cultures for C. fetus. No endocarditis was detected. No periprosthetic fluid to suggest aortic endograft infection was present. During hospitalization for sepsis, he developed acute right knee pain and swelling. A 5.2-cm popliteal aneurysm, with contained rupture, was found on ultrasound and confirmed by computed tomography and angiography. Recommendations for treatment and a literature review are provided. RESULTS: This patient was successfully managed with total excision of the aneurysm via a posterior approach with reconstruction through a medial approach using autologous saphenous vein bypass. Culture-directed antibiotic therapy (6 weeks of intravenous ertapenem) to eradicate the pathogen completed the therapy. The patient is doing well at 18- month follow-up. CONCLUSIONS: Mycotic popliteal aneurysm associated with C. fetus is a rare but potentially fatal condition. Isolating C. fetus should alert the surgeon to the peripheral arterial destructive potential of this pathogen, as manifested by acute rupture in this patient. Traditional resection through a posterior approach and revascularization through noncontaminated tissue with culture-directed therapy are the treatments of choice.


Assuntos
Aneurisma Infectado/microbiologia , Aneurisma Roto/microbiologia , Infecções por Campylobacter/microbiologia , Campylobacter fetus/isolamento & purificação , Artéria Poplítea/microbiologia , Idoso de 80 Anos ou mais , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/cirurgia , Aneurisma Roto/diagnóstico , Aneurisma Roto/cirurgia , Angiografia Digital , Antibacterianos/uso terapêutico , Infecções por Campylobacter/diagnóstico , Infecções por Campylobacter/cirurgia , Humanos , Masculino , Artéria Poplítea/cirurgia , Veia Safena/transplante , Tomografia Computadorizada por Raios X , Resultado do Tratamento
7.
Ann Vasc Surg ; 28(8): 1933.e7-1933.e14, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25017776

RESUMO

Campylobacter spp. usually cause gastrointestinal infections, but among them, Campylobacter fetus is a well-known organism causing mycotic abdominal aortic aneurysm (MAAA), which requires proper surgical intervention and antibiotic therapy. We report a 65-year-old man who was successfully treated by an in situ operation using a rifampicin (RFP)-bonded J-Graft for C. fetus-induced MAAA. We performed a review of the English literature on MAAA caused by C. fetus and summarized the results of the cases (28 cases). All but 2 of the patients (92.9%) were men. Blood culture and arterial wall culture were positive in 63% and 73.1% of the cases, respectively. Aneurysm rupture was seen in half of the patients, and approximately half of those patients died. Among the 18 patients who underwent in situ graft replacement, only 1 patient (5.6%) died after surgery. Antibiotic therapy was performed for more than 1 month in most cases, and overall mortality rate was 25.9% (7 of 27 cases, 3 deaths before the operation and 4 deaths after surgery). Although extra-anatomic bypass has been conventionally performed after complete resection of an MAAA, the utility of in situ surgery has generally been recognized. Our review suggests that the in situ operation can be a choice also in cases of C. fetus-associated MAAA. Furthermore, our case suggested the clinical utility of a newly manufactured prosthetic graft, J-Graft, for such surgical treatment.


Assuntos
Aneurisma Infectado/microbiologia , Aneurisma da Aorta Abdominal/microbiologia , Infecções por Campylobacter/microbiologia , Campylobacter fetus/isolamento & purificação , Idoso , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/cirurgia , Antibacterianos/administração & dosagem , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/cirurgia , Aortografia/métodos , Biópsia , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Infecções por Campylobacter/diagnóstico , Infecções por Campylobacter/cirurgia , Materiais Revestidos Biocompatíveis , Humanos , Masculino , Desenho de Prótese , Rifampina/administração & dosagem , Tomografia Computadorizada por Raios X , Resultado do Tratamento
9.
Scand J Infect Dis ; 45(9): 706-10, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23808718

RESUMO

Few cases of Campylobacter prosthetic joint infection (PJI) have been reported so far. We describe the demographic characteristics, underlying conditions, clinical features, treatment, and outcome of 8 patients with Campylobacter PJI in our hospital. All strains were confirmed at the French National Reference Center for Campylobacter and Helicobacter. Seven patients were infected with C. fetus and 1 with C. jejuni. Most patients were elderly and immunocompromised. Four had bacteremia, one of these with a pacemaker endocarditis. All the patients received at least 3 months of antibiotic treatment and 6 were treated surgically. The outcome was favorable at 2 years of follow-up in all except for 1 patient. Campylobacter PJI cases are rare but likely to become more frequent. C. fetus bacteremia should motivate physicians to look for a secondary localization such as a Campylobacter PJI.


Assuntos
Artroplastia de Quadril/efeitos adversos , Artroplastia do Joelho/efeitos adversos , Infecções por Campylobacter/etiologia , Infecções por Campylobacter/microbiologia , Campylobacter/isolamento & purificação , Infecções Relacionadas à Prótese/microbiologia , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Campylobacter/efeitos dos fármacos , Infecções por Campylobacter/tratamento farmacológico , Infecções por Campylobacter/cirurgia , Farmacorresistência Bacteriana , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Relacionadas à Prótese/tratamento farmacológico , Infecções Relacionadas à Prótese/cirurgia , Resultado do Tratamento
10.
Vascular ; 17(4): 226-9, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19698305

RESUMO

This is a case report of a patient with Campylobacter fetus involving bilateral internal iliac artery aneurysms. The patient was treated successfully by ligation of the bilateral iliac artery aneurysms and antibiotics. According to a review of the English-language medical literature, this was the first such patient to be reported. A 69-year-old African-American male presented with a past medical history of repair of a 6.6 cm abdominal aortic aneurysm. It had been repaired with a Dacron bifurcated graft in July 2005. The bilateral internal iliac artery aneurysms (right 2.3 cm and left 3.4 cm) were coil embolized intraoperatively. The patient's past medical history was significant for hypertension and coronary artery disease and was status post-stent placement. He re-presented with fever and chills for 8 days in duration at home in March 2007. His fever was 101 to 102 degrees F. He denied vomiting, diarrhea, and a history of recent travel. The patient was admitted to the hospital for a fever workup. After an extensive workup, a left internal iliac artery aneurysm was found to be the source of sepsis. The patient was taken to the operating room for excision of the left internal iliac artery. No purulence was noted, but tissue overlying the aneurysm was thickened and fibrotic. Multiple cultures were taken. The tissue culture came back as C. fetus. Incidentally, the patient's preoperative computed tomographic scan revealed a right internal iliac artery aneurysm that was 4.2 cm on March 28, 2007, and 4.9 cm on April 23, 2007. Postoperatively, the patient's right internal iliac artery aneurysm was noted to be rapidly growing. He was promptly taken to the operating room for ligation of the right internal iliac artery aneurysm. The patient's postoperative course was unremarkable. He was discharged on ciprofloxacin for 14 days.


Assuntos
Aneurisma Infectado/diagnóstico , Infecções por Campylobacter/diagnóstico , Campylobacter fetus , Aneurisma Ilíaco/diagnóstico , Idoso , Aneurisma Infectado/cirurgia , Infecções por Campylobacter/cirurgia , Humanos , Aneurisma Ilíaco/cirurgia , Angiografia por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios X
11.
J Vasc Surg ; 48(4): 815-20, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18692356

RESUMO

PURPOSE: Few reports of aortoiliac aneurysms infected by Campylobacter fetus are available. We report five cases and review previous reports, with a view to describing the clinical pattern, treatment options, and outcome of this infection. METHODS: During a 10-year period, 21 patients were diagnosed with C fetus infection in the Department of Clinical Microbiology, five of whom had an infected arterial aneurysm. We retrospectively reviewed their medical charts. Diagnosis was made on the basis of clinical presentation, computed tomography scan, perioperative findings, and identification of C fetus in at least one blood culture or culture from an aneurysm specimen. Late outcome of surviving patients was assessed by telephone interview. RESULTS: We identified four aortic aneurysms and one hypogastric aneurysm. All patients were seen in an emergency setting. Five had fever and abdominal pain, and three had contained rupture. Campylobacter fetus was found in blood cultures of four patients and in the aneurysm specimen of one patient. Three patients were treated by open repair and two by endovascular repair. One patient treated endovascularly died from septic shock due to C fetus at 2 weeks. One patient treated by open surgery underwent reoperation for persistent infection. The remaining patients were cured, but one died at 5 months of an unrelated cause. All surviving patients received long-term antibiotic therapy. CONCLUSION: Campylobacter fetus infection of aortoiliac aneurysms is a serious condition with a high rate of rupture. However, long-term success can be obtained with prompt surgical treatment and an appropriate antibiotic regimen. The benefits of stent grafts remain debatable.


Assuntos
Aneurisma Infectado/complicações , Aneurisma da Aorta Abdominal/complicações , Infecções por Campylobacter/complicações , Campylobacter fetus , Aneurisma Ilíaco/complicações , Idoso , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/cirurgia , Infecções por Campylobacter/diagnóstico , Infecções por Campylobacter/cirurgia , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/cirurgia , Masculino , Estudos Retrospectivos
12.
J Arthroplasty ; 20(3): 401-5, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15809962

RESUMO

We present the first documented case of a bilateral prosthetic knee joint infection with Campylobacter fetus. Our patient's risk factors included age, the presence of prosthetic joints, and potential exposure through his contact with farm animals. It is important to be aware of the possibility of C fetus joint infections in high-risk patients who present with pain after total joint arthroplasty.


Assuntos
Artroplastia do Joelho , Infecções por Campylobacter/microbiologia , Campylobacter fetus , Complicações Pós-Operatórias/microbiologia , Infecções Relacionadas à Prótese/microbiologia , Infecção da Ferida Cirúrgica/microbiologia , Idoso , Antibacterianos , Infecções por Campylobacter/cirurgia , Remoção de Dispositivo , Diagnóstico Diferencial , Quimioterapia Combinada/uso terapêutico , Seguimentos , Humanos , Masculino , Testes de Sensibilidade Microbiana , Cuidados Pós-Operatórios , Complicações Pós-Operatórias/cirurgia , Infecções Relacionadas à Prótese/cirurgia , Reoperação , Infecção da Ferida Cirúrgica/cirurgia
13.
Clin Microbiol Infect ; 9(9): 970-2, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-14616689

RESUMO

A 51-year-old man presented with acute cholecystitis and the routine intraoperative culture of the bile grew Campylobacter jejuni. The patient was cured by laparoscopic cholecystectomy without specific antimicrobial treatment. Cholecystitis owing to Campylobacter spp. could be missed because a culture for Campylobacter is not routinely requested nor is it cost effective to look for it in bile or gallbladder specimens. Moreover, the fastidious nature of these bacteria dictates against their recovery in routine culture. Because this is a rare infection at this site, a review of the literature on this infection is included.


Assuntos
Infecções por Campylobacter/microbiologia , Campylobacter jejuni/crescimento & desenvolvimento , Colecistolitíase/microbiologia , Infecções por Campylobacter/cirurgia , Colecistectomia Laparoscópica , Colecistolitíase/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade
14.
Z Gastroenterol ; 38(4): 307-9, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10820863

RESUMO

The development of toxic megacolon as a sequel of infectious colitis is rare. We have observed the very rare case of a campylobacter jejuni-induced toxic megacolon. A 28-year-old man was admitted with severe enterocolitis and appearance of blood in stools. He had been treated with loperamide without success. Two days after admission stool cultures revealed campylobacter jejuni and then an oral antibiotic therapy was started. On the fifth day clinical performance deteriorated again with development of toxic megacolon and consecutive subtotal colectomy. Rectoscopy before discharge after 13 days showed a normal mucosa. The unusual course with first improvement and then rapid deterioration despite adequate therapy was observed in 4 other cases, which may also be a hint of ensuing megacolon. Even in usually harmless enterocolitis like campylobacter infection, predisposing factors such as loperamide are known to precipitate toxic megacolon and should be considered in clinical practice.


Assuntos
Infecções por Campylobacter/diagnóstico , Campylobacter jejuni , Colite/diagnóstico , Megacolo Tóxico/diagnóstico , Adulto , Infecções por Campylobacter/cirurgia , Colectomia , Colite/cirurgia , Progressão da Doença , Humanos , Ileostomia , Loperamida/administração & dosagem , Loperamida/efeitos adversos , Masculino , Megacolo Tóxico/cirurgia , Fatores de Risco
15.
Surg Today ; 28(6): 661-4, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9681621

RESUMO

A 45-year old man with fever, abdominal pain, and a pulsating mass underwent an aneurysmectomy, with in situ reconstruction using a bifurcated knitted Dacron graft, for a saccular abdominal aortic aneurysm (AAA). A culture taken postoperatively grew Campylobacter fetus subspecies fetus. The administration of antibiotics sensitive to this organism was continued for 3 months, and no infection has been encountered in the 1 year since his operation. This is only the 13th documented case of AAA infected by C. fetus subspecies fetus.


Assuntos
Aneurisma Infectado/cirurgia , Aneurisma da Aorta Abdominal/cirurgia , Infecções por Campylobacter/cirurgia , Campylobacter fetus , Aneurisma Infectado/microbiologia , Aneurisma da Aorta Abdominal/microbiologia , Humanos , Masculino , Pessoa de Meia-Idade
16.
Neurol Med Chir (Tokyo) ; 37(8): 637-9, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9301203

RESUMO

A 70-year-old male presented with rapid neurological deterioration and fever 3 months after suffering a closed head trauma. He underwent craniotomy for possible subdural empyema based on computed tomography and clinical findings. Dural incision revealed an outer membrane typical of chronic subdural hematoma which covered a clear, yellowish fluid containing Campylobacter fetus. Histological examination confirmed the capsule of the hematoma, with a necrotic focus infiltrated by neutrophils. Administration of intravenous imipenem and topical tobramycin and cefalothin achieved total resolution of his neurological deficits. Development of the infected subdural effusion was probably secondary to bacterial infection in the pre-existing chronic subdural hematoma in the resolving stage. The presence of the hematoma capsule always carries the risk of development of an infectious focus.


Assuntos
Infecções por Campylobacter/cirurgia , Campylobacter fetus , Empiema Subdural/cirurgia , Hematoma Subdural/cirurgia , Derrame Subdural/cirurgia , Idoso , Antibacterianos , Infecções por Campylobacter/diagnóstico , Infecções por Campylobacter/patologia , Doença Crônica , Terapia Combinada , Craniotomia , Quimioterapia Combinada/uso terapêutico , Empiema Subdural/diagnóstico , Empiema Subdural/patologia , Traumatismos Cranianos Fechados/complicações , Traumatismos Cranianos Fechados/diagnóstico , Traumatismos Cranianos Fechados/patologia , Hematoma Subdural/diagnóstico , Hematoma Subdural/patologia , Humanos , Masculino , Derrame Subdural/diagnóstico , Derrame Subdural/patologia , Espaço Subdural/patologia
18.
Clin Infect Dis ; 18(3): 443-6, 1994 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8011832

RESUMO

We report two cases of Campylobacter fetus endocarditis. The first case involved a bicuspid native aortic valve in a 60-year-old woman, and the second involved a prosthetic aortic valve in a 76-year-old woman. No source of infection was identified in either case. Despite antibiotic therapy, hemodynamic deterioration necessitated valve replacement; both patients recovered completely. C. fetus is an uncommon cause of human infection but may be responsible for severe illnesses such as endocarditis and thrombophlebitis because of its tendency to attack the vascular endothelium. Review of the literature revealed 21 cases of endocarditis caused by this organism, usually involving the aortic valve. To our knowledge, there are only two reported cases of prosthetic valve endocarditis. Our second patient is the oldest one encountered so far with this condition.


Assuntos
Infecções por Campylobacter/etiologia , Campylobacter fetus , Endocardite Bacteriana/etiologia , Idoso , Antibacterianos/uso terapêutico , Valva Aórtica , Infecções por Campylobacter/tratamento farmacológico , Infecções por Campylobacter/cirurgia , Terapia Combinada , Endocardite Bacteriana/tratamento farmacológico , Endocardite Bacteriana/cirurgia , Feminino , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Pessoa de Meia-Idade
19.
Gastroenterol Clin Biol ; 18(3): 281-4, 1994.
Artigo em Francês | MEDLINE | ID: mdl-7926445

RESUMO

Campylobacter jejuni is an enteropathogen with invasive ability which may be responsible for acute colitis. We report the case of a 38-year-old woman who was hospitalized for severe acute colitis. Stool specimen examination revealed Campylobacter jejuni. A laparotomy was performed due to clinical deterioration and toxic megacolon. Colic perforations were observed. The examination of the colectomy specimen revealed ulcerative pancolitis. This is the first published case of Campylobacter jejuni infection complicated by toxic megacolon and perforation.


Assuntos
Infecções por Campylobacter/complicações , Campylobacter jejuni/isolamento & purificação , Colite/microbiologia , Ileíte/microbiologia , Megacolo Tóxico/complicações , Adulto , Infecções por Campylobacter/microbiologia , Infecções por Campylobacter/patologia , Infecções por Campylobacter/cirurgia , Colectomia , Colite/complicações , Colite/patologia , Colite/cirurgia , Doenças do Colo/etiologia , Doenças do Colo/cirurgia , Feminino , Humanos , Ileíte/complicações , Ileíte/cirurgia , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Megacolo Tóxico/patologia , Megacolo Tóxico/cirurgia
20.
Aust N Z J Surg ; 64(1): 55-8, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8267541

RESUMO

Patients with Campylobacter enterocolitis may come to laparotomy due to the severity of abdominal symptoms and signs, although only two patients with intestinal inflammation have been described and in neither was the histopathology documented. A case of a 52-year-old male who had a typical diarrhoeal illness of Campylobacter enterocolitis diagnosed on stool culture is reported. Despite appropriate treatment he developed signs and symptoms consistent with small intestinal obstruction. Laparotomy revealed peritonitis and thickened distal ileum with transmural inflammatory changes on histopathology. These changes were shown to have completely resolved at a second laparotomy, required for persistent obstruction due to adhesions. Recurrent adhesions culminated in a third laparotomy. The clinical, operative and histopathological findings may be confused with Crohn's disease.


Assuntos
Infecções por Campylobacter/complicações , Campylobacter jejuni , Enterocolite/complicações , Doenças do Íleo/etiologia , Ileíte/etiologia , Obstrução Intestinal/etiologia , Peritonite/etiologia , Infecções por Campylobacter/patologia , Infecções por Campylobacter/cirurgia , Enterocolite/patologia , Enterocolite/cirurgia , Humanos , Doenças do Íleo/patologia , Doenças do Íleo/cirurgia , Ileíte/patologia , Ileíte/cirurgia , Íleo/patologia , Íleo/cirurgia , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgia , Laparotomia , Masculino , Pessoa de Meia-Idade , Peritonite/patologia , Peritonite/cirurgia , Recidiva , Reoperação
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