Bacteroides fragilis bakterijemija u atipičnoj prezentaciji akutnog apendicitisa

Acute appendicitis is one of the most common surgical emergencies and atypical presentation can delay its diagnosis. We report a case of a patient with Bacteroides fragilis bacteremia with a 5-day fever, vomiting and diarrhea. Blood cultures warned physicians to extend the diagnostics with computed tomography that revealed acute appendicitis.Akutni apendicitis jedno je od najčešćih hitnih kirurških stanja, a atipična prezentacija može odgoditi dijagnozu. Prikazujemo slučaj bolesnika s Bacteroides fragilis bakterijemijom te petodnevnom temperaturom, povraćanjem i proljevom. Hemokulture su upozorile liječnike da prošire dijagnostiku kompjutoriziranom tomografijom koja je pokazala da se radi o akutnom apendicitisu

2015/16 seasonal vaccine effectiveness against hospitalisation with influenza a(H1N1)pdm09 and B among elderly people in Europe: Results from the I-MOVE+ project

We conducted a multicentre test-negative caseâ\u80\u93control study in 27 hospitals of 11 European countries to measure 2015/16 influenza vaccine effectiveness (IVE) against hospitalised influenza A(H1N1)pdm09 and B among people aged â\u89¥ 65 years. Patients swabbed within 7 days after onset of symptoms compatible with severe acute respiratory infection were included. Information on demographics, vaccination and underlying conditions was collected. Using logistic regression, we measured IVE adjusted for potential confounders. We included 355 influenza A(H1N1)pdm09 cases, 110 influenza B cases, and 1,274 controls. Adjusted IVE against influenza A(H1N1)pdm09 was 42% (95% confidence interval (CI): 22 to 57). It was 59% (95% CI: 23 to 78), 48% (95% CI: 5 to 71), 43% (95% CI: 8 to 65) and 39% (95% CI: 7 to 60) in patients with diabetes mellitus, cancer, lung and heart disease, respectively. Adjusted IVE against influenza B was 52% (95% CI: 24 to 70). It was 62% (95% CI: 5 to 85), 60% (95% CI: 18 to 80) and 36% (95% CI: -23 to 67) in patients with diabetes mellitus, lung and heart disease, respectively. 2015/16 IVE estimates against hospitalised influenza in elderly people was moderate against influenza A(H1N1)pdm09 and B, including among those with diabetes mellitus, cancer, lung or heart diseases

Bacteroides fragilis bakterijemija u atipičnoj prezentaciji akutnog apendicitisa

Acute appendicitis is one of the most common surgical emergencies and atypical presentation can delay its diagnosis. We report a case of a patient with Bacteroides fragilis bacteremia with a 5-day fever, vomiting and diarrhea. Blood cultures warned physicians to extend the diagnostics with computed tomography that revealed acute appendicitis.Akutni apendicitis jedno je od najčešćih hitnih kirurških stanja, a atipična prezentacija može odgoditi dijagnozu. Prikazujemo slučaj bolesnika s Bacteroides fragilis bakterijemijom te petodnevnom temperaturom, povraćanjem i proljevom. Hemokulture su upozorile liječnike da prošire dijagnostiku kompjutoriziranom tomografijom koja je pokazala da se radi o akutnom apendicitisu