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Nishio M, Morioka H, Takai S, Osada Y, Seki Y, Osugi T, Oba A, Miyaki Y. Bacteraemia and obstructive pyelonephritis caused by Bifidobacterium breve in an elderly woman: a case report and literature review. Access Microbiol 2023; 5:000574.v3. [PMID: 37970080 PMCID: PMC10634491 DOI: 10.1099/acmi.0.000574.v3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 07/19/2023] [Indexed: 11/17/2023] Open
Abstract
Bifidobacterium spp. are non-spore-forming Gram-positive anaerobes that are indigenous to the human gastrointestinal tract and vagina. They are believed to be non-pathogenic organisms for humans and thus are widely used as probiotics. An 83-year-old woman taking cephalexin for 4 days was diagnosed with obstructive pyelonephritis. Y-branched Gram-positive rods were found in both anaerobic and aerobic blood culture bottles, and in an anaerobic urine culture. Bifidobacterium breve was finally identified. Ceftriaxone and metronidazole were administered to the patient, and she was discharged after intermittent catheterization for dysuria. Urinary tract infection caused by Bifidobacterium spp. is believed to be rare, but it can develop in patients with underlying urological conditions. Recognition of the characteristic morphology and conducting anaerobic urine culture may help in identifying more cases of Bifidobacterium urinary tract infections.
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Affiliation(s)
- Mitsuru Nishio
- Department of Clinical Laboratory, Komaki City Hospital, Komaki, Aichi, Japan
- Infection Control Team, Komaki City Hospital, Komaki, Aichi, Japan
| | - Hiroshi Morioka
- Infection Control Team, Komaki City Hospital, Komaki, Aichi, Japan
- Department of Infectious Diseases, Nagoya University Hospital, Nagoya, Aichi, Japan
| | - Shun Takai
- Department of Urology, Komaki City Hospital, Komaki, Aichi, Japan
| | - Yukari Osada
- Department of Medical Technique, Nagoya University Hospital, Nagoya, Aichi, Japan
| | - Yoshie Seki
- Department of Clinical Laboratory, Komaki City Hospital, Komaki, Aichi, Japan
| | - Takato Osugi
- Department of Clinical Laboratory, Komaki City Hospital, Komaki, Aichi, Japan
| | - Airi Oba
- Department of Clinical Laboratory, Komaki City Hospital, Komaki, Aichi, Japan
| | - Yuki Miyaki
- Department of Clinical Laboratory, Komaki City Hospital, Komaki, Aichi, Japan
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2
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White M, Miller R, Locquet L. Bacterial pericarditis associated with a hepatic abscess in a cat. JFMS Open Rep 2023; 9:20551169231208896. [PMID: 38035151 PMCID: PMC10685782 DOI: 10.1177/20551169231208896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023] Open
Abstract
Case summary An 8-year-old male neutered domestic shorthair cat presented collapsed and was subsequently diagnosed with a pericardial effusion based on ultrasound imaging. A laboratory analysis of pericardial fluid revealed a septic pericardial effusion and further diagnostics, including abdominal ultrasound and fluid analysis, revealed a concurrent hepatic abscess. Bacterial isolation and identification from both septic foci revealed Escherichia coli. Therapeutic measures included a combination of medical and surgical intervention, the latter including a pericardiectomy, cholecystectomy, liver lobectomy and splenectomy. Relevance and novel information Septic pericarditis is one of the least reported causes of feline pericardial effusion. This case report describes bacterial pericarditis in a cat, suspected to be derived from a hepatic abscess via haematological spread. In this case, a favourable response was achieved with both surgical and medical management.
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Affiliation(s)
- Melissa White
- Dick White Referrals, part of Linnaeus Veterinary Limited, Six Mile Bottom, Cambridgeshire, UK
| | - Rachel Miller
- Vet Oracle Medicine, CVS Referrals, Diss, Norfolk, UK
| | - Laurent Locquet
- Dick White Referrals, part of Linnaeus Veterinary Limited, Six Mile Bottom, Cambridgeshire, UK
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3
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Hasan D, DeBoard ZM. Repair of contained ventricular rupture with infected intrapericardial thrombus. J Surg Case Rep 2022; 2022:rjac301. [PMID: 35755013 PMCID: PMC9216485 DOI: 10.1093/jscr/rjac301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 05/31/2022] [Indexed: 11/13/2022] Open
Abstract
Abstract
Contained left ventricular rupture, or pseudoaneurysm, is a rare entity resulting from adhesions confining the defect to a localized portion of the pericardial space. Concomitant infection is even more infrequent. We present the first-known case of a patient with an infected intrapericardial thrombus from a left ventricular rupture.
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Affiliation(s)
- Dania Hasan
- Elson S. Floyd College of Medicine , Washington State University, Spokane, WA, USA
| | - Zach M DeBoard
- Elson S. Floyd College of Medicine , Washington State University, Spokane, WA, USA
- Division of Cardiac & Thoracic Surgery , Providence Regional Medical Center Everett, Everett, WA, USA
- Department of Cardiothoracic Surgery , Waikato Cardiothoracic Surgery Unit, Hamilton, New Zealand
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4
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Bahlmann KN, Kennedy CR, Bandt C. Septic pericardial disease and mediastinal abscessation in a cat with an intrathoracic needle foreign body. J Vet Emerg Crit Care (San Antonio) 2022; 32:670-674. [PMID: 35442528 DOI: 10.1111/vec.13198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 11/08/2020] [Accepted: 12/29/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe the successful management of a cat with an intrathoracic sewing needle foreign body and septic pericardial effusion. CASE SUMMARY A 10-year-old neutered female domestic longhair cat was referred for an intrathoracic metallic foreign body identified via thoracic radiography. Two weeks prior, the cat may have ingested a sewing needle. She was presented hemodynamically unstable; point-of-care thoracic ultrasound identified pericardial effusion with right atrial tamponade. Pericardiocentesis stabilized hemodynamic parameters. The effusion was grossly purulent, and bacterial culture grew an Actinomyces sp. The cat underwent a median sternotomy to remove the foreign body, debride associated mediastinal abscesses, and perform a partial pericardiectomy. Over the next 10 days, the cat was managed in hospital with a left unilateral thoracostomy tube and intermittent lavage of the pleural cavity. The cat was discharged, and follow-up at 7 days showed no evidence of pericardial or pleural effusion. NEW OR UNIQUE INFORMATION PROVIDED Contrary to previous reports, this case shows that extra-gastrointestinal, specifically intrathoracic, sewing needle foreign bodies can cause significant morbidity in cats. To the authors' knowledge, this report is the first to describe septic pericardial disease resulting from documented foreign body ingestion in the cat. It is also the first case report of successful surgical management of mediastinal abscessation in the cat.
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Affiliation(s)
- Kaitlin N Bahlmann
- Canada West Veterinary Specialists and Critical Care Hospital, Vancouver, British Columbia, Canada
| | - Christopher R Kennedy
- Canada West Veterinary Specialists and Critical Care Hospital, Vancouver, British Columbia, Canada
| | - Carsten Bandt
- Canada West Veterinary Specialists and Critical Care Hospital, Vancouver, British Columbia, Canada
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5
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Wee LE, Tan AL, Lai SH, Ko KKK, Soo IX, Low JGH. Pericardial effusion and tamponade in a young woman. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2022; 51:129-131. [PMID: 35224613 DOI: 10.47102/annals-acadmedsg.2021485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Liang En Wee
- Department of Infectious Diseases, Singapore General Hospital, Singapore
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Tuck N, Leatherman J, Assi M, Kallail KJ. A Case of Actinomycosis Presenting as Purulent Pericarditis with Cardiac Tamponade. Kans J Med 2021; 14:227-228. [PMID: 34540137 PMCID: PMC8415389 DOI: 10.17161/kjm.vol1415262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 04/28/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Nicholas Tuck
- University of Kansas School of Medicine-Wichita, Wichita, KS.,Department of Internal Medicine
| | - Jo Leatherman
- University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Maha Assi
- University of Kansas School of Medicine-Wichita, Wichita, KS.,Department of Internal Medicine.,Infectious Disease Consultants, Wichita, KS
| | - K James Kallail
- University of Kansas School of Medicine-Wichita, Wichita, KS.,Department of Internal Medicine
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Pasku D, Shah S, Aly A, Quraishi NA. Rare, post-periodontitis spondylodiscitis caused by Fusobacterium nucleatum in a patient with multiple sclerosis: challenge of diagnosis and treatment. BMJ Case Rep 2021; 14:14/3/e239664. [PMID: 33737279 PMCID: PMC7978293 DOI: 10.1136/bcr-2020-239664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Fusobacterium nucleatum is part of the commensal flora of the oral cavity, frequently associated with periodontal infections. We describe the case of a 49-year-old woman, on immunsuppressive therapy for multiple sclerosis, who presented with a 3-month history of debilitating back pain. She had a recent episode of periodontitis, and was under regular dental review. Her MRI scan demonstrated findings suggestive of L2-L3 spondylodiscitis. Her CT-guided biopsy yielded negative cultures and the patient failed two courses of empirical antibiotic treatment. With clinical and radiological disease progression, she underwent a percutaneous disc washout and biopsy, which subsequently grew F. nucleatum Treatment with clindamycin and metronidazole was commenced orally for 6 weeks. She improved gradually, and at 1 year follow-up was asymptomatic. The diagnosis of spondylodiscitis caused by F. nucleatum is challenging. The perseverance on identification by surgical biopsy, minimally invasive washout and targeted antibiotics are the mainstay of effective treatment.
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Affiliation(s)
- Dritan Pasku
- The Centre for Spinal Studies and Surgery, Queen's Medical Centre Nottingham, University Hospital NHS Trust, Nottingham, UK
| | - Siddharth Shah
- The Centre for Spinal Studies and Surgery, Queen's Medical Centre Nottingham, University Hospital NHS Trust, Nottingham, UK
| | - Ahmed Aly
- The Centre for Spinal Studies and Surgery, Queen's Medical Centre Nottingham, University Hospital NHS Trust, Nottingham, UK
| | - Nasir A Quraishi
- The Centre for Spinal Studies and Surgery, Queen's Medical Centre Nottingham, University Hospital NHS Trust, Nottingham, UK
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8
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Morinaga H, Kato K, Hisagi M, Tanaka H. Purulent pericarditis-induced intracardiac perforation and infective endocarditis due to Parvimonas micra: a case report. Eur Heart J Case Rep 2021; 5:ytaa528. [PMID: 33598614 PMCID: PMC7873805 DOI: 10.1093/ehjcr/ytaa528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 08/24/2020] [Accepted: 12/01/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND Purulent pericarditis, a rare disease with a high associated mortality rate in patients without adequate treatment, can cause serious complications, such as perforation of the surrounding tissue and organs. Parvimonas micra is a very rare cause of purulent pericarditis. CASE SUMMARY A 70-year-old male patient presented to our emergency room with chest pain of 10 days' duration. An electrocardiogram showed ST-segment elevation and PR-segment depression on multiple leads. A transthoracic echocardiogram showed normal left ventricular function and a large amount of pericardial effusion. Acute pericarditis was diagnosed, and anti-inflammatory drug therapy was initiated. Due to the lack of improvement in the symptoms, pericardiocentesis was performed on Day 8 and revealed about 800 cc of the bloody fluid. Parvimonas micra was detected in a culture of the pericardial effusion and blood. Although intravenous antibiotic therapy was initiated for purulent pericarditis, his fever persisted. Computed tomography of the chest performed on Day 14 showed an abscess cavity in the pericardial space around the right atrium (RA). Furthermore, transoesophageal echocardiography revealed vegetation in the RA. Emergency surgery confirmed the presence of vegetation and minor perforation of the RA with communication to the abscess cavity. After surgical therapy, the patient clinically improved and was discharged on Day 51. DISCUSSION In cases of acute pericarditis, purulent pericarditis should be considered if clinical improvement is not observed after initial treatment with anti-inflammatory drugs. Once the diagnosis of purulent pericarditis is made, aggressive source control is necessary for improved clinical outcomes.
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Affiliation(s)
- Hiroaki Morinaga
- Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
| | - Ken Kato
- Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
| | - Motoyuki Hisagi
- Department of Cardiovascular Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
| | - Hiroyuki Tanaka
- Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
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9
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Latif A, Patel AD, Mahfood Haddad T, Lokhande C, Del Core M, Esterbrooks D. Massive purulent pericarditis presenting as cardiac tamponade. Proc (Bayl Univ Med Cent) 2020; 33:662-663. [PMID: 33100562 DOI: 10.1080/08998280.2020.1783985] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Acute bacterial pericarditis is rarely encountered in the modern antibiotic era. Purulent pericarditis is a serious form of bacterial pericarditis with high mortality. It can rapidly progress to cardiac tamponade, leading to hemodynamic instability, septic shock, and death if left untreated. Here we present a case of massive purulent pericarditis with cardiac tamponade that was successfully managed with intravenous antibiotics and drainage in a young immunocompetent man.
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Affiliation(s)
- Azka Latif
- Department of Internal Medicine, CHI Health, Creighton University, Omaha, Nebraska
| | - Apurva D Patel
- Department of Cardiology, CHI Health, Creighton University, Omaha, Nebraska
| | | | - Chetan Lokhande
- Department of Cardiology, CHI Health, Creighton University, Omaha, Nebraska
| | - Michael Del Core
- Department of Cardiology, CHI Health, Creighton University, Omaha, Nebraska
| | - Dennis Esterbrooks
- Department of Cardiology, CHI Health, Creighton University, Omaha, Nebraska
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10
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Saouma S, Olson PC, Uddin A, Spagnola J, Mobarakai N, Lafferty JC. Purulent Pericarditis Caused by Bacteroides fragilis: A Rare Complication of Cholangitis. Cardiol Res 2019; 10:309-311. [PMID: 31636799 PMCID: PMC6785295 DOI: 10.14740/cr904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Accepted: 08/08/2019] [Indexed: 11/26/2022] Open
Abstract
Bacterial infection is a rare cause of pericarditis especially in the post-antibiotic era. When compared to viral or idiopathic etiologies, purulent pericarditis carries a higher risk for complications. While most cases are due to Staphylococcus aureus, we present a rare case of pericarditis due to Bacteroides fragilis originating from a liver abscess and leading to pericardial effusion. Our case highlights the need to maintain a high clinical suspicion of bacterial infection when patients present with sepsis and have evidence of pericarditis.
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Affiliation(s)
- Samer Saouma
- Department of Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
| | - Peter C Olson
- Department of Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
| | - Asif Uddin
- Department of Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
| | - Jonathan Spagnola
- Department of Cardiology, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
| | - Neville Mobarakai
- Department of Infectious Disease, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
| | - James C Lafferty
- Department of Cardiology, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA
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Shalman A, Acker A, Shalman A, Frank D, Borer A, Koyfman L, Kotlovker V, Saidel-Odes L, Gabay O, Klein M, Brotfain E. Septic arthritis of the hip joint due to Bacteroides fragilis in a paraplegic patient. Access Microbiol 2019; 1:e000071. [PMID: 32974505 PMCID: PMC7491937 DOI: 10.1099/acmi.0.000071] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 09/20/2019] [Indexed: 11/18/2022] Open
Abstract
Septic arthritis of native joints is a potentially life-threatening disease. The most frequently isolated pathogens are Gram-positive cocci. Bacteroides fragilis is a rare pathogen in joint infections and is usually associated with immunocompromised and debilitated patients. Most cases of B. fragilis joint infection are related to skin or local perineal infections or are secondary to B. fragilis bacteraemia from another source, for example from the gastrointestinal tract. We present a clinical case of B. fragilis septic arthritis involving a native hip joint in a previously healthy paraplegic patient.
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Affiliation(s)
- Anna Shalman
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Asaf Acker
- Orthopaedic Surgery Department, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Alexander Shalman
- Department of Radiology, Barzilai Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Dmitry Frank
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Abraham Borer
- Infection Control Unit, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Leonid Koyfman
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Vladimir Kotlovker
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Lisa Saidel-Odes
- Infection Control Unit, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Ohad Gabay
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Moti Klein
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Evgeni Brotfain
- Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
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12
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Surgical pericardial drainage in a series of 235 consecutive patients: an 8-year experience. Indian J Thorac Cardiovasc Surg 2016. [DOI: 10.1007/s12055-016-0461-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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13
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Nolla JM, Murillo O, Narvaez J, Vaquero CG, Lora-Tamayo J, Pedrero S, Cabo J, Ariza J. Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature. Medicine (Baltimore) 2016; 95:e3962. [PMID: 27336895 PMCID: PMC4998333 DOI: 10.1097/md.0000000000003962] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 05/17/2016] [Accepted: 05/21/2016] [Indexed: 11/25/2022] Open
Abstract
Pyogenic arthritis of native joints due to Bacteroides fragilis seems to be an infrequent disease. We analyzed the cases diagnosed in a tertiary hospital during a 22-year period and reviewed the literature to summarize the experience with this infectious entity.In our institution, of 308 patients with pyogenic arthritis of native joints, B fragilis was the causative organism in 2 (0.6%) cases. A MEDLINE search (1981-2015) identified 19 additional cases.Of the 21 patients available for review (13 men and 8 women, with a mean age, of 54.4 ± 17 years), 19 (90%) presented a systemic predisposing factor for infection; the most common associated illness was rheumatoid arthritis (8 patients). Bacteremia was documented in 65% (13/20) of cases. In 5 patients (24%), 1 or more concomitant infectious process was found. Metronidazole was the most frequently used antibiotic. Surgical drainage was performed in 11 cases (52%). The overall mortality rate was 5%.Pyogenic arthritis of native joints due to B fragilis is an infrequent disease that mainly affects elderly patients with underlying medical illnesses and in whom bacteremia and the presence of a concomitant infectious process are frequent conditions.
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Affiliation(s)
- Joan M. Nolla
- Rheumatology Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Oscar Murillo
- Infectious Diseases Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Javier Narvaez
- Rheumatology Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Carmen Gómez Vaquero
- Rheumatology Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Jaime Lora-Tamayo
- Infectious Diseases Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Salvador Pedrero
- Orthopedic Surgery Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Javier Cabo
- Orthopedic Surgery Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Javier Ariza
- Infectious Diseases Department, IDIBELL-Hospital Universitari de Bellvitge, Barcelona, Spain
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Abstract
CASE SUMMARY A 4-year-old male neutered domestic shorthair cat was presented to the Oregon State University cardiology service for suspected pericardial effusion. Cardiac tamponade was documented and pericardiocentesis yielded purulent fluid with cytologic results supportive of bacterial pericarditis. The microbial population consisted of Pasteurella multocida, Actinomyces canis, Fusobacterium and Bacteroides species. Conservative management was elected consisting of intravenous antibiotic therapy with ampicillin sodium/sulbactam sodium and metronidazole for 48 h followed by 4 weeks of oral antibiotics. Re-examination 3 months after the initial incident indicated no recurrence of effusion and the cat remained free of clinical signs 2 years after presentation. RELEVANCE AND NOVEL INFORMATION Bacterial pericarditis is a rare cause of pericardial effusion in cats. Growth of P multocida, A canis, Fusobacterium and Bacteroides species has not previously been documented in feline septic pericarditis. Conservative management with broad-spectrum antibiotics may be considered when further diagnostic imaging or exploratory surgery to search for a primary nidus of infection is not feasible or elected.
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Affiliation(s)
- Nicole LeBlanc
- Nicole LeBlanc DVM, MS, DACVIM (Cardiology), Department of Clinical Sciences, Cardiology Service, College of Veterinary Medicine, Oregon State University, 105 Magruder Hall, 700 SW 30th Street, Corvallis, OR 97331, USA
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Falzone E, Libert N, Hoffmann C, Pasquier P, Clapson P, Debien B, Lenoir B. Tamponnade à pression basse mimant une cholécystite. ACTA ACUST UNITED AC 2012; 31:911-3. [DOI: 10.1016/j.annfar.2012.07.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Accepted: 07/17/2012] [Indexed: 10/27/2022]
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17
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Clostridium sordellii as a cause of constrictive pericarditis with pyopericardium and tamponade. J Clin Microbiol 2011; 49:3700-2. [PMID: 21813719 DOI: 10.1128/jcm.00933-11] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Systemic infections caused by Clostridium sordellii are rare. They are usually reported in cases of skin and soft tissue infections and sometimes in cases of toxic shock syndrome involving exotoxins. We report here the first case of Clostridium sordellii infection associated with acute constrictive pericarditis and with pyopericardium and tamponade.
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18
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Mayrhofer S, Mair C, Kneifel W, Domig KJ. Susceptibility of bifidobacteria of animal origin to selected antimicrobial agents. CHEMOTHERAPY RESEARCH AND PRACTICE 2011; 2011:989520. [PMID: 22312561 PMCID: PMC3265246 DOI: 10.1155/2011/989520] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2010] [Accepted: 01/28/2011] [Indexed: 01/05/2023]
Abstract
Strains of the genus Bifidobacterium are frequently used as probiotics, for which the absence of acquired antimicrobial resistance has become an important safety criterion. This clarifies the need for antibiotic susceptibility data for bifidobacteria. Based on a recently published standard for antimicrobial susceptibility testing of bifidobacteria with broth microdilution method, the range of susceptibility to selected antibiotics in 117 animal bifidobacterial strains was examined. Narrow unimodal MIC distributions either situated at the low-end (chloramphenicol, linezolid, and quinupristin/dalfopristin) or high-end (kanamycin, neomycin) concentration range could be detected. In contrast, the MIC distribution of trimethoprim was multimodal. Data derived from this study can be used as a basis for reviewing or verifying present microbiological breakpoints suggested by regulatory agencies to assess the safety of these micro-organisms intended for the use in probiotics.
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Affiliation(s)
- Sigrid Mayrhofer
- Department of Food Sciences and Technology, Institute of Food Sciences, BOKU-University of Natural Resources and Life Sciences, Muthgasse 18, 1190 Vienna, Austria
| | - Christiane Mair
- Department of Food Sciences and Technology, Institute of Food Sciences, BOKU-University of Natural Resources and Life Sciences, Muthgasse 18, 1190 Vienna, Austria
| | - Wolfgang Kneifel
- Department of Food Sciences and Technology, Institute of Food Sciences, BOKU-University of Natural Resources and Life Sciences, Muthgasse 18, 1190 Vienna, Austria
| | - Konrad J. Domig
- Department of Food Sciences and Technology, Institute of Food Sciences, BOKU-University of Natural Resources and Life Sciences, Muthgasse 18, 1190 Vienna, Austria
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