Presentation
We present a case of an 85 years old male with a history of the valvular disease and permanent pace maker with past medical history of repetitive urinary tract infections in the previous months, who presented to the emergency department with fever, urinary [eurekaselect.com]
Presently and after being discharged from the hospital nutrition unit, the patient follows a normal diet and remains asymptomatic. [revistanefrologia.com]
Entire Body System
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Weakness
Replace weak or inconclusive reactions in the incubator for a total of 24 hours, and read as described in step 4. INTERPRETATION OF RESULTS A positive test occurs when a yellow color develops along the line of inoculation. [catalog.hardydiagnostics.com]
[…] positive Weak positive – WBC count 10 6 /L (0–8) 1536 204 107 36 11 Monocyte count 10 6 /L (not available) 602 164 106 36 10 Monocyte percentage % (not available) 39.2 92.1 99.1 100.0 97.9 Multinucleate cell count 10 6 /L (not available) 934 40 1 0 1 [bmcinfectdis.biomedcentral.com]
CASE REPORT A 53-year old man was admitted to a public general hospital with a history of weakness, malaise, weight loss, mental confusion, fever and ataxia for 15 days prior to hospitalization. [scielo.br]
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Malaise
[…] years old male with a history of the valvular disease and permanent pace maker with past medical history of repetitive urinary tract infections in the previous months, who presented to the emergency department with fever, urinary disturbances, general malaise [eurekaselect.com]
CASE REPORT A 53-year old man was admitted to a public general hospital with a history of weakness, malaise, weight loss, mental confusion, fever and ataxia for 15 days prior to hospitalization. [scielo.br]
Respiratoric
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Respiratory Distress
At this time, patient developed respiratory distress and was admitted to the ICU requiring mechanical ventilation. [scielo.br]
Neurologic
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Meningism
The duration of treatment was based on previous reports of treatment of enterococcal meningitis 4,5,7,8,10. To our knowledge, this is the first Brazilian reported case of Enterococcus gallinarum meningitis. [scielo.br]
There was obvious neck stiffness; lumber puncture was performed and cerebrospinal fluid parameters were consistent with bacterial meningitis. The patient was given ceftriaxone and vancomycin for bacterial meningitis. [jidc.org]
While the occurrence of E faecalis meningitis and E faecium meningitis accounts for about 90% of enterococcus meningitis. [journals.lww.com]
Meningitis Caused by Enterococcus gallinarum in an Immunocompetent Host, Jundishapur J Microbiol. 2018 ; 11(9):e67164. doi: 10.5812/jjm.67164. Abstract Copyright 2018, Author(s). [jjmicrobiol.com]
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Neck Stiffness
stiffness Decompression craniotomy for cerebral hemorrhage i.v. linezolid for 3 weeks Cured Vicente Sperb Antonello, et al. [ 11 ] 2010 Brazil Male 53 years Mental confusion Fever Ataxia Neck stiffness Alcohol abuse i.v. ampicillin and gentamycin for [bmcinfectdis.biomedcentral.com]
There was obvious neck stiffness; lumber puncture was performed and cerebrospinal fluid parameters were consistent with bacterial meningitis. The patient was given ceftriaxone and vancomycin for bacterial meningitis. [jidc.org]
In this case, there was unquestionable evidence of CNS infection, as demonstrated by mental confusion, fever, neck stiffness and neutrophillic pleocytosis on cerebrospinal fluid, with markedly high protein and low glucose. [scielo.br]
In this case, fever was the only clinical symptom without consciousness disturbance, seizures, and neck stiffness. It indicated that neurological signs might not be typical in neonates. [journals.lww.com]
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Confusion
Some microbiologists have forsaken the general "bacillus" term because of the confusion it can create. [en.wikipedia.org]
On physical examination the patient presented fever (axillary temperature of 38.5 ºC), nuchal rigidity and mental confusion. [scielo.br]
The baby presented fever (axillary temperature of 38.5 C) without nuchal rigidity and mental confusion at the seventh day after admission. [journals.lww.com]
[…] al. [ 10 ] 2011 Pakistan Female 53 years Fever Headache Consciousness disturbance Neck stiffness Decompression craniotomy for cerebral hemorrhage i.v. linezolid for 3 weeks Cured Vicente Sperb Antonello, et al. [ 11 ] 2010 Brazil Male 53 years Mental confusion [bmcinfectdis.biomedcentral.com]
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Headache
There was no significant relief from the headaches. A lumbar puncture was repeated 6 days after admission. [bmcinfectdis.biomedcentral.com]
Hospital, Doha, Qatar Keywords: Enterococcal meningitis, linezolid, bacterial meningitis, Enterococcus gallinarum Abstract We report a case of Enterococcus gallinarum meningitis in a 53-year-old female who was admitted to our hospital with a fever, headache [jidc.org]
Enterococcus meningitis usually presents fever, headache, consciousness disturbance, seizures, and meningeal stimulation signs. Some severe cases may even appear shock, coma, focal neurological deficits, and so on. [journals.lww.com]
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Ataxia
CASE REPORT A 53-year old man was admitted to a public general hospital with a history of weakness, malaise, weight loss, mental confusion, fever and ataxia for 15 days prior to hospitalization. [scielo.br]
Pakistan Female 53 years Fever Headache Consciousness disturbance Neck stiffness Decompression craniotomy for cerebral hemorrhage i.v. linezolid for 3 weeks Cured Vicente Sperb Antonello, et al. [ 11 ] 2010 Brazil Male 53 years Mental confusion Fever Ataxia [bmcinfectdis.biomedcentral.com]
Workup
Serum
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Hyponatremia
The patient presented severe hyponatremia, which can be explained by the Syndrome of Inappropriate Secretion of Antidiuretic Hormone, secondary to the CNS infection. [scielo.br]
Microbiology
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Streptococcus Bovis
Enterococcus species, Streptococcus bovis group, and Leuconostoc species. In: Mandell GL, Bennett JE, Dolin R. Mandell, Douglas and Bennett's principles and practice of infectious diseases. 7 th ed. [scielo.br]
Enterococcus species, Streptococcus bovis group, and Leuconostoc species. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases 7th ed.New York: Churchill Livingstone; 2009. 2643–53. [3]. Takayama Y, Sunakawa K, Akahoshi T. [journals.lww.com]
Enterococcus species, Streptococcus bovis group, and Leuconostoc species. [ncbi.nlm.nih.gov]
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Clostridium Perfringens
Clostridium perfringens, Pseudomonas aeruginosa and Salmonella typhimurium. One of the four pathogenic strains of Escherichia coli isolated from the intestinal tract of ostrich was inhibited by enterocin 012. [scholar.sun.ac.za]
Four cases were associated with 2 other organisms: E. coli plus K. pneumoniae, K. pneumoniae plus Clostridium perfringens, P. aeruginosa plus Staphylococcus aureus, and Klebsiella oxytoca plus C. freundii. [academic.oup.com]
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Citrobacter Koseri
koseri, Acinetobacter baumannii, Enterococcus intermedius, and E. faecium (1 patient each). [academic.oup.com]
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Gram-Positive Coccus
This Gram positive coccus is most frequently found in pairs and short chains of spherical or ovoid cells. It is catalase negative and exhibits facultatively anaerobic metabolism. [vumicro.com]
Treatment
Several choices for current, and possibly future, treatment of VRE infection are described below. 14 Two agents, linezolid (LZD) and quinupristin-dalfopristin (QPD), have been approved by the FDA for the treatment of infections caused by VRE; however, [uspharmacist.com]
Intravenous linezolid was used again and the course of treatment was extended to 3 weeks. Fever faded on the third day of the treatment. [journals.lww.com]
Forty days after finishing treatment there was slightly turbid fluid (leucocyte recount 355 cells/μl, PMN 66 per cent, MNM 34 per cent) and E. gallinarum was isolated; the same treatment was initiated with identical response from was observed. [revistanefrologia.com]
Prognosis
Therefore, there is no detailed evaluation about its prognosis at present. The prognosis of the 6 reported patients is optimistic and the clinical symptoms are significantly improved. This case reminds us that EGM may occur in the neonate. [journals.lww.com]
The course of linezolid generally lasts 3 weeks or longer, and the prognosis is good. We recommended a 3-week course of linezolid and obtained satisfactory efficacy. [bmcinfectdis.biomedcentral.com]
Etiology
In conclusion, a proper bacteriological diagnosis is of paramount importance for the guidance of therapy due to the possibility of an uncommon etiology as in this case. [scielo.br]
Customized repackaging per client specifications, maintaining 'chain of custody' Customized labels, reports, and data maintenance Specimen disposal per OSHA, EDA, State, and Federal guidelines Comprehensive domestic & international shipping & tracking Etiologic [zeptometrix.com]
Etiology and ecology, Arch Intern Med, 1962, vol. 110 (pg. 847 - 55 ) 34 The ACCP-SCCM consensus conference on sepsis and organ failure, Chest, 1992, vol. 101 (pg. 1481 - 3 ) 35 The natural history of the systemic inflammatory response syndrome (SIRS) [academic.oup.com]
Epidemiology
Infection Control & Hospital Epidemiology ISSN: 0899-823X EISSN: 1559-6834 URL: /core/journals/infection-control-and-hospital-epidemiology Metrics Full text views Full text views reflects the number of PDF downloads, PDFs sent to Google Drive, Dropbox [cambridge.org]
Forming part of the Food Microbiology series, Laboratory Models for Foodborne Infections presents a state-of-the-art review of laboratory models that have proven valuable in deciphering the life cycle, epidemiology, immunobiology, and other key aspects [books.google.it]
Epidemiological data and underlying diseases/conditions. The epidemiological characteristics and underlying disease/conditions of the 56 patients are provided in table 1. [academic.oup.com]
Prevention
The study also found that these diseases can be suppressed or even prevented with an antibiotic or vaccine specifically designed to destroy these bacteria. [newsweek.com]
We conducted an investigation to identify risk factors, determine the source of the infections and prevent future cases. Methods We conducted a retrospective cohort study, identifying all TKA patients at Hospital A during January 1-August 31, 2006. [idsa.confex.com]
Complete DSMZ Media List Summary and additional information: For detailed information: BacDive - The Bacterial Diversity Metadatabase Literature: 2710, 2848, 2851 Risk group: 2 (classification according to German TRBA ) Restrictions: Act dealing with the prevention [dsmz.de]
Armed with this information, pharmacists can help optimize patient care, as well as prevent VRE-related morbidity and mortality. [uspharmacist.com]
Together, these studies highlight the importance of a healthy gut barrier in preventing disease. ### Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! [eurekalert.org]