RESUMO
We report the first identification in Ecuador of the microorganism Comamonas kerstersii, a strain isolates from a sample of fluid from the abdominal cavity and identified by the technique of mass spectrometry MALDITOF. It was obtained during the surgical act of a patient with the diagnosis of acute peritonitis, secondary to a perforated appendicitis. This microorganism is considered a rare pathogen. Even though the genus to which it belongs has a wide geographical distribution, this pathogen is considered an opportunistic agent.
Assuntos
Comamonas , Equador , Humanos , PeritoniteRESUMO
Resumen Comunicamos la primera identificación en Ecuador del microorganismo Comamonas kerstersii, cepa aislada a partir de una muestra de líquido de la cavidad abdominal e identificada mediante la técnica de espectrometría de masas MALDITOF. Fue obtenida durante el acto quirúrgico de un paciente con el diagnóstico de una peritonitis aguda, secundaria a una apendicitis perforada. Este microorganismo es considerado un patógeno poco común. Pese a que el género al que pertenece tiene una amplia distribución geográfica, es considerado un agente oportunista.
Abstract We report the first identification in Ecuador of the microorganism Comamonas kerstersii, a strain isolates from a sample of fluid from the abdominal cavity and identified by the technique of mass spectrometry MALDITOF. It was obtained during the surgical act of a patient with the diagnosis of acute peritonitis, secondary to a perforated appendicitis. This microorganism is considered a rare pathogen. Even though the genus to which it belongs has a wide geographical distribution, this pathogen is considered an opportunistic agent.
Assuntos
Humanos , Comamonas , Peritonite , EquadorRESUMO
La tuberculosis extrapulmonar se define como la infección ocasionada por Mycobacterium tuberculosis a tejidos y órganos fuera del parénquima pulmonar, aproximadamente el 1-3 % del total de los casos de TB son extrapulmonares y de estos el 11-16 % afectan al abdomen; 10 al 15 % en los no infectados por el VIH y hasta en 70 % en los infectados. El presente reporte es acerca de una paciente de 34 años, sexo femenino, heterosexual, que no refirió conductas sexuales de riesgo, misma que solicitó valoración por emergencias del hospital general del norte de Guayaquil Los Ceibos (HGNG-C), refiriendo manifestaciones clínicas de 1 semana de evolución aproximadamente, tales como: náusea, vómitos, deposiciones líquidas en varias ocasiones, sin mejoría a pesar de tratamiento médico previo, que se complica con la aparición de dolor abdominal severo, por el cual se decidió efectuar apendicetomía de emergencia; en los resultados anatomopatológicos se detectaron estructuras granulomatosas, estableciéndose el diagnóstico de tuberculosis extrapulmonar.
Extrapulmonary tuberculosis is defined as the infection caused by Mycobacterium tuberculosis to tissues and organs outside the lung parenchyma, approximately 1-3 % of the total TB cases are extrapulmonary and of these 11-16 % affect the abdomen; 10 to 15 % in those not infected by HIV and up to 70 % in those infected. The present report is about a 34-year-old female,heterosexual, who did not report risky sexual behavior, who requested emergency assessment from the general hospital in the north of Guayaquil Los Ceibos (HGNG-C), referring to manifestations clinics of 1 week of evolution, such as: nausea, vomiting, liquid stools on several occasions, without improvement despite previous medical treatment, which is complicated by the appearance of severe abdominal pain, for which it was decided to perform emergency appendectomy ; In the anatomopathological results, granulomatous structures were detected, establishing the diagnosis of extrapulmonary tuberculosis.