Presentation
To our knowledge, this is the second reported case of frosted branch angiitis as a presentation of endophthalmitis with coagulase-negative Staphylococcus. [ncbi.nlm.nih.gov]
Entire Body System
-
Fever of Unknown Origin
Due to the deformed cardiac valves, secondary infective endocarditis should be considered in lupus patients with acute refractory heart failure and fever of unknown origin. [ncbi.nlm.nih.gov]
Course
-
Mild Clinical Course
In general, CNS peritonitis presents a mild clinical course and has a high resolution rate; however, CNS has shown an increasing methicillin resistance rate (3,4). [cjasn.asnjournals.org]
Neurologic
-
Communicating Hydrocephalus
A ventriculoperitoneal shunt, inserted on day 35 to manage communicating hydrocephalus, was subsequently removed as symptoms suggesting infection presented. [ncbi.nlm.nih.gov]
Workup
[…] immediate transesophageal echocardiography (TEE), when possible Transesophageal echocardiography (TEE): For all patients with catheter-related S aureus bacteremia (and no contraindications); for all patients with suspected S aureus endocarditis See Workup [emedicine.medscape.com]
Urine
-
Pyuria
Urine specimens from both outpatients and inpatients of our hospital having one or more urinary symptoms, such as burning during micturition, fever, pyuria, frequency of urine, dysuria, hematuria, flank pain, suprapubic discomfort, etc., were processed [innovareacademics.in]
She had a urine catheter when she showed pyuria three times but had no fever. A microscopic examination revealed many grapevine-like Gram positive strains and neutrophils. [kjcls.org]
Pyuria and hematuria are common. For unknown reasons, S. saprophyticus urinary tract infection has a late summer and fall seasonal predilection and often follows sexual intercourse or menstruation. [infectiousdiseaseadvisor.com]
Treatment
There was a reduction in the median number of days of treatment with oxacillin from 11.5 to 6 days (p CONCLUSIONS: Modification of the empiric treatment regimen for neonatal late-onset sepsis with use of oxacillin showed a significant reduction in S. [ncbi.nlm.nih.gov]
Prognosis
This study investigated the TTP of CSF culture with CoNS and its relationship to clinical parameters and prognosis. [ncbi.nlm.nih.gov]
Coldman, A. (1991) A three-year study of positive blood cultures, with emphasis on prognosis. [scindeks.ceon.rs]
Etiology
This study aimed to investigate etiology, timing, antibiotic susceptibility and risk factors for multidrug resistant (MDR) Gram-positive coccal bacteremia after LT. [ncbi.nlm.nih.gov]
Conclusion: This study observed that Staphylococcus is the one of the most common etiologic agent of UTI in our hospital. [innovareacademics.in]
Since CoNS are widespread on the human body and are capable of producing very large populations, distinguishing the etiologic agent(s) from contaminating flora is a serious challenge. [ijpmonline.org]
Over the last decade, however, CNS have been recognized as the etiological agents of a series of infectious processes, representing the microorganisms most commonly isolated from blood cultures (Huebner & Goldmann 1999). [scielo.br]
Epidemiology
BACKGROUND: We sought to determine the epidemiological patterns of Staphylococcus bacteraemia, with a focus on the proportion of coagulase-negative Staphylococcus (CoNS) as compared to Staphylococcus aureus bacteraemia, and the prognosis. [ncbi.nlm.nih.gov]
Infection Control and Hospital Epidemiology 20:167-170. Schwalbe, R.S., J.T. Stapleton, P.H. Gilligan. 1987. Emergence of vancomycin resistance in coagulase-negative staphylococci. New England Journal of Medicine 316:927-931. Tenover, F.C., M.V. [cdc.gov]
A seven-year prospective study on spondylodiscitis: epidemiological and microbiological features. Infection. 2010;38:102–7. 7. Bhavan KP, Marschall J, Olsen MA, et al. [bmcinfectdis.biomedcentral.com]
[…] and mucus membranes Essential features Unlike S. aureus, coagulase test is negative Terminology Greek for staphyle ("bunch of grapes") and kokkos ("berry") (Emerg Infect Dis 2013;19:1553) Coagulase negative staphylococci (CoNS) Many recognized species Epidemiology [pathologyoutlines.com]
Pathophysiology
[…] rely on clinical judgment, patient features (e.g. hematologic malignancy / immunosuppression) and number / site (central venous catheter vs. venipuncture) of positive cultures (Eur J Clin Microbiol Infect Dis 2012;31:2639, Clin Infect Dis 2004;39:333) Pathophysiology [pathologyoutlines.com]
Types, Symptoms, and Treatments See Slideshow References Medically reviewed by Robert Cox, MD; American Board of Internal Medicine with subspecialty in Infectious Disease REFERENCE: "Clostridium difficile in adults: Epidemiology, microbiology, and pathophysiology [medicinenet.com]
Pathophysiology S aureus is a gram-positive coccus that is both catalase- and coagulase-positive. Colonies are golden and strongly hemolytic on blood agar. [emedicine.medscape.com]
Prevention
There is evidence that hand hygiene using an alcohol-based gel and wearing gloves during patient care, management of central and peripheral intravenous lines using the Centers for Disease Control and Prevention (CDC) guidelines, and a closed medication [ncbi.nlm.nih.gov]
The antibiotic susceptibility pattern of all isolates was classified according to the European Centers for Disease Prevention and Control (ECDC) and the US Centers for Disease Control and Prevention (CDC) definition [ 31 ]. [journals.plos.org]
ADJUNCTIVE THERAPY There have been several novel approaches to prevent and treat catheter related infections. [antimicrobe.org]
Committee for the Development of Guidelines for the Prevention of Vascular Catheter Associated Infection; Indian Society of Critical Care Medicine, Indian. J Crit Care Med 2003; 7: 9-10. [ijm.tums.ac.ir]