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Results 301 - 350 of 568
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Korman T M - - 1997
We describe a patient with postsurgical anaerobic meningitis due to Peptostreptococcus magnus. In cases of meningitis associated with Peptostreptococcus species reported in the literature, the most common predisposing factors are meningorectal fistulae and head-and-neck surgery. Most patients respond well to appropriate antimicrobial therapy. Surgical intervention may be required in some ...
Jennings A L - - 1997
We report a case in which the signs of a malignant meningitis could have been confused with complications of an in-dwelling epidural catheter which was being used for analgesia. This confusion could have had disastrous implications for the patient's pain relief. We also discuss some of the issues and problems ...
Hannisch W - - 1997
Primary amebic meningoencephalitis (PAM) is a rapidly progressive and potentially fatal infection frequently contracted by swimming in bodies of warm fresh water. The etiological agent in most reported cases of PAM is the ameboflagellate Naegleria fowleri. Infection with this organism closely mimics and is often mistaken for a bacterial or ...
Cohen L F - - 1997
Streptococcus bovis is an uncommon cause of meningitis and subdural empyema. We report one case each of meningitis and subdural empyema in which S. bovis biotype II was isolated from both the spinal fluid and blood. In one case, the organisms were seen on a gram-stained preparation of cerebrospinal fluid. ...
Yousem S A - - 1997
Idiopathic bronchiolitis obliterans organizing pneumonia (BOOP) and cryptogenic organizing pneumonia (COP) are synonyms for an inflammatory interstitial process characterized by young fibromyxoid connective tissue within airways and air spaces. This clinicopathologic condition is associated with an excellent response to steroidal therapy in more than 80% of patients. In this study, ...
Parker S L - - 1997
Staphylococcus aureus meningitis is a rare but well recognized condition which had a high mortality and incidence of neurological sequelae. It is usually associated with chronic underlying conditions. A case is reported of S. aureus meningitis in a previously healthy young man. The epidemiology, microbiological findings and treatment of this ...
Ng V L - - 1997
Extrapulmonary pneumocystosis is an exceedingly rare complication of Pneumocystis carinii pneumonia (PCP). Prior to the advent of the human immunodeficiency virus type 1 (HIV-1) epidemic, only 16 cases of extrapulmonary pneumocystosis in individuals who were immunocompromised by a variety of underlying diseases had been reported. Since the beginning of the ...
Papadakis K A - - 1997
The authors report two cases of meningitis caused by Stenotrophomonas maltophilia in cancer patients following placement of an Ommaya reservoir for treatment of meningeal carcinomatosis. In addition, they review eight other cases of S. maltophilia that have been reported to date. Stenotrophomonas maltophilia meningitis is often associated with neurosurgical procedures; ...
Oermann C - - 1997
Lower respiratory tract illness due to Mycoplasma pneumoniae is typically mild and self-limited. There are, however, numerous reports of serious and life-threatening cases of mycoplasma pneumonia in adults. We present a case involving a 4-year-old girl with severe mycoplasma infection and necrotizing pneumonitis requiring lobectomy. A detailed pathological report is ...
Chong C Y - - 1997
Chromobacterium violaceum has recently been recognised as a pathogen which can cause life-threatening disease. It is the only Chromobacterium species which is pathogenic to humans. Due to its unfamiliarity, clinicians often do not appreciate its importance when it is isolated in sterile cultures and may dismiss it as a "containment". ...
Sviri S - - 1997
Legionella feeleii pneumonia has been described in seven cases, three of them being immunocompromised. We describe a case of L. feeleii pneumonia and pericarditis in a healthy man. Epidemiological survey was not conclusive. To the best of our knowledge, there have been no previous descriptions of pericarditis caused by this ...
Haziroglu R - - 1997
Pathological and bacteriological observations were made on 100 (0.98%) pneumonic lungs of 10140 slaughtered beef calves during March 1995-June 1996 period. Gross lesions were mainly lobular and occasionally lobar pattern and, were frequently observed in the pars cranialis of lobus cranialis dexter. In histological examination, proliferative-exudative pneumonia was observed in ...
Guerin J M - - 1997
We report a case of post-partum meningitis due to group B-streptococcus developing 24 h after vaginal delivery. Diagnosis was established by latex agglutination of streptococcus B-antigenes and confirmed by cerebrospinal fluid-culture later on. Clinical and haematological signs of meningitis disappeared after treatment with ampicillin. In a review of the literature ...
Gerrard J - - 1997
The recent association of a fatal human case of encephalitis with a newly identified lyssavirus apparently acquired from a native Australian bat has highlighted the possibility that previous human infections have passed urecognised. Infected bats have been identified on the Queensland Gold Coast where extensive close contact between bats and ...
Marton A - - 1997
Streptococcus pneumoniae is the most frequent pathogen in young children's acute otitis media. It also plays a significant role in nosocomial ear infection in children, while it causes pneumonia with or without bacteremia in hospitalized elderly people. Multiple antibiotic resistant strains are prevalent among S. pneumoniae isolates from the respiratory ...
Meredith F T - - 1997
We describe a case of rapidly progressive necrotizing cellulitis in an immunocompromised farmer caused by Bacillus cereus, and review 15 additional cases of serious soft tissue infection due to this organism reported in the English language literature. These cases illustrate the potential for B. cereus to cause fulminant soft tissue ...
Tärnvik A - - 1997
Since 1931, when tularaemia was first recognized in Sweden, the annual incidence has varied widely. Except for a few cases, ulceroglandular and respiratory tularaemia have been the only forms of the disease observed. Here, cases from Sweden of oropharyngeal tularaemia and of tularaemia septicaemia and meningitis, are reviewed. Since the ...
Anand R - - 1997
Neurological involvement of mumps is commonly restricted to aseptic meningitis. However, rarely mumps is associated with more severe encephalitic illness; other known associations described with mumps are cases of transverse myelitis and Gullain Barre like illness. We report a case of hemiplegia due to mumps parotitis probably caused by involvement ...
Weiss K - - 1996
For a long time, corynebacteria were considered simple cutaneous contaminants with little potential pathogenicity. Corynebacterium striatum is a known saprophytic cutaneous bacterium; however, in the last decade, this organism has been increasingly recognized as a pathogen. It has been mostly implicated in respiratory tract and blood infections. To our knowledge, ...
Flor A - - 1996
Nontuberculous mycobacterial meningitis (NTMM) is still a rare disease despite the increase in the number of cases of disseminated mycobacterial infection related to the AIDS epidemic. Moreover, there are doubts as to the clinical relevance of the isolation of mycobacteria other than Mycobacterium tuberculosis from cerebrospinal fluid. After analyzing the ...
Hultcrantz M - - 1996
Congenital deformities of the inner ear can be associated with meningitis and varying degrees of hearing loss or deafness. Recurrent periods of meningitis, sometimes lethal, are due to communication between the middle ear cavity and the subarachnoid space. Different types of congenital dysplasia have been classified earlier and we report ...
Lin H H - - 1996
Meningitis due to group A Streptococcus is uncommon. Only a few cases have been reported in the literature. In this paper, we report a case of a 19-year-old man who presented with fever, headache, nausea, vomiting and a decrease in level of consciousness. Five days prior to admission, he had ...
Gupta R - - 1996
Empyema thoracis, a serious complication of pneumonia, fortunately remains a less common cause of respiratory distress in neonates. Only 14 cases of neonatal empyema thoracis have been described in the world literature. The condition is characterized by its rarity, inability to identify any consistent predisposing factors, uncertain pathogenesis, rapid course, ...
Srivastava S - - 1996
Torulopsis glabrata is a rare cause of pneumonia in immunocompromised patients. We herein describe the case of an elderly man who presented with fulminant Torulopsis pneumonia and septic shock leading to death. We then review the literature, describe the clinical syndrome, and delineate an approach to diagnosis and treatment of ...
Daoud A - - 1996
Moraxella catarrhalis has been reported with increasing frequency to be the aetiological agent of serious systemic infection in both children and adults. The first case of neonatal meningitis due to this organism is described herein. The fatal outcome and causes of failure of response to antimicrobial therapy are also discussed. ...
Abram S E - - 1996
BACKGROUND AND OBJECTIVES: Warnings about the hazards of epidural steroid injections occasionally appear in both medical and lay literature despite a lack of objective data to support such concerns. This literature review was undertaken to survey reports of adverse reactions associated with that procedure. METHODS: The following types of publications ...
Nakazawa T - - 1996
We are reporting a male neonate with meningitis caused by Bifidobacterium breve. This is only the second case reported so far to our knowledge. The patient's clinical course was excellent and inflammatory indications, such as serum C-reactive protein, were weak. Although the antibiotics used for the patient were effective against ...
Soubani A O - - 1996
Round pneumonia is a rare manifestation of lower respiratory tract infection in adults. Previous reports emphasize that this entity is typically a mild, easily treatable illness that often masquerades radiographically as a neoplasm. We present two cases of round pneumonia, in patients with abnormal immunity, that progressed rapidly to life-threatening ...
Aboulafia D M - - 1996
Patients with gynecologic malignancies may develop metastases throughout the neuraxis. Cervix-related carcinomatous meningitis is a distinctly unusual clinical event with only two previous cases reported in the English medical literature. We review clinical, radiographic, and pathologic findings of a woman with advanced adenocarcinoma of the uterine cervix, whose course was ...
Bañuelos A F - - 1996
Meningitis occurs in one-third to one-half of patients with disseminated coccidioidomycosis, but mass lesions have rarely been described; these lesions are usually found at autopsy. We report six cases of disseminated coccidioidomycosis with central nervous system (CNS) abscesses. Four patients had cerebellar involvement, and two had spinal cord involvement. Four ...
Schneeberger P M - - 1996
Iatrogenic meningitis following lumbar puncture is a rare complication of myelography, spinal anesthesia, intrathecal chemotherapy, and epidural anesthesia. Sporadic cases and clusters of iatrogenic meningitis have been reported after intrathecal therapy, but most incidental cases are reported after myelography. Four cases of iatrogenic meningitis caused by viridans streptococci and a ...
Brizzi M - - 1996
Current therapy of bacterial meningitis includes high doses of antibiotics and, sometimes, addition of corticosteroids in order to reduce a harmful inflammatory response. The persisting high mortality and rate of sequelae, particularly regarding pneumococcal meningitis, calls for new therapeutic approaches. We report a case of a 71-year-old female with a ...
Auwaerter P G - - 1996
In many patients, the etiology of community-acquired pneumonia is not known but may be caused by previously undescribed pathogens in some cases. The recently identified hantavirus Sin Nombre (SN) causes hantavirus pulmonary syndrome. Because sporadic cases have occurred outside the range of its reservoir (the deer mouse Peromyscus maniculatus), an ...
Riantawan P - - 1996
A case of acute, severe pneumonia with respiratory insufficiency due to Chlamydia psittaci is described. Rapid improvement with tetracycline therapy in all symptoms and arterial blood gases is demonstrated. The diagnosis of psittacosis was secured by both cultivation and serological verification. A comprehensive review of the literature is appended. The ...
Cron R Q - - 1995
Necrobacillosis is a rare systemic illness caused by the anaerobic gram-negative bacterium, Fusobacterium necrophorum. We describe a case of necrobacillosis in a previously healthy child who developed purulent otitis media with sepsis caused by F. necrophorum. This case demonstrates that not all cases of purulent ear drainage are caused by ...
Haramoto U - - 1995
We report on a sporadic case of hemifacial hamartomatous hyperplasia. The patient is male, and has sebaceous nevus-like skin change, subcutaneous lipomatous mass, cranial bone hyperplasia, and bony change of meninges. His lesion involves the anterior half of the face and cranial base, and, medially, is delimited by the midline. ...
Moore C - - 1995
Corynebacteria are a well recognised cause of sepsis in the immunocompromised patient. Corynebacterium aquaticum, however, is rarely seen in the clinical setting, being an environmental organism associated with fresh water. A septicaemic episode caused by this organism in a 74 year old neutropenic woman with an indwelling central venous catheter ...
Phelps P D - - 1995
Congenital deformity of the osseous labyrinth of the inner ear is well recognized as being associated with a fistulous communication with the intracranial subarachnoid space in some cases, leading to meningitis or a spontaneous 'stapes gusher'. Such cases have been described inappropriately as 'Mondini's dysplasia'. We cite 2 patients who ...
Brink A J - - 1995
Shewanella (Pseudomonas) putrefaciens is a rare pathogen in humans, and to our knowledge only 13 cases of S. putrefaciens bacteremia have ever been reported in the literature. In this retrospective study we describe 28 cases of S. putrefaciens bacteremia: 16 in premature and 1-day-old neonates, 9 in adults, and 3 ...
Burucoa C - - 1995
A case of pneumonia caused by Streptococcus pneumoniae occurring in a patient receiving pristinamycin is reported. Despite empirical treatment with pristinamycin, 2 g/day for five days, the patient's condition worsened. Protected brush specimen and blood cultures permitted isolation of Streptococcus pneumoniae. MIC testing indicated that the strain was susceptible to ...
Chan E D - - 1995
The frequency of fulminant pneumonia due to Mycoplasma pneumoniae is relatively rare despite the high prevalence of Mycoplasma species infection in the general population. We recently encountered such a case and have reviewed the English-language literature on cases of M pneumoniae pneumonia that have resulted in respiratory failure or death. ...
Lee K S - - 1995
OBJECTIVE: To assess the CT findings of lipoid pneumonia. METHODS: Chest radiography and CT performed in six patients with proven lipoid pneumonia were reviewed by two observers. Diagnosis was confirmed by biopsy (five cases) or bronchoalveolar lavage (one case). The clinical history of taking oily substance could be obtained retrospectively ...
Erdem H - - 1995
Intracranial infections can locate at anywhere in the brain. Subdural empyemas are the less common type of intracranial infections, and parafalxial localization is seen rare. Findings of intracranial pressure increase developed in a cases who were treated for purulent meningitis. Parafalxial empyemas were diagnosed in succeeding cranial computed tomography. Middle ...
Giddings N A - - 1994
Cerebrospinal fluid (CSF) otorhinorrhea may be a result of infection, congenital abnormality, trauma, or it may be iatrogenic. Despite its etiology, most cases of CSF otorhinorrhea resolve spontaneously or with conservative management. For those instances where the leak does not resolve, a large variety of drainage, packing, and obliteration procedures ...
McGregor D H - - 1994
Heterotopic brain tissue reportedly occurs occasionally in various sites, including rare occurrences in the middle ear. Association with cholesteatoma in middle ear cases, however, has not been reported yet. In this article, the authors describe three cases of heterotopic brain tissue in the middle ear associated with cholesteatoma: a 3-year-old ...
Skiest D J - - 1994
Purulent pericarditis is uncommon and is rarely caused by anaerobic bacteria. We describe a 58-year-old man with purulent pericarditis secondary to infection with Bacteroides fragilis; the most likely source for the B. fragilis infection was subsequently found to be a ruptured appendix. His pericarditis eventually resolved after drainage of purulent ...
Harrison M S - - 1994
We report the case of a 41-year-old man infected with human immunodeficiency virus who had two episodes of aseptic meningitis that occurred 2 weeks apart; the first was associated with ingestion of trimethoprim-sulfamethoxazole (TMP-SMZ) and the second was associated with ingestion of TMP alone. Onset of fever, headache, and flushing ...
Nguyen M H - - 1994
Xanthomonas maltophilia is being increasingly recognized as an opportunistic pathogen in debilitated patients. We report a case of postoperative meningitis due to X. maltophilia and review the cases of X. maltophilia meningitis reported in the literature. Because X. maltophilia is often resistant to multiple beta-lactam agents, including cephalosporins and imipenem, ...
Mickles L I - - 1994
This case illustrates that L monocytogenes should always be considered as a potential cause of clinical meningitis, especially in an immunocompromised patient. The incidence of undetected or misdiagnosed Listeria organisms (as revealed in autopsies) is high enough that extra caution should be taken to ensure that an organism is not ...
Ray D - - 1994
A 49-year-old diabetic male had been unsuccessfully treated with antitubercular therapy for a granulomatous lesion of the left lung detected elsewhere nine months ago. He presented with evidence of meningitis which was found to be due to infection with Cryptococcus neoformans. Both the meningeal and lung lesions resolved after 6 ...
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