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Wu Y, Ye J, Xiao M. A Pterygopalatine Fossa Abscess Caused by Streptococcus Constellatus With Ptosis as Initial Presentation: Case Report. EAR, NOSE & THROAT JOURNAL 2023:1455613231212047. [PMID: 38031416 DOI: 10.1177/01455613231212047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023] Open
Abstract
Pterygopalatine fossa (PPF) abscess is an exceedingly rare occurrence. Typically, it has been reported in association with odontogenic infections or hematogenous dissemination. In this report, we present the first case of PPF abscess where no obvious underlying cause or primary infection was evident. The patient initially presented with a 2-week history of left ptosis and persistent headaches, which were subsequently accompanied by fever and limited mouth opening. Based on elevated inflammatory markers and imaging findings, the diagnosis of a PPF abscess was established. Successful treatment was achieved through surgical drainage using an external cervical approach. Cultures from the aspirated pus identified Streptococcus constellatus as the causative agent. This case highlights the importance of considering PPF abscess in patients presenting with ptosis as an initial symptom. When diagnosed, surgical drainage should be considered as a viable therapeutic option.
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Affiliation(s)
- Yuting Wu
- Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Jing Ye
- Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Mang Xiao
- Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
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Rosales-Castillo A, Expósito-Ruiz M, Gutiérrez-Soto M, Navarro-Marí JM, Gutiérrez-Fernández J. Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples. Microorganisms 2023; 11:microorganisms11040915. [PMID: 37110339 PMCID: PMC10146931 DOI: 10.3390/microorganisms11040915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/25/2023] [Accepted: 03/27/2023] [Indexed: 04/03/2023] Open
Abstract
Microorganisms responsible for genitourinary infections increasingly include species other than conventional etiological agents that are of clinical and pathogenic relevance and therapeutic interest. This cross-sectional descriptive study selected samples from clinical genitourinary episodes between January 2016 and December 2019 in which emerging microbiological agents were detected. The patients’ epidemiological characteristics, clinical presentation, antibiotic treatment, and outcome were studied to identify their pathogenic role. The emerging microorganisms most frequently detected in urinary tract infections were Streptococcus bovis (58.5%) and Gardnerella spp. (23.6%) in females and S. bovis (32.3%), Aerococcus urinae (18.6%), and Corynebacterium spp. (16.9%) in males, while the most frequently detected in genital infections were S. viridans (36.4%) in females and C. glucuronolyticum (32.2%) and Gardnerella spp. (35.6%) in males. All cases in female children were produced by S. bovis. Symptomatic episodes were more frequent with Aerococcus spp. and S. bovis and the presence of leukocytosis more frequent with Aerococcus spp. Quinolones and doxycycline were most often prescribed antibiotics for genital infections and quinolones and amoxicillin-clavulanic acid for urinary infections. Urinary infection by Aerococcus spp. was more frequent in males of advanced age, Corynebacterium spp. was more frequent in permanent vesical catheter carriers, and episodes of asymptomatic bacteriuria by Gardnerella spp. were more frequent in patients with kidney transplant and chronic consumers of corticosteroid therapy. Lactobacillus spp. should be considered in urinary infections of patients of advanced age and with a previous antibiotic load. Genital infection by Gardnerella spp. was significantly associated with a history of risky sexual relations.
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Affiliation(s)
- Antonio Rosales-Castillo
- Department of Internal Medicine, Virgen de las Nieves University Hospital and Doctoral Program of Clinical Medicine and Public Health, University of Granada, Granada Institute of Biohealth Research (Ibs.), Avda. de las Fuerzas Armadas 2, 18014 Granada, Spain
| | - Manuela Expósito-Ruiz
- Biostatistics Unit, Department of Statistics, School of Medicine, University of Granada, 18012 Granada, Spain
| | | | - José María Navarro-Marí
- Laboratory of Microbiology, Virgen de las Nieves University Hospital, Granada Institute of Biohealth Research (Ibs.), Avda. de las Fuerzas Armadas 2, 18014 Granada, Spain
| | - José Gutiérrez-Fernández
- Laboratory of Microbiology, Virgen de las Nieves University Hospital, Granada Institute of Biohealth Research (Ibs.), Avda. de las Fuerzas Armadas 2, 18014 Granada, Spain
- Department of Microbiology, School of Medicine, University of Granada, Granada Institute of Biohealth Research (Ibs.), Avenida de la Investigación 11, 18016 Granada, Spain
- Correspondence:
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García-Redondo M, Ruiz Pardo J, Cabañó-Muñoz D, Ferrer-Márquez M, Belda Lozano R, Vidaña Márquez E, Sánchez Fuentes PA, Reina Duarte Á. Intra-abdominal abscess caused by Streptococcus constellatus in an immunocompetent patient. REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS 2023; 115:47-48. [PMID: 35704363 DOI: 10.17235/reed.2022.8936/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Streptococcus constellatus is a Gram-positive commensal bacterium of the oropharyngeal, gastrointestinal and urogenital flora. It can cause abscesses in different parts of the body, especially in immunocompromised patients. We present the clinical case of a 33-year-old female patient with a previous history of one anastomosis gastric bypass, among others. The patient was hospitalized two years after surgery for peritonitis secondary to a perforation in the biliopancreatic loop, underwent laparoscopic surgery and was hospitalised for two weeks. Fifteen days after being discharged from the hospital, she went to the emergency service for abdominal pain and fever. An abdominal and pelvic computerized tomography (CT) scan showed a multiloculated pelvic collection with thickened and hypercapillary walls.
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Affiliation(s)
- Manuel García-Redondo
- Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España
| | - José Ruiz Pardo
- Cirugia General y del Aparato Digestivo, Hospital Universitario Torrecárdenas
| | - Daniel Cabañó-Muñoz
- Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España
| | - Manuel Ferrer-Márquez
- Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España
| | - Ricardo Belda Lozano
- Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España
| | | | | | - Ángel Reina Duarte
- Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España
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Neukirch M, Sánchez-Ruiz R, Navarro-Marí JM, Gutiérrez-Fernández J. [Female genital tract infection/colonization by Streptococcus pneumoniae in a patient with primary sterility]. REVISTA ESPANOLA DE QUIMIOTERAPIA : PUBLICACION OFICIAL DE LA SOCIEDAD ESPANOLA DE QUIMIOTERAPIA 2022; 35:225-226. [PMID: 35124942 PMCID: PMC8972702 DOI: 10.37201/req/136.2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/05/2021] [Accepted: 11/26/2021] [Indexed: 11/10/2022]
Affiliation(s)
| | | | | | - J Gutiérrez-Fernández
- José Gutiérrez-Fernández. Servicio de Microbiología. Hospital Universitario Virgen de las Nieves. Avenida de las Fuerzas Armadas, 2. E-18012 Granada, Spain.
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