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mycotic Infections in Diabetic Patients in Casablanca

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Journal of Diabetes Mellitus 2019年第3期9卷 146-151页

作者： Annelie Kérékou Siham El Aziz Alihonou Dédjan Asma Chadli Ahmed Farouqi Endocrinology Metabolism and Nutrition Department CNHU-HKM Cotonou Bénin Endocrinology Diabetology and Metabolic Diseases Department Ibn Rochd University Hospital Center of Casablanca Casablanca Morocco

Introduction: The diabetes constitutes the factor risk of mycotic infections. The pathogenic agents depend on the climate, geography and the migration. The objective of this study is to evaluate the prevalence of the mycotic infections within the hospitalized diabetic patients, to describe their localization and identify the responsible germs. Patients and methods: It is about a descriptive and retrospective study conducted from November 2015 to March 2016 in endocrinology office at CHU Ibn Roch of Casablanca. It was included all diabetic patients hospitalized with whom mycotic infection has been suspected. Results: In total 350 diabetic patients have been hospitalized during the period of research. A mycotic infection has been suspected in 138 patients corresponding to the prevalence of 39.4 percent. The means localizations of mycotic infections were feet (intertrigos: 38.4%), onychomycosis (29%), vulvovaginal (21.7%) and mouth (oral candidiasis: 13.3%). The most frequent pathogenic agents were dermatophytes (Trichophyton rubrum: 61%, Trichophyton mentagrophytes: 6.3%) and Candida albicans (23.1%). The direct test and the culture were negative in 7.3%. Conclusion: One-third of the diabetic patients showed a mycotic infection. The feet, constitute the predilection localization of mycotic infections in the diabetic. The dermatophytes and Candida albicans constitute the most frequent pathogenic agents found in our study.

关键词： mycotic Infection Diabetes Dermatophytes

mycotic Aneurysm of Infrarenal Aorta: A Case Report and Review of Literature

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Journal of Biosciences and Medicines 2015年第3期3卷 88-93页

作者： Irene S. Beltran-Ordonez Tay Seow Yian Ang Hou Eric Wong Ming Hai Emergency Department Tan Tock Seng Hospital Singapore City Singapore

mycotic or infected aneurysms are focal vascular dilatations from inflammation or infection that results in weakening of the blood vessel wall. It poses a high risk of complications such as aneurysm rupture, uncontrolled sepsis and extensive periaortic infection. Symptoms are frequently minimal during the early stages and a high index of suspicion is essential to make the diagnosis. They are more likely to expand rapidly and rupture without surgical intervention. We report a case of a middle-aged man presented with 3-week history of fever, abdominal pain and low back pain. Initially presented as acute pyelonephritis with subsequent findings of liver abscess, right epididymoorchitis and left infrarenal mycotic aneurysm, which rapidly increased in size and underwent successful endovascular surgery.

关键词： mycotic Aneurysm Aorta Peri-Aortic Epidymo-Orchitis Pyelonephritis Percutaneous Endovascular Repair (EVAR) with Covered Endovascular Revascularization of Aortic Bifurcation (CERAB)

Peptostreptococcus mycotic Pseudo-Aneurysm

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Case Reports in Clinical Medicine 2017年第3期6卷 59-63页

作者： Geoffrey Horlait Pierre Bulp Intensive Care Unit Université catholique de Louvain CHU UCL Namur Avenue Gaston Therasse Yvoir Belgium

mycotic pseudo-aneurysm is a rare and potentially fatal sequela of bacteraemia. The injury results in a localized, irreversible dilatation due to destruction of the blood vessel wall by infection, usually with an aerobic bacterium. Anaerobic bacteria are uncommon. We report an unusual case of a 72-year-old Caucasian man who presented with a rapidly progressive mycotic pseudoaneurysm of the right subclavian artery due to an anaerobic Gram-positive coccus Peptoniphilus asaccharolyticus. Despite optimal treatment, combining antibiotics and surgery, mycotic pseudo-aneurysm has a poor prognosis. When surgery is not possible, antibiotics alone with or without the placement of an endovascular stent have been proposed but in such cases, mortality is very significant. Despite the availability of non-invasive imaging techniques, a strong clinical suspicion is essential for early diagnosis of a mycotic aneurysm. Clinicians must be aware of these important aspects of management.

关键词： Microbiology Anaerobic Pathogens mycotic Aneurysm Peptostreptococcus

Deadly case of Pasteurella multocida aortitis and mycotic aneurysm following a cat bite

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World Journal of Clinical Cases 2016年第6期4卷 142-145页

作者： Dennis Dane Cho Yaniv Berliner David Carr Division of Emergency Medicine Department of Medicine University of Toronto Department of Emergency Medicine University Health Network

Animal bites are frequently encountered in the emergency department(ED). Aortitis leading to mycotic abdominal aortic aneurysm is a rare and potentially deadly complication of Pasteurella multocida(P. multocida) following an animal bite. We present the case of a 68-year-old male who presented to the ED after falling at home. He complained of weakness and abdominal pain. He was in septic shock and was treated empirically with broad-spectrum antibiotics and intravenous fluids. He reported previous antibiotic treatment of a cellulitis secondary to a cat bite injury to his right thumb four weeks prior. Abdominal ultrasound and subsequent computed tomography scan revealed a leaking mycotic abdominal aneurysm that was surgically repaired. Blood cultures and aortic wall tissue cultures grew P. multocida. Given how common animal bite presentations are in the ED, this case highlights the need to consider aortitis and mycotic abdominal aortic aneurysm in an unwell patient with an animal bite.

关键词： mycotic aneurysm Emergency department Cat bite Pasteurella multocida Aortitis

Successful emergency endovascular treatment of juxtarenal and infrarental mycotic aortic aneurysms in patients with small diameter aortae using Cook~ Zenith ESLE Stentgrafts

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World Journal of Emergency Medicine 2012年第2期3卷 146-149页

作者： Chan YC Ting AC Yiu WK Cheng SW Division of Vascular & Endovascular Surgery Department of SurgeryUniversity of Hong Kong Medical CentreQueen Mary Hospital

BACKGROUND:Endovascular repair of mycotic aneurysm is an alternative to open repair if the patho-anatomy is suitable. The aortic size above and below the mycotic aneurysm may be small.;METHODS:A retrospective review was made of prospectively collected departmental computerised database.;RESULTS:Three oriental patients with juxta- and infra-renal mycotic aortic aneurysms with a small aortic diameter of 17 mm to 18 mm underwent successful emergency endovascular treatment using Cook(®) Zenith ESLE stentgrafts. These are ancillary devices aimed at iliac extensions usually.;CONCLUSIONS:This is to our knowledge the first case series of Cook(®) Zenith ESLE iliac component endografts for the treatment of aortic mycotic aneurysms with small aortae, and short- and mid-term results are encouraging.

关键词： Endovascular mycotic Small aorta Oversizing Cook Zenith ESLE Stentgrafts

Clinical and pathological findings of concurrent poxvirus lesions and aspergillosis infection in canaries

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Asian Pacific Journal of Tropical Biomedicine 2013年第3期3卷 182-185页

作者： Kheirandish Reza Askari Nasrin Salehi Mahmoud Department of Pathobiology Faculty of Veterinary MedicineShahid Bahonar University of Kerman Student of Veterinary Medicine Shahid Bahonar University of Kerman Department of Clinical Sciences Faculty of Veterinary MedicineShahid Bahonar University of Kerman

Objective:To investigate clinical,pathological and mycological findings in canaries,in which pox lesions and Aspergillus fumigatus(***)infection were observed ***:This study was performed on a breeding colony(about 100 canaries)affected by fatal wasting *** was undertaken on 10 severely affected canaries,and gross lesions were *** from internal organs displaying lesions were obtained for histopathological *** swap samples of internal organs of the all infected animals with lesions at necropsy were cultured in Sabouraud Dextrose Agar for mycological ***:At necropsy,caseous foci were determined in the lungs,on the air sacs,liver,spleen,*** of the eyelids,diffuse hemorrhages in the subcutaneous tissue with small papular lesions of the skin were other typical necropsy ***,pathognomonic eosinophilic intracytoplasmic inclusion bodies,which called Bollinger bodies,in both skin cells and vacuolated air way epithelial cells confirmed canary pox ***,histopathological examination of the white-yellowish caseous foci revealed necrotic granulomatous reaction consisting of macrophages,heterophil leukocytes and giant cells encapsulated with a fibrous *** the culture of the tissue samples,the formation of bluish green colonies confirmed *** ***:Canary pox has been known as the disease that can result in high losses in a short time,as a re-emerging disease that has not been present during recent years in canary flocks in ***,the current paper provides useful information to prevent misdiagnosed of canary pox disease which can cause secondary mycotic infection.

关键词： Canary Aspergilosis Diagnosis Pox infection Re-emerging disease mycotic infections

A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

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Case Reports in Clinical Medicine 2013年第1期2卷 58-59页

作者： Stephanie L. Smeltzer Lourdes C. Corman Department of Medicine Huntsville Regional Campus University of Alabama at Birmingham School of Medicine Huntsville USA Huntsville Regional Campus University of Alabama at Birmingham School of Medicine Huntsville USA

mycotic aneurysms are a rare finding in the post-antibiotic era but must still be considered as a cause of abdominal pain in a patient with endocarditis. We present a case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV antibiotic therapy for aortic valve endocarditis. Due to their life-threatening character and often lack of evident clinical picture, mycotic aneurysms should still remain in high suspicion for a patient with abdominal pain in the setting of endocarditis.

关键词： mycotic Aneurysm Pseudoaneurysm Enterococcal Endocarditis

Primary aortoduodenal fistula:A case report

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World Journal of Gastroenterology 2013年第3期19卷 415-417页

作者： Abdu Hassan Alzobydi Shaista Salman Guraya Department of Surgery King Khalid HospitalNajran 21431Saudi Arabia Department of Radiology Taibah UniversityAlmadinah Almunawwarah 41477Saudi Arabia

Primary abdominoaortic fistula is an extremely rare cause of upper gastrointestinal(GI)*** diagnosis is frequently delayed due to the rarity of the disease and low index of suspicion by physicians.A range of invasive and non-invasive diagnostic tools are available,but helical computer tomography(CT) remains the *** offers the only hope for *** case report presents a 47-year-old male with massive upper GI *** diagnostic tests and an exploratory laparotomy failed to identify the ***,a primary aortoduodenal fistula was confirmed by CT scan which necessitated surgical repair of the fistula and a Goretex graft for the abdominal aortic *** patient made an uneventful recovery and remained well to the first postoperative visit in the clinic 2 wk after surgery.

关键词： Abdominal aortic aneurysm Aortoduodenal fistula Computer tomography mycotic aneurysm

Microbial Aortitis with Aneurysm Formation

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World Journal of Cardiovascular Surgery 2014年第11期4卷 181-185页

作者： Richard Raghoo Marleen J. Noeverman Ronald Hoekstra Rob Geelkerken Goos D. Laverman Leiden University Medical Center Department of Nuclear Medicine Leiden Netherlands 2ZGT Hospital Department of Internal Medicine Almelo Netherlands ZGT Hospital Department of Internal Medicine Almelo Netherlands MST Hospital Department of Vascular Surgery Enschede Netherlands

A 68-year-old man who presented with periodic fever and generalized weakness was diagnosed with Enterococcus faecalis bacteraemia from an infected abdominal aneurysm. The aneurysm was new: aortic dilatation was absent a year before. In such patients the diagnosis “microbial aortitis” is more appropriate than “mycotic aneurysm”. We discuss the pathophysiology, epidemiology, prognosis and treatment of this condition.

关键词： mycotic Aneurysm Potential Diagnostic Clues Enterococcus Crawford-Procedure