دورية أكاديمية
A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis
| العنوان: | A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis |
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| المؤلفون: | Ryo Yasuhara, Shunichi Shibazaki, Takayoshi Yamanouchi |
| المصدر: | Case Reports in Infectious Diseases, Vol 2019 (2019) |
| بيانات النشر: | Hindawi Limited, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Infectious and parasitic diseases |
| مصطلحات موضوعية: | Infectious and parasitic diseases, RC109-216 |
| الوصف: | Jaundice, conjunctival hyperemia, and acute kidney injury (AKI) are the characteristics of leptospirosis. However, it is not well known that Fusobacterium necrophorum infection can have a clinical picture similar to that of leptospirosis. A 38-year-old man was admitted with jaundice, conjunctival hyperemia, and AKI for 7 days. Chest CT scan showed multiple pulmonary nodules, atypical for leptospirosis. We started treatment with IV piperacillin-tazobactam and minocycline. He became anuric and was urgently started on hemodialysis on the second hospital day. Later on, blood cultures grew Fusobacterium necrophorum and other anaerobic bacteria. Antibody and PCR assays for Leptospira were negative. We narrowed the antibiotics to IV ceftriaxone and metronidazole. He responded well to the treatment and was discharged on the 18th hospital day. F. necrophorum infection is known to cause mixed infection with other anaerobic bacteria. The resistance of many anaerobic bacteria continues to progress, and F. necrophorum itself sometimes produces β-lactamase. This case highlights the potential risks of using penicillin before diagnosis of leptospirosis. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-6625 2090-6633 |
| Relation: | https://doaj.org/toc/2090-6625; https://doaj.org/toc/2090-6633 |
| DOI: | 10.1155/2019/4380429 |
| URL الوصول: | https://doaj.org/article/711ead445c9145b78a4c4732cef2704c |
| رقم الأكسشن: | edsdoj.711ead445c9145b78a4c4732cef2704c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20906625 20906633 |
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| DOI: | 10.1155/2019/4380429 |