1.Hyperimmunoglobulin E-recurrent infection syndrome in a patient with juvenile dermatomyositis.
Jun Ki MIN ; Mi La CHO ; Seok Chan KIM ; Youn Soo LEE ; Sang Heon LEE ; Sung Hwan PARK ; Yeon Sik HONG ; Chul Soo CHO ; Ho Youn KIM
The Korean Journal of Internal Medicine 1999;14(1):95-98
A 13-year-old girl presented with multiple skin abscesses. She was diagnosed as having juvenile dermatomyositis (DM) at the age of 7 years. She had suffered from recurrent skin infections, atypical pruritic dermatitis and pneumonia since the age of 8 years. Bacteriologic and fungal cultures for skin abscesses and oral mucosa were positive S. aureus and C. albicans, respectively. Chemotactic defect in peripheral blood neutrophils was observed. The level of serum IgE was markedly elevated, and anti-S.aureus specific IgE was found. A diagnosis of hyperimmunoglobulin E-recurrent infection syndrome (HIE) was made and she was successfully treated with surgical drainage and antibiotics. To our knowledge, this is the first case report of HIE in a patient with juvenile dermatomyositis.
Adolescence
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Case Report
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Dermatomyositis/complications*
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Female
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Human
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IgE/blood
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Job's Syndrome/immunology
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Job's Syndrome/diagnosis
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Job's Syndrome/complications*
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Staphylococcal Infections/immunology
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Staphylococcal Infections/complications
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Staphylococcus aureus/immunology
5.Laparoscopic Management of Complicated Urachal Remnant in a Child.
Tong Wook KIM ; Hong CHUNG ; Sang Kuk YANG ; Tae Ui LEE ; Seung Hyo WOO ; Hong Sup KIM
Journal of Korean Medical Science 2006;21(2):361-364
A few cases of laparoscopic surgery for urachal remnant in children has been reported in English literature. With recent developments in minimal invasive surgery, laparoscopic approach for urachal remnant in adulthood is recommended by some laparoscopic surgeons because of its technical feasibility and safety as well as cosmesis. Recently we experienced a case of complicated urachal remnant in a 14-month-old girl, who was managed by laparoscopic approach. At presentation, she complained of high fever and lower urinary tract symptoms. After 6 weeks of antibiotics therapy, laparoscopic surgery was performed transperitoneally via 3 ports. Our experience suggests that laparoscopic excision of urachal remnant can be performed easily and safely in children.
Urachus/*abnormalities/pathology/*surgery
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Staphylococcus aureus
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Staphylococcal Infections/complications
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Laparoscopy/*methods
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Infant
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Humans
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Female
6.Bacteriological analysis of nasal secretions in patients with nasal lymphoma.
Bingqing XU ; Longgang YU ; Yan JIANG ; Lin WANG ; Xudong YAN ; Jisheng ZHANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(4):247-251
Objective:To investigate the etiological characteristics of nasal bacterial infection in patients with nasal lymphoma. Methods:The results of bacterial culture of nasal secretions from 39 healthy people and 86 patients with nasal lymphoma in the Affiliated Hospital of Qingdao University from January 2019 to June 2022 were retrospectively analyzed, and the differences in nasal bacteria distribution between nasal lymphoma and healthy people were analyzed and compared. Results:Corynebacterium(38.90%) was the most common bacteria in the nasal cavity of healthy people, followed by coagulase-negative Staphylococcus(31.95%), Staphylococcus epidermidis(15.28%) and Staphylococcus aureus(6.95%). The most common bacteria in nasal lymphoma patients was Staphylococcus aureus(30.37%), followed by Corynebacterium(9.63%), Staphylococcus epidermidis(7.41%) and coagulase negative Staphylococcus(6.67%). A total of 81 nasal lymphoma patients were detected with bacteria, positive rate is as high as 94.19%(81/86). Conclusion:Staphylococcus aureus is the main pathogenic bacteria in nasal secretion of patients with nasal lymphoma, which provides guiding significance for the clinical prevention and treatment of nasal lymphoma complicated with infection or not.
Humans
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Retrospective Studies
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Coagulase
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Nasal Cavity
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Bacteria
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Staphylococcus aureus
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Rhinitis/complications*
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Staphylococcal Infections
7.Cluster of Staphylococcus aureus and dengue co-infection in Singapore.
Louis Y A CHAI ; Poh-Lian LIM ; Cheng-Chuan LEE ; Li-Yang HSU ; Yee-Leong TEOH ; David C B LYE ; Prabha KRISHNAN ; Yee-Sin LEO
Annals of the Academy of Medicine, Singapore 2007;36(10):847-850
INTRODUCTIONSingapore saw a resurgence of dengue infections in 2005. Concurrent bacterial co-infections in dengue is rare.
CLINICAL PICTUREWe report a cluster of serious methicillin-susceptible Staphylococcus aureus (MSSA) bacteraemia or severe soft tissue infection in 5 epidemiologically linked construction workers presenting with dengue and non-resolving fever.
TREATMENTSurgical intervention was indicated in 4 of the 5 patients despite appropriate antistaphylococcal therapy.
OUTCOMEAll but 1 patient were eventually discharged. Clonality and Panton-Valentine leucocidin genes were not demonstrated. Epidemiological investigations suggested that occupational contact dermatitis could have predisposed the patients to this opportunistic co-infection.
CONCLUSIONClinicians need to be vigilant to unusual manifestations of dengue which may signal a concomitant aetiology.
Adult ; Cluster Analysis ; Dengue ; complications ; epidemiology ; Humans ; Male ; Methicillin ; pharmacology ; Occupations ; Singapore ; epidemiology ; Soft Tissue Infections ; transmission ; Staphylococcal Infections ; complications ; epidemiology ; therapy ; transmission ; Staphylococcal Skin Infections ; transmission ; Staphylococcus aureus ; drug effects
9.A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection.
Jin-Xin ZHANG ; Li-Bo TANG ; Jie PENG
Chinese Medical Journal 2019;132(3):364-366
Child
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Community-Acquired Infections
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complications
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microbiology
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Epidural Abscess
;
diagnostic imaging
;
etiology
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microbiology
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Female
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Humans
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Magnetic Resonance Imaging
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Methicillin-Resistant Staphylococcus aureus
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pathogenicity
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Staphylococcal Infections
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complications
;
microbiology
10.A Case of Methicillin Resistant Staphylococcus Aureus Enterocolitis Presenting with Massive Diarrhea.
Hang Lak LEE ; Dong Soo HAN ; Jong Pyo KIM ; Jin Bae KIM ; Joon Yong PARK ; Joo Hyun SOHN ; Joon Soo HAHM
The Korean Journal of Gastroenterology 2003;42(3):246-248
Methicillin resistant Staphylococcal aureus (MRSA) enterocolitis is characterized by high fever, abdominal distension, and watery diarrhea that leads to severe dehydration, shock, a sharp decrease in the white cell counts and sometimes multiple organ failure. Clinically, it can be an another cause of nosocomial diarrhea. If MRSA enteritis is suspected from the clinical symptoms, prompt treatment and strict prophylactic measures including vancomycin, are most important for its management. We recently observed a case of MRSA enterocolitis as a nosocomial infection in a patient with acute pancreatitis. This patient showed uncontrolled massive diarrhea, fever, and multiple organ failure. We report a case of MRSA enterocolitis with a review of literatures.
Cross Infection/diagnosis/*microbiology
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Diarrhea/etiology/*microbiology
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Enterocolitis/complications/diagnosis/*microbiology
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Humans
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Male
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*Methicillin Resistance
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Middle Aged
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*Staphylococcal Infections/diagnosis