Revista da Sociedade Brasileira de Medicina Tropical
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Rev. Soc. Bras. Med. Trop. · Jul 2019
Case ReportsSeptic shock caused by the under-recognized bacterium Eggerthella lenta in a 61-year-old male with a periurethral abscess: a case report.
Eggerthella lenta is a gram-positive anaerobic bacillus that has been associated with life-threatening infections. Bacteremia is always clinically significant and is mostly but not always associated with gastrointestinal disease. ⋯ This case highlights the atypical clinical presentation, risk factors, uncommon source of infection, challenges in therapy, and outcome of this infrequent infection. There is still a gap in the understanding of E. lenta pathogenicity, and more literature is needed to establish clear management recommendations.
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Rev. Soc. Bras. Med. Trop. · Mar 2019
Case ReportsFirst case report of cryptococcosis due to Cryptococcus decagattii in a pediatric patient in Argentina.
We report the first case of cryptococcosis due to Cryptococcus decagattii in an immunocompetent pediatric patient from an indigenous community in Argentina with a successful outcome. Two isolates (blood, cerebrospinal fluid) were genotyped by restriction fragment length polymorphism of the orotidine monophosphate pyrophosphorylase (URA5) gene as VGIV and identified by multi-locus sequence typing as C. decagattii. Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification indicated genotype VGIII. The minimum inhibitory concentration of amphotericin B, fluconazole, itraconazole, and voriconazole was determined (cerebrospinal fluid: 0.25, 16, 0.12, and 0.12, blood: 0.25, 4, 0.12, and 0.06, respectively, all in mg/L).
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Rev. Soc. Bras. Med. Trop. · May 2018
Observational StudyEpidemiological study of snakebite cases in Brazilian Western Amazonia.
Brazil has the largest number of snakebite cases in South America, of which the large majority is concentrated in the Midwest and North. ⋯ This study can contribute to a better understanding of envenomation in the state of Rondônia and thus can be useful for identifying real conditions that can increase the incidence of snakebites in this region. Moreover, the study results can serve as a basis for improving educational campaigns designed to prevent these types of snakebites, as well as for preserving snakes.
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Rev. Soc. Bras. Med. Trop. · Sep 2017
Review Case ReportsColonic basidiobolomycosis with liver involvement masquerading as gastrointestinal lymphoma: a case report and literature review.
Basidiobolomycosis is an unusual fungal skin infection that rarely involves the gastrointestinal tract. This study reported a 5-year-old boy with gastrointestinal basidiobolomycosis that had been misdiagnosed as gastrointestinal lymphoma. He was treated by surgical resection and a combination of posaconazole and amphotericin B deoxycholate with an acceptable response and no recurrence.