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Endometritis associated with Enterococcus casseliflavus in a mare:A case report

Asian Pacific Journal of Tropical Biomedicine 2017年第8期7卷 760-762页

作者： Francesca Paola Nocera chiara Papulino chiara del prete Veronica Palumbo Maria Pia Pasolini Luisa De Martino Department of Veterinary Medicine and Animal Production University of Naples'FedericoⅡ'NaplesItaly

Infectious endometritis is one of the main causes of subfertility/infertility in the mare. In this report, we present the first case of endometritis in mare associated with a strain of Enterococcus casseliflavus, an unusual gram-positive bacterium which can also be a zoonotic agent. Furthermore, the isolated strain showed a worrying multidrug-resistant profile. The accurate finding of a successful antimicrobial treatment and consequently,the pregnancy diagnosis indicate the importance to isolate, identify and define the antibiotic resistance profile of bacteria associated with endometritis.

关键词：子宫内膜炎肠球菌 casseliflavus 牝马 Subfertility

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Liver failure in an obese middle-aged woman after biliointestinal bypass

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World Journal of Clinical Cases 2013年第1期1卷 52-55页

作者： Dolores Sgambato Gaetano Cotticelli Ilario de Sio Annalisa Funaro Anna del prete chiara de Sio Lorenzo Romano Alessandro Federico Antonietta Gravina Agnese Miranda Carmelina Loguercio Marco Romano Department of Clinical and Experimental Medicine "Magrassi-Lanzara" Gastroenterology Unit Second University of Naples 80131 Naples Italy

Obesity is considered an emerging epidemic that is often associated with non-alcoholic fatty liver disease. Among the therapeutic options for morbid obesity, bariatric surgery plays an important role when conventional therapies fail. The effects of bariatric surgery on liver function and morphology are controversial in the literature. Liver failure has been reported after jejunoileal bypass(JIB), biliopancreatic diversion and gastric bypass. Biliointestinal bypass(BIB) is considered an effective procedure among recently introduced bariatric surgery techniques. It is a clinically safe, purely malabsorptive operation in which the blind intestinal loop of the JIB is anastomosed to the gallbladder, allowing a portion of bile to transit into excluded intestinal tract. BIB is the only procedure, to our knowledge, to have no liver side effects reported in the literature. We report the case of a young obese woman who developed liver failure 8 mo after BIB. She had a rapid weight loss(70 kg) with a reduction in body mass index of 41% from January to September 2012. Because of a severe hepatic decompensation, she was referred to a transplantation centre. We strongly believe that the most important pathogenetic mechanism involved in the development of liver injury is the rapid weight loss that produced a signif icant fatty liver inf iltration.

关键词： Bariatric surgery Biliointestinal bypass Liver failure Non-alcoholic fatty liver disease Obesity Rapid weight loss

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