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Pott’s Disease in a 3 Years Old Italian Child: Case Report and Review of the Literature 意大利3岁儿童Pott病病例报告及文献复习
Pub Date : 2018-07-31 DOI: 10.2174/1874279301810010101
Alessandro Porta, F. Lizzoli, E. Racchi, C. Scaramuzza, L. Parola
Tuberculosis (TB) is currently a major health problem, in particular in developing countries and in HIV positive people. Tubercular spondylodiscitis is the most common type of skeletal TB, more frequent in children than adults. It is rarely reported in developed countries.We describe a 3 years-old Italian girl who referred to our hospital with back pain and walking deficiency; she had a very good outcome with anti-tubercular treatment and orthopedic follow-up.Early recognition and treatment of this tubercular complication are very important due to its possible complications: bone destruction, spinal deformity, neurologic and orthopedic complications.
结核病目前是一个主要的健康问题,特别是在发展中国家和艾滋病毒阳性人群中。结核性椎间盘炎是骨骼结核最常见的类型,在儿童中比成人更常见。发达国家很少报道这种情况。我们描述了一名3岁的意大利女孩,她因背痛和行走不足而转诊到我们医院;她在抗结核治疗和骨科随访中取得了很好的结果。早期识别和治疗这种结核并发症非常重要,因为它可能会出现并发症:骨破坏、脊柱畸形、神经和骨科并发症。
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引用次数: 1
Antimicrobial Resistance of Uropathogenic Escherichia coli from Elderly Patients at a General Hospital, Argentina 阿根廷一家综合医院老年患者尿路致病性大肠杆菌耐药性分析
Pub Date : 2018-07-19 DOI: 10.2174/1874279301810010079
G. Delpech, N. Allende, S. Lissarrague, M. Sparo
Urinary Tract Infection (UTI) is a common cause of morbidity and mortality in older adults.To investigate antimicrobial resistance of uropathogenicEscherichia colifrom elderly patients in a General Hospital, Argentina.During the period July 2011-July 2015, patients over 70 years old with urinary tract infections, without urinary catheters and with no antimicrobial therapy the previous week before sampling, were included. Phenotypic characterization was carried out.In vitroqualitative and quantitative antimicrobial resistances were investigated. Antimicrobials assayed: ampicillin, amoxicillin-clavulanate, cefazolin, cefuroxime, cefoxitin, cefotaxime, ceftazidime, cefepime, imipenem, ertapenem, gentamicin, nalidixic acid, ciprofloxacin, trimethoprim-sulfamethoxazole (TMS) and nitrofurantoin. Patients’ medical records were produced, and risk factors were analyzed by multivariate analysis.768 bacterial isolates were identified asE. coli. Resistances to ampicillin (80.5%), nalidixic acid (61.7%), ciprofloxacin (42.8%), TMS (37.6%), amoxicillin-clavulanate (28.6%), cefazolin (21.6%), cefuroxime (20.7%), gentamicin (13.8%), cefotaxime (9.7%), ceftazidime (9.7%), cefepime (8.4%), cefoxitin (3.1%) and nitrofurantoin (2.3%) were observed. Resistance to carbapenems was not expressed. Production of extended spectrum β-lactamases was detected (7.6%) in community acquired (96%) and healthcare associated (4%) isolates. The independent risk factors for urinary infections produced by multi-resistantE. coliwere: diabetes mellitus, recurrent infections, hospitalization during the last year and exposure to β-lactams in the last 3 months.A high prevalence of resistance to β-lactams and to other antimicrobials was observed. Detection of antimicrobial multi-resistant isolates highlights the need of antimicrobial resistance surveillance in elderly patients with urinary tract infections.
尿路感染(UTI)是老年人发病率和死亡率的常见原因。研究阿根廷某综合医院老年患者尿路致病性大肠杆菌的耐药性。2011年7月至2015年7月期间,包括70岁以上的尿路感染患者,在采样前一周未使用导尿管,也未进行抗菌治疗。进行表型鉴定。研究了玻璃体内和定量抗微生物耐药性。测定的抗菌药物:氨苄青霉素、阿莫西林-克拉维酸、头孢唑林、头孢呋辛、头孢西丁、头孢噻肟、头孢他啶、头孢吡肟、亚胺培南、厄他培南、庆大霉素、萘啶酸、环丙沙星、甲氧苄啶-磺胺甲恶唑(TMS)和呋喃妥因。制作患者的病历,并通过多因素分析分析危险因素。768株细菌被鉴定为E。大肠杆菌。对氨苄青霉素(80.5%)、萘啶酸(61.7%)、环丙沙星(42.8%)、TMS(37.6%)、阿莫西林-克拉维酸(28.6%)、头孢唑林(21.6%)、头孢呋辛(20.7%)、庆大霉素(13.8%)、头孢噻肟(9.7%)、头孢菌素他啶(9.7%。对碳青霉烯类药物没有表现出耐药性。在社区获得性(96%)和医疗保健相关(4%)分离株中检测到超广谱β-内酰胺酶的产生(7.6%)。多重耐药性E引起尿路感染的独立危险因素。结肠炎:糖尿病、复发性感染、去年住院治疗以及最近3个月内接触β-内酰胺。观察到对β-内酰胺和其他抗菌药物的高耐药率。检测抗微生物多重耐药性分离株突出了对老年尿路感染患者进行抗微生物耐药性监测的必要性。
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引用次数: 3
Original Versus Generic Direct Acting Antivirals in Treatment of Chronic Hepatitis C Patients: Real Life Data From Latvia 治疗慢性丙型肝炎患者的原始与通用直接作用抗病毒药物:来自拉脱维亚的真实生活数据
Pub Date : 2018-06-29 DOI: 10.2174/1874279301810010063
I. Tolmane, B. Rozentāle, S. Arutjunana, A. Jēruma, V. Ķūse, Raimonds Simanis
Despite effective treatment available from 2016 in Latvia, there are restrictions - only patients with fibrosis (F, Metavir) stage 3 to 4 have access to reimbursed medicines. Some patients obtain generic drugs from India. The aim of this study was to evaluate the efficacy of original and generic direct acting antiviral medications in Latvian patients. This is a retrospective study of 179 chronic virologic hepatitis C patients. Data were obtained from patients’ medical records. Mean age 49.2 years (SD 10.2, range 24-71), 88 female patients (49%), 91 male patients (51%). Genotype 1b was detected in 157 patients (87.7%). Patients were divided into two groups - patients who received original direct acting antivirals ombitasvir, paritaprevir, ritonavir, dasabuvir + ribavirin (n=144, F3-4, Child-Pugh A) and those who received generic medicines from India (n=35, F0-2) sofosbuvir, ledipasvir (n=7) or sofosbuvir, daclatasvir + ribavirin (n=28). Undetectable viral load 12 weeks after cessation of therapy (sustained virologic response 12 or SVR12) was measured in all patients. Therapy course completed 142 patients from original medicines group and all patients from generics group. In the original medicines group - sustained viralogic response was achieved in 142 patients who completed treatment course (100%), while in generic medicines group in 32 patients (91.4%). Study results show high efficacy of both regimens using original and generic medicines - sustained virologic response was achieved in more than 90% of patients, with slight superiority in original medicines group.
尽管拉脱维亚从2016年开始提供了有效的治疗方法,但仍有限制-只有纤维化(F, Metavir) 3至4期患者才能获得报销药物。一些患者从印度获得仿制药。本研究的目的是评估原始和通用直接作用抗病毒药物在拉脱维亚患者中的疗效。这是对179例慢性病毒性丙型肝炎患者的回顾性研究。数据来自患者的医疗记录。平均年龄49.2岁(SD 10.2,范围24-71),女性88例(49%),男性91例(51%)。157例(87.7%)患者检出1b基因型。将患者分为两组,接受原厂直接作用抗病毒药物ombitasvir、paritaprevir、ritonavir、dasabuvir +利巴韦林的患者(n=144, F3-4, Child-Pugh A)和接受印度仿制药sofosbuvir、ledipasvir (n=7)或sofosbuvir、daclatasvir +利巴韦林的患者(n=28)。所有患者在停止治疗后12周检测不到病毒载量(持续病毒学反应12或SVR12)。原研药组142例,非专利药组全部完成治疗。在原药组中,完成疗程的142例患者(100%)实现了持续的病毒反应,而仿制药组中有32例患者(91.4%)实现了持续的病毒反应。研究结果表明,使用原研药和仿制药的两种方案都有很高的疗效——90%以上的患者实现了持续的病毒学应答,原研药组略有优势。
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引用次数: 2
Peptide Vaccines: New Trends for Avoiding the Autoimmune Response 肽疫苗:避免自身免疫反应的新趋势
Pub Date : 2018-06-29 DOI: 10.2174/1874279301810010047
J. Rajčáni, S. Szathmary
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引用次数: 10
Histoplasmosis Endophthalmitis – Case Report and Review 组织胞浆体病眼内炎——病例报告与回顾
Pub Date : 2018-06-29 DOI: 10.2174/1874279301810010071
Christopher J. Parronchi, V. Doshi, R. Nahass
Histoplasma Capsulatum (HC) is one of the most common endemic mycoses in the United States of America, and has also been reported in large numbers in various regions of Central and South America. It can cause disease ranging in severity from an upper respiratory tract-like infection, to deep single organ disease and most concerning, widely disseminated disease resulting in harmful sequelae. Presumed Ocular Histoplasmosis Syndrome (POHS) is the most common ocular manifestation of histoplasmosis and usually results in permanent disability. In this study, we describe a rarely reported case of histoplasmosis endophthalmitis that was treated with itraconazole and resulted in almost complete resolution of all retinal findings and symptoms.
衣壳组织浆菌(HC)是美利坚合众国最常见的地方性真菌病之一,在中美洲和南美洲的各个地区也有大量报道。它可以引起严重程度不等的疾病,从上呼吸道样感染到深层单器官疾病,以及最令人担忧的广泛传播的疾病,从而导致有害的后遗症。据推测,眼部组织胞浆体病综合征(POHS)是组织胞浆菌病最常见的眼部表现,通常会导致永久性残疾。在这项研究中,我们描述了一例罕见的组织胞浆菌病眼内炎病例,该病例用伊曲康唑治疗,几乎完全解决了所有视网膜发现和症状。
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引用次数: 1
Nosocomial Neonatal Meningitis with Acinetobacter Baumannii on Myelomeningocele: A Real Therapeutic Challenge 院内新生儿脑膜炎伴鲍曼不动杆菌脊髓脊膜膨出:一个真正的治疗挑战
Pub Date : 2018-06-26 DOI: 10.2174/1874279301810010043
A. Fouad, F. Bennaoui, N. Slitine, N. Soraa, F. Maoulainine
Imipenem-resistant Acinetobacter baumannii meningitis is a hospital-acquired infection, the treatment of which constitutes a real therapeutic challenge. In this article, together with a review of the literature, we report two cases of imipenem-resistant Acinetobacter baumannii neonatal meningitis following ruptured myelomeningocele, treated with intravenous colistin with favorable results. In recent years, Acinetobacter baumannii has become a more and more commonly described pathogen in hospital-acquired infections. However, the cases of meningitis are mainly postoperative and are still not quite frequently described in the literature. Colistin appears to be preferably administered intravenously at a dose of 100.000 IU/kg/day.
亚胺培南耐药性鲍曼不动杆菌脑膜炎是一种医院获得性感染,其治疗构成了真正的治疗挑战。在这篇文章中,结合文献综述,我们报告了两例亚胺培南耐药的鲍曼不动杆菌新生儿脑膜炎,在脊髓脊膜膨出后,静脉注射粘菌素治疗,效果良好。近年来,鲍曼不动杆菌已成为医院获得性感染中越来越常见的病原体。然而,脑膜炎的病例主要是术后发生的,在文献中仍不常见。粘菌素似乎优选以100.000IU/kg/天的剂量静脉内给药。
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引用次数: 1
Vibrio Cholerae Septicemia and Harlequin Ichthyosis: Outstanding Association 霍乱弧菌败血症和哈林鱼病:杰出协会
Pub Date : 2018-06-18 DOI: 10.2174/1874279301810010076
A. Fouad, F. Bennaoui, N. Slitine, N. Soraa, F. Maoulainine
Harlequin ichthyosis is a rare and fatal fetal disorder, most often complicated by infection. Sepsis due to Vibrio cholerae is rare, especially in neonatology. The association between ichthyosis and Vibrio cholerae infection has never been described in medical literature. We report the case of a newborn admitted to the neonatal intensive care unit, with a typical characteristics of Harlequin ichthyosis and a sepsis due to Vibrio cholerae, diagnosed with the blood culture. The outcome was fatal; characterized by death six hours after his hospitalization. Cases of Harlequin ichthyosis complicated with septicemia with Pseudomonas Aeruginosa have been described. Vibrio cholerae infections are usually confined to the gastrointestinal tract but some species, especially non-01 strains, can cause extra-intestinal infections including septicemia and meningitis.
哈勒昆鱼鳞病是一种罕见且致命的胎儿疾病,最常见的是感染。霍乱弧菌引起的败血症很少见,尤其是在新生儿科。鱼鳞病和霍乱弧菌感染之间的联系从未在医学文献中描述过。我们报告了一例新生儿入住新生儿重症监护室的病例,该病例具有典型的哈勒昆鱼鳞病和霍乱弧菌引起的败血症特征,经血液培养诊断。结果是致命的;其特征是在住院6小时后死亡。报道了哈勒昆鱼鳞病并发铜绿假单胞菌败血症的病例。霍乱弧菌感染通常局限于胃肠道,但某些物种,尤其是非01菌株,会导致肠道外感染,包括败血症和脑膜炎。
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引用次数: 0
Improvement of Influenza Incidence Estimation Using Auxiliary Information in Sentinel Surveillance in Japan 日本哨兵监测中使用辅助信息估计流感发病率的改进
Pub Date : 2018-05-14 DOI: 10.2174/1874279301810010029
M. Kawado, S. Hashimoto, Akiko Ohta, M. Oba, K. Taniguchi, T. Sunagawa, T. Matsui, M. Nagai, Y. Murakami
RESEARCH ARTICLE Improvement of Influenza Incidence Estimation Using Auxiliary Information in Sentinel Surveillance in Japan Miyuki Kawado, Shuji Hashimoto, Akiko Ohta, Mari S. Oba, Kiyosu Taniguchi, Tomimasa Sunagawa, Tamano Matsui, Masaki Nagai and Yoshitaka Murakami Department of Hygiene, Fujita Health University School of Medicine, Aichi, Japan Division of Public Health, Department of Social Medicine, Saitama Medical University Faculty of Medicine, Saitama, Japan Department of Medical Statistics, Toho University, Tokyo, Japan Department of Clinical Research, National Mie Hospital, Mie, Japan Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan Department of Social Medicine, Saitama Medical University, Saitama, Japan
Miyuki Kawado, Shuji Hashimoto, Akiko Ohta, Mari S. Oba, Kiyosu Taniguchi, Tomimasa Sunagawa, Tamano Matsui, Masaki Nagai和Yoshitaka Murakami卫生系,藤田保健大学医学院,爱知县,日本,埼玉医科大学,公共卫生系,社会医学系,埼玉,日本东宝大学日本医学统计学系,东京,日本国立传染病研究所国立三重医院临床研究部,三重,日本传染病监测中心,东京,日本埼玉医科大学社会医学部,埼玉,日本
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引用次数: 4
BioFire Film Array Blood Culture Identification Panel for Rapid Detection of Pathogens from Sterile Sites - A Diagnostic Accuracy Study BioFire薄膜阵列血液培养鉴定板用于快速检测无菌部位的病原体-诊断准确性研究
Pub Date : 2018-04-30 DOI: 10.2174/1874279301810010015
A. Comyn, A. Ronayne, M. Nielsen, J. Cleary, R. Cunney, R. Drew
RESEARCH ARTICLE BioFire Film Array Blood Culture Identification Panel for Rapid Detection of Pathogens from Sterile Sites A Diagnostic Accuracy Study Ailbhe Comyn, Aoife Ronayne, Maryke J. Nielsen, Jennifer Cleary, Robert Cunney and Richard J. Drew Department of Microbiology, Temple Street Children’s University Hospital, Dublin 7, Ireland Irish Meningitis and Sepsis Reference Laboratory, Temple Street Children’s University Hospital, Dublin 7, Ireland Clinical Innovation Unit, Rotunda Hospital, Dublin 1, Ireland Department of Clinical Microbiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
Ailbhe Comyn, Aoife Ronayne, Maryke J. Nielsen, Jennifer Cleary, Robert Cunney和Richard J. Drew爱尔兰都柏林坦普尔街儿童大学医院微生物学系爱尔兰脑膜炎和败血症参考实验室,都柏林7坦普尔街儿童大学医院,爱尔兰临床创新单位,Rotunda医院,爱尔兰皇家外科医学院临床微生物学系,都柏林2,爱尔兰
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引用次数: 1
Strongyloides Infection in a Man with Abdominal Pain and a History of Rheumatoid Arthritis 一名有类风湿性关节炎病史的腹部疼痛男性的强直性脊柱炎感染
Pub Date : 2018-04-30 DOI: 10.2174/1874279301810010023
F. Mansour-Ghanaei, F. Joukar, A. Samadi, Sara Mavaddati, Arash Daryakar
A 65-year-old man presented with severe pain in central abdomen and periumbilical regions. He had no history of alcohol consumption, smoking and surgery but the history of RA (Rheumatoid Arthritis) and hypothyroidism taking immunosuppressive medications. The patient underwent endoscopy and colonoscopy which pathological analysis of the biopsies revealed remarkable findings in favor of Strongyloidiasis. After two consecutive day’s consumption of ivermectin 200μg/kg, the symptoms were completely removed. Also, the stool examination was negative for S. stercoralis larvae two weeks after end of the treatment.
一位65岁的男性出现腹部中央和脐周区域的剧烈疼痛。他没有饮酒、吸烟和手术史,但有服用免疫抑制药物的类风湿性关节炎和甲状腺功能减退史。该患者接受了内窥镜检查和结肠镜检查,活检的病理分析显示,有利于线虫病的显著发现。连续两天服用200μg/kg伊维菌素后,症状完全消失。此外,在治疗结束两周后,粪珊瑚虫幼虫的粪便检查呈阴性。
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引用次数: 1
期刊
The open infectious diseases journal
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