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Fatal adenoviral necrotizing bronchiolitis case in a post-cardiac surgery intensive care unit BJID
Castelli,Jussara Bianchi; Siciliano,Rinaldo F; Vieira,Ricardo D; Aiello,Vera D; Strabelli,Tânia MV.
We report a case of a 67 year-old-male patient admitted to the intensive care unit in the post-coronary bypass surgery period who presented cardiogenic shock, acute renal failure and three episodes of sepsis, the latter with pulmonary distress at the 30th post-operative day. The patient expired within five days in spite of treatment with vancomycin, imipenem, colistimethate and amphotericin B. At autopsy severe adenovirus pneumonia was found. Viral pulmonary infections following cardiovascular surgery are uncommon. We highlight the importance of etiological diagnosis to a correct treatment approach.
Tipo: Info:eu-repo/semantics/report Palavras-chave: Adenovirus infections; Human; Intensive care units; Bronchiolitis; Viral; Thoracic surgery.
Ano: 2011 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000300018
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Infectious endocarditis caused by Nocardia sp.: histological morphology as a guide for the specific diagnosis BJID
Castelli,Jussara Bianchi; Siciliano,Rinaldo Focaccia; Abdala,Edson; Aiello,Vera Demarchi.
Nocardia is a rare opportunistic agent, which may affect immunocompromised individuals causing lung infections and exceptionally infective endocarditis (IE). There are few reports of IE caused by Nocardia sp., usually involving biological prostheses but rarely in natural valves. Its accurate microbiological identification may be hampered by the similarity with Rhodococcus equi and Corynebacterium spp. Here we report a case of native mitral valve IE caused by this agent in which the clinical absence of response to vancomycin and the suggestion of Nocardia sp. by histology pointed to the misdiagnosis of Corynebacterium spp. in blood cultures. The histological morphology can advise on the need for expansion of cultivation time and use of extra microbiological...
Tipo: Info:eu-repo/semantics/report Palavras-chave: Mitral valve endocarditis; Bacterial Nocardia infections.
Ano: 2011 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000400015
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