RESUMO
Klebsiella pneumoniae is part of the human gastrointestinal microbiota. It is also a well-known cause of community and nosocomial infections, involving mainly the lung and urinary tract. An invasive syndrome with liver abscess due to a new hypervirulent strain of K. pneumoniae was recently described. Several cases have been reported, mainly in Asia. Here, we show a case of a patient with an extrahepatic involvement affecting the lung and prostate.
Assuntos
Infecção Hospitalar , Diabetes Mellitus , Infecções por Klebsiella , Abscesso Hepático , Humanos , Infecções por Klebsiella/complicações , Infecções por Klebsiella/diagnóstico , Klebsiella pneumoniae , Abscesso Hepático/complicações , Masculino , SíndromeRESUMO
SARS-CoV-2 infection in children with primary immunodeficiency disease (PID) and its complications have not yet been well described, the course of COVID-19 can range from mild illness to death. We aim to report the case of a child with a PID who develop a severe and persistent pulmonary COVID-19 infection. We present chronologically his clinical course, tests, interventions and radiological findings showing his irregular evolution and poor response to infection. This case highlights the need to accurately monitor the immune response in these cases to try to stop the progression of the damage.
Assuntos
COVID-19 , Doenças da Imunodeficiência Primária , Criança , Família , Humanos , Pulmão/diagnóstico por imagem , SARS-CoV-2RESUMO
Medical tourism is the pursuit of more affordable surgeries; however, this comes at the risk of suboptimal standards and potential for life-threatening complications. In this case, we describe the diagnostic challenge of cytomegalovirus (CMV) pneumonia in a 40-year-old woman who experienced wound dehiscence and subsequent blood transfusion-transmitted CMV as complications of liposuction in the Dominican Republic. We explore the role of histopathology in the diagnosis of disseminated CMV, discuss the underlying aetiology of CMV pneumonia in this patient and weigh the risks and benefits of initiating antiviral therapy in an immunocompetent patient with CMV disease.
Assuntos
Infecções por Citomegalovirus , Citomegalovirus , Adulto , Transfusão de Sangue , República Dominicana , Feminino , Humanos , TurismoRESUMO
The presence of rhabdomyolysis secondary to multiple infections has been reported, predominantly viral, but also bacterial and fungal. It is well known that COVID-19 can present a wide variety of complications during the course of infection; however, the presence of rhabdomyolysis as an initial condition has not been reported so far. We report a case of rhabdomyolysis as an initial presentation in a patient diagnosed with SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection.
Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Pneumonia Viral/complicações , Pneumonia Viral/diagnóstico por imagem , Rabdomiólise/etiologia , Idoso , Antibacterianos/uso terapêutico , Anticorpos Monoclonais Humanizados/uso terapêutico , Anticoagulantes/uso terapêutico , Azitromicina/uso terapêutico , Bicarbonatos/uso terapêutico , COVID-19 , Ceftriaxona/uso terapêutico , Infecções por Coronavirus/terapia , Inibidores do Citocromo P-450 CYP3A/uso terapêutico , Enoxaparina/uso terapêutico , Inibidores Enzimáticos/uso terapêutico , Hidratação , Humanos , Hidroxicloroquina/uso terapêutico , Lopinavir/uso terapêutico , Masculino , Pandemias , Pneumonia Viral/terapia , Respiração Artificial , Rabdomiólise/diagnóstico , Rabdomiólise/terapia , Ritonavir/uso terapêutico , SARS-CoV-2 , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
Pneumocystis jirovecii is a common cause of pneumonia in patients with advanced HIV. In a lot of cases, there is a concomitant pulmonary infection. Cryptococcosis presents as a common complication for people with advanced HIV. However, it usually presents as meningitis rather than pneumonia. We present a case of a patient with coinfection by P. jirovecii and Cryptococcus spp without neurological involvement and a single nodular pulmonary lesion.