1.Subcutaneous mycosis presenting as a non- healing left calf ulcer in an immunocompromised patient
Andy Tang Sing Ong ; Dr Yong Kar Ying ; Dr Jacqueline Wong Oy Leng ; Chua Hock Hin ; Chew Lee Ping
The Medical Journal of Malaysia 2017;72(2):122-123
This is a case report of subcutaneous mycosis presenting
as a non-healing left calf ulcer in an immunocompromised
patient. Traumatic inoculation of the causative agent is the
most likely route of infection. The diagnosis requires a
detailed history and high clinical suspicion, confirmed by
histopathological examination. The management requires a
multidisciplinary team approach involving surgeon,
pathologist, physician sub-specialised in infectious disease,
wound care nursing team as well as social support services.
The literature review recommended that the treatment of
choice for such infection is surgical debridement in addition
to optimal antifungal therapy.
Mycoses
2.Case series: Fulminant community-acquired Acinetobacter pneumonia
Tonnii Loong Loong Sia ; Hock Hin Chua
The Medical Journal of Malaysia 2020;75(2):186-188
Acinetobacter infection, especially the drug-resistant strain,
is a common cause of nosocomial infection. However,
community-acquired Acinetobacter infection is uncommon.
We reported three cases of community-acquired
Acinetobacter pneumonia. All three cases had histories of
regular home-brewed alcohol consumption presented with
severe acute respiratory symptoms requiring ventilatory
support and had low total white cell count. They succumbed
to the illness within 2 to 10 days of admission. They had
positive blood or endotracheal aspirate cultures of
sensitive-strain Acinetobacter sp. which was only sensitive
to high dose sulbactam. Early recognition and correct
antibiotic can help reduce mortality