RESUMEN
A 73-year-old man with type 2 diabetes mellitus and end-stage renal disease was diagnosed with acute myocardial infarction. He required continuous dialysis after percutaneous coronary intervention. Subsequently, multiple nodules were discovered in both lungs for the first time, and Cryptococcus neoformans was isolated from the patient's sputum, blood, bilateral pleural fluid, and cerebrospinal fluid cultures, resulting in a diagnosis of disseminated cryptococcosis. This case represents an invaluable example of disseminated cryptococcosis with rapidly growing lung nodules in a dialysis patient, and illustrates that dialysis causes innate immune disorder and the reactivation of cryptococcosis.
Asunto(s)
Criptococosis/complicaciones , Criptococosis/microbiología , Diabetes Mellitus Tipo 2 , Enfermedades Pulmonares Fúngicas/microbiología , Insuficiencia Renal Crónica/complicaciones , Anciano , Cryptococcus neoformans/aislamiento & purificación , Humanos , Enfermedades Pulmonares Fúngicas/complicaciones , Masculino , Esputo/microbiología , Tráquea/microbiologíaAsunto(s)
Acetamidas/administración & dosificación , Antiinfecciosos/administración & dosificación , Oxazolidinonas/administración & dosificación , Infecciones Estafilocócicas/tratamiento farmacológico , Staphylococcus aureus/efectos de los fármacos , Humanos , Linezolid , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Pruebas de Sensibilidad MicrobianaRESUMEN
Capsule-forming Klebsiella pneumoniae K1 caused primary liver abscess in two household members of a family. The causative isolates had identical pulsed-field gel electrophoresis patterns and were determined to be sequence type 23. An additional member of the family was found to carry the same strain without clinical manifestation.