3 research outputs found
Saccharomyces boulardii fungaemia in an intensive care unit patient treated with caspofungin
We describe a case of Saccharomyces boulardii fugaemia in a critically ill patient with septic shock treated with a probiotic agent containing this yeast. We attributed this fugaemia to gut translocation. Our use of caspofugin yielded excellent results
Improvement in Intestinal-Failure-Associated Liver Disease by Using Parenteral Fish Oil as Monotherapy: Case-Based Review of the Literature
Intestinal-failure-associated liver disease (IFALD) is a common complication of prolonged parenteral nutrition (PN). Risk factors for IFALD include clinical features, as well as medical interventions, and its management was initially based on the decrease or interruption of parenteral nutrition while increasing enteral nutrition. However, the tolerance of full enteral nutrition in children with intestinal failure may require prolonged intestinal rehabilitation over a period of years. As a consequence, infants unable to wean from PN are prone to develop end-stage liver disease. We describe the case of an infant receiving long-term PN who was diagnosed with IFALD wherein we were able to reverse IFALD by switching lipid emulsions to fish oil monotherapy. A systemic review of case reports and case series on reversing IFALD using fish oil lipid emulsion follows the case description
Infant penile tuberculosis following circumcision
Primary penile tuberculosis associated with bilateral inguinal
lymphadenopathy is described in a previously healthy 10-month old
infant, who had been circumcised in Pakistan 4 months earlier.
Mycobacterium tuberculosis was detected by acid fast stain, PCR and
culture in specimens obtained from the penile ulcer and the excised
inguinal lymph nodes. (C) 2008 The British Infection Society. Published
by Elsevier Ltd. All rights reserved