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  1. Article ; Online: Blastomyces dermatitidis

    Ploom, Stacy / Cooley, Marcus / Nagpal, Avish / Guerrero, Dubert M

    Journal of investigative medicine high impact case reports

    2023  Volume 11, Page(s) 23247096231166674

    Abstract: Blastomycosis is a rare endemic fungal infection caused by the dimorphic ... ...

    Abstract Blastomycosis is a rare endemic fungal infection caused by the dimorphic fungus
    MeSH term(s) Humans ; United States ; Aged ; Blastomyces ; Blastomycosis/diagnosis ; Blastomycosis/epidemiology ; Blastomycosis/microbiology ; Kidney Transplantation/adverse effects ; Pneumonia ; Arthritis, Infectious/diagnosis
    Language English
    Publishing date 2023-03-29
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2710326-2
    ISSN 2324-7096 ; 2324-7096
    ISSN (online) 2324-7096
    ISSN 2324-7096
    DOI 10.1177/23247096231166674
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevotella bivia

    Dodin, Rakan E / Thompson, Hallie / Storandt, Michael H / Vilenski, Leonid / Guerrero, Dubert M

    Journal of investigative medicine high impact case reports

    2023  Volume 11, Page(s) 23247096231194842

    Abstract: Septic arthritis is a medical emergency that requires prompt diagnosis to prevent long-term intra-articular complications. ...

    Abstract Septic arthritis is a medical emergency that requires prompt diagnosis to prevent long-term intra-articular complications.
    MeSH term(s) Female ; Humans ; Adult ; Middle Aged ; Anti-Bacterial Agents/therapeutic use ; Metronidazole ; Prevotella ; Arthritis, Infectious/diagnosis ; Arthritis, Infectious/drug therapy ; Arthritis, Infectious/complications
    Chemical Substances Anti-Bacterial Agents ; Metronidazole (140QMO216E)
    Language English
    Publishing date 2023-09-28
    Publishing country United States
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 2710326-2
    ISSN 2324-7096 ; 2324-7096
    ISSN (online) 2324-7096
    ISSN 2324-7096
    DOI 10.1177/23247096231194842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Fatal Case of Liver and Brain Abscesses Due to Fusobacterium nucleatum.

    Toumeh, Nadia / Mudireddy, Megha / Smith, Bradley / Guerrero, Dubert M

    Cureus

    2021  Volume 13, Issue 11, Page(s) e19671

    Abstract: Fusobacterium ... ...

    Abstract Fusobacterium nucleatum
    Language English
    Publishing date 2021-11-17
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.19671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Chronic Infectious Complications of Recreational Urethral Sounding With Retained Foreign Body.

    Guerrero, Dubert M / Sharma, Aishwarya

    Cureus

    2020  Volume 12, Issue 8, Page(s) e9750

    Abstract: The practice of recreational urethral sounding involves insertion of foreign body in the urethra usually for sexual gratification. We present a case of a 62-year-old male with longstanding recurrent urinary tract infections complicated with ... ...

    Abstract The practice of recreational urethral sounding involves insertion of foreign body in the urethra usually for sexual gratification. We present a case of a 62-year-old male with longstanding recurrent urinary tract infections complicated with Staphylococcus epidermidis bacteremia, discitis, and osteomyelitis at T12-L1 vertebral level associated with left psoas abscess secondary to a retained foreign body inserted into his urethra and urinary bladder. He had extraction of foreign body, cystoscopy, and open cystolithotripsy. He received long-term antibiotics and back surgery resulting in residual chronic back pain. This case illustrates important chronic infectious complications associated with the high-risk sexual practice of urethral sounding.
    Language English
    Publishing date 2020-08-14
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.9750
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Clinical and Financial Impact of Rapid Antimicrobial Susceptibility Testing in Blood Cultures.

    Roth, Felix / Leedahl, Nathan D / Leedahl, David D / Guerrero, Dubert M

    Antibiotics (Basel, Switzerland)

    2022  Volume 11, Issue 2

    Abstract: The rapid identification of pathogens that cause bloodstream infections plays a vital role in the modern clinical microbiology laboratory. Despite demonstrating a significant reduction in turnaround time and a significant effect on clinical decisions, ... ...

    Abstract The rapid identification of pathogens that cause bloodstream infections plays a vital role in the modern clinical microbiology laboratory. Despite demonstrating a significant reduction in turnaround time and a significant effect on clinical decisions, most methods do not provide complete antimicrobial susceptibility testing (AST) information. We employed rapid identification (ID) and AST using the Accelerate PhenoTest on positive blood cultures containing Gram-negative bacilli. The length of stay (LOS) significantly decreased from an average of 12.1 days prior to implementation to 6.6 days post-implementation (
    Language English
    Publishing date 2022-01-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2681345-2
    ISSN 2079-6382
    ISSN 2079-6382
    DOI 10.3390/antibiotics11020122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Rhabdomyolysis Secondary to COVID-19 Vaccination.

    Mack, Mariah / Nichols, Laura / Guerrero, Dubert M

    Cureus

    2021  Volume 13, Issue 5, Page(s) e15004

    Abstract: Rhabdomyolysis has been described as a complication of coronavirus disease 2019 (COVID-19) infection, but few cases of rhabdomyolysis associated with COVID-19 vaccination have been reported. We described a case of an 80-year-old male who developed ... ...

    Abstract Rhabdomyolysis has been described as a complication of coronavirus disease 2019 (COVID-19) infection, but few cases of rhabdomyolysis associated with COVID-19 vaccination have been reported. We described a case of an 80-year-old male who developed rhabdomyolysis two days after receiving his second dose of the Moderna COVID-19 vaccine. He presented with severe weakness, myalgias, and an initial creatinine kinase (CK) of 6,546 IU/L that improved with intravenous fluids. Common causes of rhabdomyolysis were excluded including statin use, strenuous exercise, and trauma. With the increasing immunization efforts against COVID-19, physicians should consider the possibility of rhabdomyolysis when a patient presents with neuromuscular complaints following vaccination.
    Language English
    Publishing date 2021-05-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.15004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Septic Arthritis in a Renal Transplant Patient

    Stacy Ploom BS / Marcus Cooley MD / Avish Nagpal MD / Dubert M. Guerrero MD

    Journal of Investigative Medicine High Impact Case Reports, Vol

    2023  Volume 11

    Abstract: Blastomycosis is a rare endemic fungal infection caused by the dimorphic fungus Blastomyces dermatitidis. It is more likely to occur in persons living in areas of the United States and Canada, which border the Ohio and Mississippi River Valleys and the ... ...

    Abstract Blastomycosis is a rare endemic fungal infection caused by the dimorphic fungus Blastomyces dermatitidis. It is more likely to occur in persons living in areas of the United States and Canada, which border the Ohio and Mississippi River Valleys and the Great Lakes region. Most infections are localized to the lungs, often presenting as acute or chronic pneumonia. Occasionally, patients progress to develop disseminated disease and extrapulmonary infections. Blastomycosis tends to be misdiagnosed initially at clinical evaluation as it is rare and may resemble other common conditions. We present a case of a 78-year-old immunosuppressed renal transplant patient who was suspected of having gout but eventually was diagnosed with an unusual presentation of septic arthritis of the ankle secondary to blastomycosis.
    Keywords Medicine (General) ; R5-920 ; Pathology ; RB1-214
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: A Rare Case of Spontaneous Splenic Rupture Secondary to Tularemia Following a Cat Bite.

    Fohle, Emmanuel / Smith, Bradley A / Guerrero, Dubert M

    Cureus

    2021  Volume 13, Issue 2, Page(s) e13218

    Abstract: Spontaneous splenic rupture is a rare but potentially life-threatening condition. More common infectious causes include infectious mononucleosis, cytomegalovirus (CMV), human immunodeficiency virus (HIV), and malaria. We present a case of a 42-year-old ... ...

    Abstract Spontaneous splenic rupture is a rare but potentially life-threatening condition. More common infectious causes include infectious mononucleosis, cytomegalovirus (CMV), human immunodeficiency virus (HIV), and malaria. We present a case of a 42-year-old male who was admitted with persistent fevers, myalgia, and a recent ulcerative lesion on the base of his left thumb after a cat bite. He developed abdominal and back pains, left axillary lymphadenopathy, and near syncope. Abdominal computed tomography (CT) scan showed splenomegaly with subcapsular splenic rupture and large hematoma requiring emergent splenic embolization. Infectious work-up revealed tularemia as a cause which was successfully treated with oral doxycycline. Though not a common cat zoonoses, tularemia should be considered in a patient with splenomegaly or spontaneous splenic rupture in the setting of cat bite.
    Language English
    Publishing date 2021-02-08
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.13218
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effectiveness of the vacuum assisted aspiration AngioVac system in the removal of intravascular masses.

    Nickell, Austin / Sergev, Orlin / Alberto, Neville / Bande, Dinesh / Guerrero, Dubert M

    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

    2023  Volume 101, Issue 6, Page(s) 1161–1165

    Abstract: Background: Invasive procedures used to manage intravascular masses such as vegetation from endocarditis, deep vein thrombosis, and septic emboli are associated with high rates of complications and mortality, especially in patients with several pre- ... ...

    Abstract Background: Invasive procedures used to manage intravascular masses such as vegetation from endocarditis, deep vein thrombosis, and septic emboli are associated with high rates of complications and mortality, especially in patients with several pre-existing comorbidities. A minimally invasive technique that has become more popular in recent years is the AngioVac procedure. This single-centered, retrospective study focuses on patient presenting comorbidities and indications for the procedure as well as postprocedural outcomes.
    Methods: A total of 33 patients who underwent an AngioVac procedure at Sanford Health between March 2014 and October 2019 was reviewed. Data were collected on pre-existing comorbidities, indication of procedure, length of stay, and postoperative outcomes.
    Results: We evaluated a total of 33 patients who underwent an AngioVac procedure for removal of intravascular mass. The most common indications for the procedure were endocarditis (24/33, 73%); intracardiac mass (5/33, 15%); and deep vein thrombosis or pulmonary embolism (2/33, 6%). Post-procedural blood transfusion was required in nearly half (15/33, 45%). Almost all patients (31/33, 94%) required intraoperative vasopressor use. Nearly all patients (32/33, 97%) were directed to the intensive care unit following the procedure with an average length of stay of 8 days (interquartile range: 3-13). Most common complications seen after the procedure were shock requiring vasopressors, (13/33, 39%), pleural effusion (9/33, 27%), and sepsis (4/33, 12%). Procedural success in this single-centered experience was 85% (28/33), which was defined as size reduction of the initial vegetation by >50% in the absence of severe intraoperative complications and absence of need for further valvular surgical intervention.
    Conclusion: For surgically high-risk patients, the AngioVac procedure may offer a less invasive option in the management of right sided endocarditis requiring vegetation debulking, intravascular thrombi or cardiac masses.
    MeSH term(s) Humans ; Thrombectomy/adverse effects ; Heart Diseases ; Retrospective Studies ; Treatment Outcome ; Endocarditis/etiology ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/therapy ; Venous Thrombosis/etiology
    Language English
    Publishing date 2023-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1459995-8
    ISSN 1522-726X ; 1522-1946
    ISSN (online) 1522-726X
    ISSN 1522-1946
    DOI 10.1002/ccd.30634
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Maggot Wound Therapy Associated with Wohlfahrtiimonas chitiniclastica Blood Infection.

    Bueide, Peter / Hunt, Jeff / Bande, Dinesh / Guerrero, Dubert M

    Cureus

    2021  Volume 13, Issue 1, Page(s) e12471

    Abstract: Maggot therapy is the intentional application of live, disinfected fly larvae to wounds for debridement and wound care. Although some studies suggest possible beneficial applications for wound healing, subsequent infection is a potential risk of ... ...

    Abstract Maggot therapy is the intentional application of live, disinfected fly larvae to wounds for debridement and wound care. Although some studies suggest possible beneficial applications for wound healing, subsequent infection is a potential risk of treatment. We present a case of a 70-year-old male with chronic left temporal wound from squamous cell carcinoma treated with maggot therapy complicated by bacteremia with
    Language English
    Publishing date 2021-01-04
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.12471
    Database MEDical Literature Analysis and Retrieval System OnLINE

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