A rare cause of liver abscess secondary to hydatid cyst: pseudomonas stutzeri

Pseudomonas stutzeri is non-fermentative gram negative bacteria which rarely leads to infections. In this report, we presented for the first time a liver abscess which was caused by P. stutzeri. [Cukurova Med J 2016; 41(0.100): 17-19

Infective endocarditis case due to streptococcus parasanguinis presented with spondylodiscitis

Streptococcus parasanguinis is a natural member of oral flora. It is an opportunistic pathogen, and rarely cause systemic infections due to it's low virulence. Subacute infective endocarditis may present with various clinical manifestations (eg., spondylodiscitis). A sixty-five years old male patient from Northern Iraq has referred to our emergency service with high fever, weight loss, back pain and inability to walk. The patient was a veterinarian. He was operated three years ago for colonic carcinoma and irradiated. In magnetic resonance imaging, spondylodiscitis was detected localized in lumbar 1-2 region. Transthorasic echocardiography demonstrated aortic valve vegetation. S. parasanguinis was identified in the blood cultures. In conclusion; all in all, it's remarkable to isolate S. parasanguinis as a causal agent of infective endocarditis in a patient who is a veterinarian with history of colonic carcinoma presented with clinical manifestation of spondylodiscitis. [Cukurova Med J 2016; 41(3.000): 591-594

A New Supportive Therapy for Adult Respiratory Distress Syndrome: Interventional Lung Assist Device

Adult respiratory distress syndrome (ARDS) remains a great challenge for physicians in intensive care units with high mortality rates. Although protective lung ventilation is the mainstay of ARDS therapy, it may lead to intractable hypercapnia. Pumpless extracorporeal lung-assist was suggested as an invasive alternative to conventional treatment when gas exchange is not optimized with rigorous mechanical ventilation alone. Here, we report the treatment of a patient with extracorporeal lung-asist in the course of pneumonia-related ARDS due to intractable hypercapnia as a result of failure of protective ventilation strategy and her outcome after treatment. Interventional Lung Assist device (iLA) contains a specially designed low resistance lung membrane, which uses the pressure difference between the arterial and venous circulation. This system enables the use of high airway pressures for oxygenation in combination with very low tidal volumes to avoid ventilator-induced lung injury and this gives time to patient for lung recovery

A New Supportive Therapy for Adult Respiratory Distress Syndrome: Interventional Lung Assist Device

Adult respiratory distress syndrome (ARDS) remains a great challenge for physicians in intensive care units with high mortality rates. Although protective lung ventilation is the mainstay of ARDS therapy, it may lead to intractable hypercapnia. Pumpless extracorporeal lung-assist was suggested as an invasive alternative to conventional treatment when gas exchange is not optimized with rigorous mechanical ventilation alone. Here, we report the treatment of a patient with extracorporeal lung-asist in the course of pneumonia-related ARDS due to intractable hypercapnia as a result of failure of protective ventilation strategy and her outcome after treatment. Interventional Lung Assist device (iLA) contains a specially designed low resistance lung membrane, which uses the pressure difference between the arterial and venous circulation. This system enables the use of high airway pressures for oxygenation in combination with very low tidal volumes to avoid ventilator-induced lung injury and this gives time to patient for lung recovery

Prevalence and mortality of cancer among people living with HIV and AIDS patients: a large cohort study in Turkey

Background: Cancer is responsible for elevated human immunodeficiency virus (HIV)-related mortality but there are insufficient data about cancer in HIV-positive patients in Turkey

Changes in HIV demographic patterns in a low prevalence population: no evidence of a shift towards men who have sex with men

Objectives: This study aimed to examine the changes in HIV demographics over time in an exceptionally low prevalence population, with particular emphasis on men who have sex with men (MSM). Methods: A total of 1292 newly diagnosed HIV-positive patients registered in the ACTHIV-IST Study Group database between 2000 and 2014 were included. The changes occurring over time in the characteristics of patients at the time of initial admission were examined retrospectively. Results: A gradual increase in the total number of newly diagnosed patients was evident during the study period; however, it was not possible to show an increase in the proportion of MSM within the study population (p = 0.63). There was a male predominance throughout the study (85% vs. 15%), with further increases in the proportion of males in recent years. The mean age was lower at the end of the study (p < 0.05) and there was an increase in the number of unmarried patients (p < 0.05). Conclusions: Sexual preference patterns of HIV patients in extremely low prevalence populations may be different, possibly due to an early phase of the epidemic. Nevertheless, MSM still represent a target subgroup for interventions, since they account for a substantial proportion of cases and a resurgent epidemic may be expected among this group in later phases of the epidemic

Survival in rhino-orbito-cerebral mucormycosis: An international, multicenter ID-IRI study

International audienceBACKGROUND: Mucormycosis is an emerging aggressive mold infection. This study aimed to assess the outcome of hospitalized adults with rhino-orbito-cerebral mucormycosis (ROCM). The secondary objective was to identify prognostic factors in this setting. METHODS: This study was an international, retrospective, multicenter study. Patients’ data were collected from 29 referral centers in 6 countries. All qualified as &quot;proven cases&quot; according to the EORTC/MSGERC criteria. RESULTS: We included 74 consecutive adult patients hospitalized with ROCM. Rhino-orbito-cerebral type infection was the most common presentation (n = 43; 58.1%) followed by rhino-orbital type (n = 31; 41.9%). Twenty (27%) had acquired nosocomial bacterial infections. A total of 59 (79.7%) patients (16 in combination) received appropriate antifungal treatment with high-doses of liposomal amphotericin B. Fifty-six patients (75.7%) underwent curative surgery. Thirty-five (47.3%) required intensive care unit admission (27; 36.5% under mechanical ventilation). Hospital survival was 56.8%, being reduced to 7.4% in patients with invasive mechanical ventilation. A multivariate binary backward logistic regression model identified confusion at admission (OR 11.48), overlapping hospital-acquired infection (OR 10.27), use of antifungal treatment before diagnosis (OR 10.20), no surgical debridement (OR 5.92), and the absence of prior sinusitis (OR 6.32) were independently associated with increased risk for death. CONCLUSION: Today, ROCM still has high mortality rate. Improving source control, rational therpy, and preventing nosocomial infections may improve survival in this severe infection