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  1. Article ; Online: Streptococcus agalactiae endogenous endophthalmitis.

    Saffra, Norman / Rakhamimov, Aleksandr / Husney, Robert / Ghitan, Monica

    BMJ case reports

    2013  Volume 2013

    Abstract: Streptococcus agalactiae (SA) is a Group B Streptococcus, which is a common pathogen implicated in neonatal and geriatric sepsis. Endogenous bacterial endophthalmitis (EBE) is a condition that results from haematogenous seeding of the globe, during ... ...

    Abstract Streptococcus agalactiae (SA) is a Group B Streptococcus, which is a common pathogen implicated in neonatal and geriatric sepsis. Endogenous bacterial endophthalmitis (EBE) is a condition that results from haematogenous seeding of the globe, during transient or persistent bacteremia. We document a case of a non-septic geriatric patient, who developed EBE after a transient bacteraemia with SA.
    MeSH term(s) Aged, 80 and over ; Anti-Bacterial Agents/therapeutic use ; Bacteremia/complications ; Endophthalmitis/etiology ; Endophthalmitis/microbiology ; Endophthalmitis/therapy ; Female ; Humans ; Intravitreal Injections ; Streptococcal Infections/etiology ; Streptococcal Infections/microbiology ; Streptococcal Infections/therapy ; Streptococcus agalactiae/isolation & purification ; Vitrectomy
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2013-06-27
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2013-008981
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Patient with rheumatoid arthritis on methotrexate with multiple infecting organisms causing gastritis.

    Husney, Robert / Privman, Vladamir / Sepkowitz, Douglas

    BMJ case reports

    2013  Volume 2013

    Abstract: A 70-year-old man with a medical history of rheumatoid arthritis on methotrexate 2.5 mg every other day was being followed for cytomegalovirus (CMV) gastritis and Helicobacter pylori infection, who was also found to have adrenal masses bilaterally. A CT ... ...

    Abstract A 70-year-old man with a medical history of rheumatoid arthritis on methotrexate 2.5 mg every other day was being followed for cytomegalovirus (CMV) gastritis and Helicobacter pylori infection, who was also found to have adrenal masses bilaterally. A CT showed a 1 cm left adrenal nodule along with a 2.5 cm right adrenal mass suspicious for malignancy. A positron emission tomography showed metabolic activity in his adrenals that was non-specific (could be seen in benign as well as malignant lesions). The patient was started on valganciclovir 900 mg daily for 30 days. Following treatment the patient showed marked clinical improvement with a weight gain of 9 lbs and a complete resolution of his epigastric pain. A repeat oesophagogastroduodenoscopy performed with biopsy returned negative for CMV. A repeat CT abdomen to assess the adrenals was performed 2 weeks after completion of valganciclovir. His adrenal nodules had decreased significantly in size, with his left adrenal gland nodules measuring 1 cm and now his right adrenal gland nodule measuring 1 cm.
    MeSH term(s) Aged ; Arthritis, Rheumatoid/drug therapy ; Candidiasis/chemically induced ; Cytomegalovirus Infections/chemically induced ; Gastritis/chemically induced ; Gastritis/microbiology ; Helicobacter Infections/etiology ; Helicobacter pylori ; Humans ; Immunosuppressive Agents/adverse effects ; Immunosuppressive Agents/therapeutic use ; Male ; Methotrexate/adverse effects ; Methotrexate/therapeutic use
    Chemical Substances Immunosuppressive Agents ; Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2013-07-31
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2013-009194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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