Digital ischemic necrosis with cryoglobulinemia associated with hepatitis B infection

WOS: 000389976100045PubMed ID: 27857479A 77-year-old male patient presented with a one week history of general worsening condition, with mental status and respiratory insufficiency. He was therefore admitted to the Intensive Care Unit. His past medical history was unremarkable except for hypertension. He had cyanosis of the nose, hands and feet with purple to black discoloration (Fig. 1). Initial laboratory study results were notable for leukocytes: 24,000/mm3, neutrophils: 85%, hemoglobin: 8.6 g/dL, thrombocytes: 120,000/mm3, erythrocyte sedimentation rate (ESR): 110 mm/h, C-reactive protein (CRP): 64 mg/L, aspartate aminotransferase: 83 U/L, alanine aminotransferase: 125 U/L, BUN: 110 mg/dL, creatinine: 3.4 mg/dL. In the differential diagnosis, sepsis with multiorgan failure and coronary artery disease with acute heart failure were considered

An unnoticed origin of fever: Periapical tooth abscess. Three case reports and literature review

Dental infections may lead to severe local or systemic infections such as endocarditis, brain abscesses and mediastinitis. Fever may be the only symptom. We aim to highlight dental/odontogenic abscesses as the occult source of unexplained fever by reporting on three cases and reviewing the relevant literature. Early dental evaluation and referral of patients with persistent fever (even without any oral symptoms) to a dentist plays a critical role in preventing unnecessary, time-consuming and high-cost further diagnostic tests and invasive procedures. A simple panoramic dental radiography may suffice to establish the diagnosis

Spinal brucellosis diagnosed with positron emission tomography combined with computed tomography (PET/CT)

WOS: 000378201100011PubMed ID: 26826344A 48-year-old female patient was referred to our clinic forsudden-onset right-sided waist pain that radiated down bothlegs. The pain, which was also present along her waist cur-vature, inhibited her ability to walk, sit, or stand. Associatedsymptoms were fever, night chills, and a complaint of 5-kgweight loss within the last month. The patient reported a pre-vious surgical history of vertebral instrumentation(intramedullary stud) that was inserted after a traffic acci-dent approximately 20 years ago. Further interrogation revealeda history of consumption of non-pasteurized dairy products

Tick-related facial cellulitis caused by francisella tularensis

Tick-borne illnesses have diverse biological and clinical features that make recognition and appropriate treatment challenging. Arthropod-transmitted (ticks, fleas and deer flies) tularaemia remains a concern worldwide. Generally, two kinds of tularaemia manifestations, namely ulceroglandular and glandular infections, can arise from the bite of an infected arthropod vector. If the ulceroglandular or glandular form is not treated, suppuration can arise from the gland. In addition, cellulitis is rarely observed around the ulcers. In our case, with the knowledge of tick exposure to the scalp, tularaemia was not initially considered for facial cellulitis without regional lymphadenopathy and also due to apparent failure to respond to doxycycline and gentamicin therapy. Serological confirmation in the late stages of the disease suggests the importance of clinical suspicion in such rare conditions

Daptomycin use in mrsa bacteremia of a patient with myasthenia gravis: A case report

Myasthenia gravis (MG) is the most common autoimmune disease affecting the neuromuscular junction and is characterized by ocular, bulbar, limb and respiratory muscle involvement. Some of the drugs may induce and exacerbate MG. Antibiotics are also one of the most important medication groups that may worsen MG and they should be used with caution in these patients with MG. Herein, we would like to share our experience about daptomycin use in Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia of a patient with myasthenia gravis

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Erratum: An unnoticed origin of fever: Periapical tooth abscess - Three case reports and literature review

Erratum Following publication of the Original article An unnoticed origin of fever: Periapical tooth abscess - Three case reports and literature review (Infez. Med., volume 24, issue 1, pages 67-70, year 2016) We became aware that some authors were missing from the title page The correct list of the authors and affiliations is the following An unnoticed origin of fever: Periapical tooth abscess - Three case reports and literature review Ferhat Arslan1, Ergenekon Karagöz2, Mesut Yilmaz1, Ayse Batirel3, Birsen Yigit Arslan4, Nedim Ozer5, Nadir Alpay6, Ali Mert1 1Department of Infectious Diseases and Clinical Microbiology, Istanbul Medipol University Hospital, Istanbul, Turkey 2Department of Infectious Diseases and Clinical Microbiology, Van Military Hospital, Van, Turkey 3Department of Infectious Diseases and Clinical Microbiology, Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey 4Department of Anesthesiology and Reanimation, Esenyurt State Hospital, Istanbul, Turkey 5Department of Dentistry, Istanbul Medipol University Hospital, Istanbul, Turkey 6Department of Internal Medicine, Istanbul Medipol University Hospital, Istanbul, Turkey

Eritema nodosum’un eşlik ettiği idiyopatik granülomatöz mastit vakasi: Olgu sunumu ve literatür derlemesi

Idiopathic granulomatous mastitis (IGM) is an uncommon inflammatory disease of the breast. Differential diagnosis and exclusion of breast cancer is the most challenging issue for patients and physicians. IGM may be differentiated from cancer and other diseases with histopathological evaluation; however, the response to empirically initiated steroid therapy may sometimes be useful to distinguish it from other diseases. In this context, whether erythema nodosum may assist in the IGM diagnosis is an unasked question. Here we present the case of a 30-year-old woman presenting with tenderness, redness and discharge in her left breast accompanied by a mass, together with pain in her ankles, the findings of IGM and erythema nodosum (EN). We aim to review the medical literature regarding the association between IGM and EN. IGM should be primarily considered when a patient presents with signs of inflammatory breast disease and EN.İdiyopatik granülomatöz mastit (İGM), memenin etyolojisi çok iyi bilinmeyen ve nadir görülen bir inflamatuar hastalığıdır. Meme kanserini taklit edebilmesiyle önem kazanan bu durum, ayırıcı tanı ve meme kanserlerinin dışlanması aşamasında hasta ve klinisyen açısından zorlayıcı olabilmektedir. İGM tablosu kanser ve diğer hastalıklardan histopatolojik inceleme ile ayırt edilse de, ampirik başlanılan steroid tedavisinden alınan olumlu yanıt da İGM’nin diğer hastalıklardan ayırt edilmesinde klinisyene yarar sağlayabilir ve hekim açısından yol gösterici olabilir. Bu bağlamda, eritema nodozumun (EN) da İGM’nin tanısında destekleyici bir bulgu olup olamadığı hususu daha önce sorgulanmamış bir konudur. Burada, sol memede kitlenin de eşlik ettiği ağrı, kızarıklık, hassasiyet ve akıntı yakınmaları olan, beraberinde her iki ayak bileğinde ağrının var olduğu eritema nodozum ve idiyopatik granülomatöz mastit bulguları ile presente olan 30 yaşındaki bir kadın hasta sunulmuştur. Bu yazıda aynı zamanda medikal literatürdeki İGM ve EN arasındaki birliktelik ve ilişkiyi de tartışmayı amaçladık. İnflamatuar meme hastalığı ve EN bulguları ile prezante olan olgularda İGM ayırıcı tanılar arasında ilk planda düşünülmelidir