International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Int. J. Infect. Dis. · Sep 2010
Case ReportsA newly identified Crimean-Congo hemorrhagic fever virus strain in Turkey.
Crimean-Congo hemorrhagic fever (CCHF) is a fatal viral disease that occurs in approximately 30 countries. It has the most extensive geographic range among the tick-borne viruses that affect human health. Recently, a 6-year-old boy presented with complaints of fever, fatigue, and loss of appetite. ⋯ Anti-CCHF virus IgM ELISA and a reverse transcriptase-PCR assay for CCHF RNA were both positive. Phylogenetic studies revealed that the virus was a new AP92-like CCHF strain, which was named KMAG-Hu-07-01 (accession number EU057975). This patient could provide important information on the transmission dynamics of CCHF infection.
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Int. J. Infect. Dis. · Sep 2010
Review Case ReportsAcute acalculous cholecystitis complicating an imported case of mixed malaria caused by Plasmodium falciparum and Plasmodium vivax.
A 40-year-old man was admitted with a 6-day history of fever and abdominal pain. His right upper quadrant was tender on palpation. ⋯ Abdominal ultrasound findings were consistent with acute acalculous cholecystitis. He was treated successfully with quinine and doxycycline and discharged in good clinical condition.
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Int. J. Infect. Dis. · Sep 2010
Case ReportsFatal outcome of a disseminated dual infection with drug-resistant Mycoplasma hominis and Ureaplasma parvum originating from a septic arthritis in an immunocompromised patient.
Mycoplasma hominis and Ureaplasma parvum are rare causes of severe and fatal infections. The diagnosis of infection with mycoplasma is dependent on clinical suspicion and microbiological diagnosis, and often relies on molecular methods that do not readily detect antibiotic resistance. This may be of increasing importance as illustrated in the case below.
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Int. J. Infect. Dis. · Sep 2010
Risk factors of poultry outbreaks and human cases of H5N1 avian influenza virus infection in West Java Province, Indonesia.
The purpose of this study was to determine the association of potential risk factors to the spread and maintenance of the highly pathogenic avian influenza (HPAI) H5N1 virus in poultry and humans at the district level in West Java Province, Indonesia. ⋯ We conclude that the most effective way to prevent human HPAI cases is to intervene directly in the poultry sector. Our study further suggests that implementing preventive measures in backyard chicken farming and limiting transport of live poultry and their products are promising options to this end.
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Int. J. Infect. Dis. · Sep 2010
Case ReportsGonococcal septic shock, acute respiratory distress syndrome, and multisystem organ failure: a case report.
We describe the first reported case of gonococcal septic shock with associated acute respiratory distress syndrome and multisystem organ failure, in which the patient made a full recovery, and add to the paucity of descriptive literature on gonococcal sepsis. The case was a 36-year-old previously healthy Aboriginal female from northern Canada. Treatment included fluid resuscitation, vasoactive drugs, mechanical ventilation, antimicrobial therapy, corticosteroid replacement, activated protein C, and general supportive care. In addition to being the first reported case of gonococcal septic shock with associated acute respiratory distress syndrome and multisystem organ failure in which the patient made a full clinical recovery this is also the first case of gonococcal septic shock treated with activated protein C; an association between its use and the favorable outcome is postulated, but cannot be confirmed.