SMJ articles in the category "infection"

Multidisciplinary Clinical Case Study

Mycobacterium fortuitum Meningitis: Approach to Lumboperitoneal Shunt Infection

Mycobacterium fortuitum is a rare, opportunistic pathogen most frequently contracted through contact with a contaminated source. An immunocompetent 26-year-old female patient presented to our institution with an infected lumboperitoneal (LP) shunt presenting as continued nonhealing wounds. After multiple debridements, shunt revisions, and wound closure failures, infectious disease specialists were consulted….

Posted in: infection 11 meningitis 5

Review

Bloodstream Infection with Anaerobiospirillum succiniciproducens: A Potentially Lethal Infection

Anaerobiospirillum succiniciproducens (A succiniciproducens), a spiral, Gram-negative anaerobic rod which is part of the normal intestinal flora of cats and dogs, has rarely been reported as a cause of bacteremia and diarrhea in humans, particularly in immunocompromised hosts. Although it can be associated with significant mortality, the full extent of…

Posted in: bacteremia 10 infection 11

Case Report

Disseminated Mycobacterium avium intracellulare Infection in an “Immunocompetent” Host

We are reporting the case of a 37-year-old immunocompetent patient who presented with anterior chest wall swelling, jaw swelling and pain, back pain, night sweats, and unintentional weight loss. He underwent mediastinoscopy with lymph node biopsy, which revealed caseating and noncaseating granuloma and special stains positive for acid-fast bacteria. Cultures…

Posted in: disseminated 2 HIV 30 immunosuppression 3 infection 11 Mycobacterium 2

Case Report

Not Your Typical Chronic Obstructive Pulmonary Disease Exacerbation: Aspergillus Tracheobronchitis in a Nonclassical Immunocompromised Host

he present study reports on a 72-year-old female initially treated as a presumed chronic obstructive pulmonary disease (COPD) exacerbation, but she was ultimately discovered to have Aspergillus tracheobronchitis. Bronchoscopic findings were characteristic, revealing diffuse plaque-like inflammatory lesions extending from midtrachea into the mainstem bronchi. Evidence suggests that the rise in…

Posted in: Aspergillus 3 bronchoscopy 5 COPD 10 dyspnea 6 infection 11

CME Topic

Causes and Risk Factors for Postoperative Fever in Spine Surgery Patients

Abstract:Postoperative fever is a common dilemma faced by neurosurgeons. To study this problem, we prospectively collected patients who developed fever after spine surgery during the academic year 2007–2008 for whom the internist's consultation was requested. Eighty-five (85) patients were identified, of which 17 had an identifiable infectious cause for their…

Posted in: hemoglobin 3 infection 11

Case Report

Persistent Upper Lip Swelling Caused by Foreign Body Infection: A Case Report

Persistent lip swelling can be a diagnostic challenge. We report an unusual case of lip edema in the setting of lip surgery 30 years before presentation and because of retained foreign material. This case highlights the importance of accurate historical information and aggressive diagnostic methods in assessing persistent lip swelling….

Posted in: foreign body 2 infection 11

Original Article

Vascular Access Infection Among Hemodialysis Patients in Northern Jordan: Incidence and Risk Factors

Objectives: Vascular access infection (VAI) causes significant mortality and morbidity in hemodialysis patients. The aim of this prospective, descriptive, exploratory survey of end-stage renal disease patients was to explore the incidence and risk factors of VAI. Methods: A total of 188 patients were included in the study from five different…

Posted in: catheter 2 hemodialysis 9 infection 11 vascular access 2

Expired CME Article

Local Biological Factors that Influence Amputations in Diabetic Patients

Lower extremity amputation is one of the worst complications of diabetes, as it usually has a life expectancy that is below that of most cancers. Four local biologic factors—ulcer, ischemia, neuropathy, and infection—have been shown to be related to amputation. These factors interact with one another, such that neuropathy has…

Posted in: infection 11 ischemia 2 neuropathy 3

Case Report

Prosthetic Joint Infection by Mycobacterium tuberculosis: An Unusual Case Report with Literature Review

Prosthetic joint infection with Mycobacterium tuberculosis usually involves the hips or knees and can result from either local reactivation, or less often from hematogenous spread. Predisposing conditions include rheumatoid arthritis, chronic steroid use and pulmonary diseases. The most common symptom at presentation is pain, and the most common physical finding…

Posted in: infection 11

Original Article

Intraventricular Administration of rt-PA in Patients with Intraventricular Hemorrhage

Objective: Intraventricular hemorrhage (IVH) represents a clinicopathologic entity with a dismal prognosis. The associated mortality rate has been reported as high as 80%; the morbidity is also quite high. The use of various fibrinolytic agents (streptokinase, urokinase, and recombinant tissue-type plasminogen activator [rt-PA]) has been reported in a small number…

Posted in: hydrocephalus 4 infection 11 outcome 13

Original Article

Cutaneous Community-acquired Methicillin-resistant Staphylococcus aureus Infection in Participants of Athletic Activities

Objectives: Cutaneous community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) has been identified in otherwise healthy individuals either with or without methicillin-resistant S. aureus (MRSA)-associated risk factors who participate in athletic activities. The purpose of this study was to describe the clinical features of CAMRSA skin infection that occurred in university student athletes,…

Posted in: abscess 6 athletes 5 cellulitis 5 community acquired 3 cutaneous 4 infection 11 methicillin-resistant 3 skin 5 sports 4 Staphylococcus aureus 14
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