1/5. A diabetic patient with a black penile tip.This is a report of a patient with diabetes mellitus type II who presented with the rare complication of penile gangrene. The gangrene was unilateral and was associated with ipsilateral partial stenosis of the common iliac artery. An angioplasty followed by insertion of a stent, rehydration, and improved diabetic control did not improve the penile lesion, and penile amputation was carried out. In the postoperative period, the patient developed a bilateral basal pneumonia with a significant growth of saprophyte Mycobacterium gordonae from the bronchial aspirate. This is the first reported case of unilateral penile gangrene and also that of Mycobacterium gordonae infection in a patient with diabetes mellitus.- - - - - - - - - - ranking = 1keywords = bacterium (Clic here for more details about this article) |
2/5. mycobacterium avium complex pleuritis accompanied by diabetes mellitus.A 72-year-old woman with diabetic nephropathy was hospitalized with peripheral edema in the extremities and weight increase. After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lung field. A plain chest x-ray film showed pleural effusion over the left lung field. The fluid was exudative. Fluid cultures were negative. A tuberculin reaction was negative. polymerase chain reaction method disclosed mycobacterium avium complex, indicating rare pleuritis due to mycobacterium avium complex. Eighteen days after chemotherapy, pleural effusion disappeared. Although her hemoglobin A1c (HbA1c) levels were maintained from 6.0 to 6.5% over 4 years, urinary albumin excretion levels and serum creatinine levels increased, indicating deteriorating diabetic nephropathy. serum albumin levels remained low (3.3-3.6 g/dl). malnutrition, impaired cellular immunity and apparently abnormal microvascular circulation due to diabetes mellitus may consequently have induced pleuritis due to mycobacterium avium complex.- - - - - - - - - - ranking = 3.5keywords = bacterium (Clic here for more details about this article) |
3/5. vibrio vulnificus peritonitis after handling of seafood in a patient receiving CAPD.vibrio vulnificus is a marine bacterium and opportunistic human pathogen. Associated infections have contributed to the majority of seafood-related deaths in the united states. In patients with such predisposed clinical conditions as chronic liver disease, immunocompromised state, and end-stage renal disease, this organism has been associated with the development of life-threatening primary septicemia and severe wound infection. However, continuous ambulatory peritonitis dialysis (CAPD)-related peritonitis caused by V vulnificus has not been reported. We describe a patient receiving CAPD who developed peritonitis caused by V vulnificus after handling seafood. This case highlights the importance of strict aseptic technique during CAPD exchanges and calls for an effort in educating our dialysis patients on precautions about seafood handling.- - - - - - - - - - ranking = 0.5keywords = bacterium (Clic here for more details about this article) |
4/5. Flexor tenosynovitis caused by mycobacterium scrofulaceum: case report.Atypical hand infections with Mycobacterium species are uncommon, and mycobacterium scrofulaceum infections are rare. We present a case of flexor tenosynovitis caused by M scrofulaceum in a 66-year-old man with hypertension and diabetes.- - - - - - - - - - ranking = 3keywords = bacterium (Clic here for more details about this article) |
5/5. Disseminated Mycobacterium flavescens in a probable case of chronic granulomatous disease.We report the case of a diabetic Chinese male with no previous history of recurrent infections. His course was at first notable for relapsing salmonella blockley infections, following which he developed repeated soft-tissue infections and cryptococcus neoformans pneumonia. He was diagnosed as having chronic granulomatous disease and was treated with gamma interferon. During the latter stages of his illness he developed Mycobacterium flavescens infection in soft tissues, joints, bones and lung. This is the first report of disseminated M. flavescens infection.- - - - - - - - - - ranking = 2.5keywords = bacterium (Clic here for more details about this article) |