Journal of infection in developing countries
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J Infect Dev Ctries · Nov 2014
Case ReportsLiver abscess associated with severe myopathy caused by Klebsiella pneumoniae serotype K1 in Romania.
Liver abscess was diagnosed in a man presenting with fever, chills and severe myopathy. The K. pneumoniae isolated from blood cultures belonged to the K1 serotype. The patient responded favourably to percutaneous drainage of the abscess and antibiotics. This is the first documented report of Klebsiella pneumoniae liver abscess syndrome (KLAS) described in Romania and may indicate the emergence of this syndrome in Eastern Europe.
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Within the ongoing Ebola outbreak in West Africa, separate scenarios reflect old contexts with well-known strategies to face the epidemic on one side and completely new and unprecedented situations requiring new approaches on the other side. While Senegal and Nigeria represent success stories on the implementation of appropriate standard public health measures for containment, Liberia, Sierra Leone, and Guinea require a major and innovative scale of actions to halt even more catastrophic consequences.
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Tularemia is a zoonotic disease caused by Francisella tularensis. The oculoglandular form is one of the rarest forms. In this study, evaluated tularemia patients, focusing on the ocular form and the efficacy of early antibiotic therapy. ⋯ During tularemia outbreaks, ocular involvement should be considered carefully. The early administration of appropriate treatment will be more effective in resolving the infection and preventing complications. Along with systemic antibiotic therapy, topical treatment will help recovery.
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J Infect Dev Ctries · Sep 2014
ReviewApplication of MALDI-TOF mass spectrometry in clinical diagnostic microbiology.
Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) has recently emerged as a powerful technique for identification of microorganisms, changing the workflow of well-established laboratories so that its impact on microbiological diagnostics has been unparalleled. In comparison with conventional identification methods that rely on biochemical tests and require long incubation procedures, MALDI-TOF MS has the advantage of identifying bacteria and fungi directly from colonies grown on culture plates in a few minutes and with simple procedures. Numerous studies on different systems available demonstrate the reliability and accuracy of the method, and new frontiers have been explored besides microbial species level identification, such as direct identification of pathogens from positive blood cultures, subtyping, and drug susceptibility detection.
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J Infect Dev Ctries · Sep 2014
Case ReportsThe rarity of gonococcal arthritis in association with HIV infection.
Gonococcal urethritis is common with HIV, but gonococcal arthritis is rare. We report two HIV-positive patients with gonococcal arthritis and review previously published reports. A 27-year-old HIV-positive female presented with a pustular skin rash and acute oligoarthritis. ⋯ Neisseria gonorrhoeae was cultured from the throat swab. Both patients responded to ceftriaxone. Gonococcal arthritis must be considered in HIV patients with acute arthritis.