Ganciclovir Therapy for CMV Viremia in a Patient on VV ECMO With COVID-19 After Treatment With Tocilizumab
No abstract available (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Letters to the Editor Source Type: research

A Sinister Trail of Infections in a Young Boy
No abstract available (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Images in ID—What's the Diagnosis? Source Type: research

A Child With Kawasaki Disease and Coronary Artery Aneurysm During Acute Epstein-Barr Virus Infection: A Closer Look at Immunopathogenesis
We describe an 18-month-old toddler boy who developed clinical manifestations of KD with coronary artery aneurysmal dilatation and autoimmune hemolytic anemia during Epstein-Barr virus infection. The child had evidence of polyclonal activation of B cells that caused serological tests to be positive for different infections. Our case suggests an unusual immunological response to primary Epstein-Barr virus infection may lead to KD manifestation and coronary artery damage. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

Unveiling the Potential Threat of Bacterial Oral Flora of Snake in Snake Bite Envenomation: A Case Report
Snakebite is an acute life-threatening and time-limited medical emergency. There is comparatively less evidence regarding the infections caused by pathogens present in the snake's oral flora that induce cellulites secondary to snake bite. Here, we report a case of 15-year-old male patient infected with Acinetobacter baumannii–induced sepsis who underwent hemodialysis posthemotoxic envenomation; inflicted by hemotoxic snake, Russell's viper (Daboia russelii) at right index finger, and he was treated with 20 vials of antisnake venom. He had acute kidney injury and underwent 10 cycles of hemodialysis. He had incidence of ce...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

How Negative Is Culture-Negative Endocarditis in the Presence of a Pacemaker?
A case report of a 70-year-old man with pacemaker placed for atrial fibrillation in 1999 (generator change in 2016). His illness began 4 months earlier with “hots-and-colds” sensation for which he was admitted to an outside hospital and treated for community-acquired pneumonia for 7 days. Fevers persisted after discharge, and he received a 7-day doxycycline course 1 week later. Persistent fevers led to a second admission at the outside hospital. Infectious workup was negative but transesophageal echocardiography showed mass on pacemaker lead so he was transferred to our hospital. No mass on repeat transesophageal echoc...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

Very Rare Gastrointestinal Anthrax in a Pregnant Woman
In this study, we reported a 38-years-old pregnant woman who was referred to the hospital with abdominal pain and persistent hemorrhagic diarrhea. Suzerain operation was also used, and laparotomy showed necrotic gangrene in colon. After the first surgery, the patient showed left lower quadrant abdominal pain (left lower quadrant collection), and drainage was performed during the second surgery. Finally, after 20 days, the patient was recovered and discharged from the hospital in a very good condition. Gastrointestinal anthrax during pregnancy is a very rare condition. In this study, we reported a patient with gastrointesti...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

Primary Epstein-Barr Virus Infection With Marked Cholestasis, Warm Autoimmune Hemolytic Anemia, and Pancytopenia
Primary Epstein-Barr virus (EBV) infection may rarely present with cholestatic hepatitis or hemolytic anemia. We share a case of EBV-associated infectious mononucleosis presenting with a unique triad of findings comprising cholestatic hepatitis with marked hyperbilirubinemia, warm autoimmune hemolytic anemia, and pancytopenia. Early diagnostic challenges included negative Monospot heterophile testing. Additional testing revealed EBV serologies consistent with acute primary infection, EBV viremia and bone marrow biopsy showing EBV-encoded RNA–positive cells. A tapered prednisone course was administered for warm autoimmune...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

Multisystem Inflammatory Syndrome in an Adult With COVID-19
We present the case of a 39-year-old man with evidence of prior COVID-19 who seemed to meet all non–age-related criteria for MIS in children as well as criteria for the working definition of MIS in adults, and who improved after treatment with aspirin, corticosteroids, and intravenous immunoglobulin. Clinicians should be aware of this new inflammatory illness, not only in children but potentially also in adults with antecedent or concurrent COVID-19. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Case Reports Source Type: research

Why Is a Child Not a Miniadult for Infections?
The presentation of an infectious disease in a child is likely to differ from an adult and will differ at different ages of the child. In addition to differences in immune response, there are significant differences in anatomy, physiology, metabolism, and behavior that affect susceptibility, course of disease, severity, and treatment. This is the first of a series of reviews that examine differences in disease presentation for different demographics. This short review will look at some of the parameters that ask, “Why is a child not a miniadult for infections?” (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Immunology/Microbiology for ID Source Type: research

Fitness to Administer Influenza Vaccine by Pharmacists in the UAE: Quasi-experimental Pre-Post Intervention Study
Conclusions A comprehensive training with achievement of learning outcomes is a proof of fitness to practice influenza vaccination, an important new skill for pharmacists in the UAE. All the study participants successfully completed the training program, achieved the passing score and showed a fitness to administer flu vaccine. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Original Articles Source Type: research

Outcomes of Orthopedic Hardware-Related Infection Treated Via a Public Teaching Hospital Outpatient Parenteral Antimicrobial Therapy Program
Conclusions Outpatient parenteral antimicrobial therapy is safe and effective for OHRI, especially after hardware removal. Retention of hardware and nonadherence to oral suppression were associated with failure. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Original Articles Source Type: research

Study of Profile of Swine Flu Cases Admitted in Tertiary Care Hospital: Lessons Learned!
Introduction Swine flu is caused by a novel strain of H1N1 influenza A virus that evolved by genetic assortment. The global pandemic affected India in May 2009. Sporadic cases continue to occur and cause significant morbidity and mortality. Aim To study the clinical profile, laboratory parameters, and outcome of the confirmed cases of swine flu. Methods This was a retrospective study involving confirmed swine flu cases admitted with category B2 and C symptoms from February to September 2019 in Tata Main Hospital. Their case records were analyzed for demographic characteristics, clinical features, treatmen...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Original Articles Source Type: research

Healthcare Providers' Views on Hepatitis C Testing and Counseling Among Sexual Partners of Hepatitis C–Infected Persons: An Online Survey
Conclusions Our survey shows that healthcare providers believe that HCV counseling and testing recommendations could be revisited, with specific attention given to the promotion of HCV testing for partners of HCV-infected patients. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Original Articles Source Type: research

Severe Skin Infections Due to Serratia marcescens: A Case Associated With Cat Scratch in a Patient With Liver Disease and Review of the Literature
Serratia marcescens is a gram-negative bacilli belonging to the Enterobacteriaceae family associated with septic shock and high mortality. It rarely presents as soft tissue infections. Here, we describe a first and rare case report as well as a review of literature of bullous cellulitis from S. marcescens associated with a cat scratch in an immunocompromised patient. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Review Articles Source Type: research

Short-Course Azithromycin for Lower Respiratory Tract Infection in Adults: Is 3 Days Enough?
The objective of this study is to review the body of evidence on the efficacy and safety of azithromycin in CAP treatment given as a regimen of 500 mg daily for 3 days. An English-language literature search was completed through PubMed (1980–2019). Full-text studies conducted in humans to compare a 5-day azithromycin course with a 3-day azithromycin course or azithromycin with other antibiotics for CAP treatment were included. Although the standard recommended CAP treatment regimen of azithromycin is 1500 mg in a total dose divided for 5 days, the efficacy of 1500 mg in a total dose divided for 3 days has been shown to b...
Source: Infectious Diseases in Clinical Practice - May 1, 2021 Category: Infectious Diseases Tags: Review Articles Source Type: research