Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis
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| Format: | Artículo científico |
| Langue: | en |
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Hospital Universitário da Universidade de São Paulo
2015
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| _version_ | 1876445117777182720 |
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| author | Renan Pedroso Batista |
| author_facet | Renan Pedroso Batista |
| contents | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis Renan Pedroso Batista Cristiane Rúbia Ferreira Medicina Sepsis Sepsis Sepsis Autopsy Autopsy Streptococcus agalactiae is a well-known pathogen during pregnancy and in neonates. Among non-pregnant adults, invasive infection, although rare, is showing increasing frequency, especially in chronically ill, immunosuppressed, or older patients. Although rare, the clinical features of meningeal infection caused by S. agalactiae are similar to other bacterial meningitis. The authors report the case of a middle-aged man previously diagnosed with hypertension, diabetes mellitus, and alcoholic liver cirrhosis, who was admitted at the emergency department with a Glasgow Coma Scale of 11/12, generalized spasticity, bilateral Babinski sign, and hypertension. The clinical outcome was bad, with refractory shock and death within 24 hours of hospitalization. The bacteriological work-up isolated S. agalactiae in the cerebral spinal fluid (CSF), blood, and urine. An autopsy revealed meningoencephalitis, acute myocardial infarction, and pyelonephritis due to septic emboli. The authors point out the atypical CSF findings, the rapid fatal outcome, and the importance of including this pathogen among the etiologic possibilities of invasive infections in this group of patients. 2015 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060831007 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.4 Vol.5 |
| format | Artículo científico |
| id | redalyc_576060831007 |
| institution | Redalyc |
| language | en |
| publishDate | 2015 |
| publisher | Hospital Universitário da Universidade de São Paulo |
| spellingShingle | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis Renan Pedroso Batista Medicina Sepsis Sepsis Sepsis Autopsy Autopsy Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis Renan Pedroso Batista Cristiane Rúbia Ferreira Medicina Sepsis Sepsis Sepsis Autopsy Autopsy Streptococcus agalactiae is a well-known pathogen during pregnancy and in neonates. Among non-pregnant adults, invasive infection, although rare, is showing increasing frequency, especially in chronically ill, immunosuppressed, or older patients. Although rare, the clinical features of meningeal infection caused by S. agalactiae are similar to other bacterial meningitis. The authors report the case of a middle-aged man previously diagnosed with hypertension, diabetes mellitus, and alcoholic liver cirrhosis, who was admitted at the emergency department with a Glasgow Coma Scale of 11/12, generalized spasticity, bilateral Babinski sign, and hypertension. The clinical outcome was bad, with refractory shock and death within 24 hours of hospitalization. The bacteriological work-up isolated S. agalactiae in the cerebral spinal fluid (CSF), blood, and urine. An autopsy revealed meningoencephalitis, acute myocardial infarction, and pyelonephritis due to septic emboli. The authors point out the atypical CSF findings, the rapid fatal outcome, and the importance of including this pathogen among the etiologic possibilities of invasive infections in this group of patients. 2015 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060831007 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.4 Vol.5 |
| title | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| topic | Medicina Sepsis Sepsis Sepsis Autopsy Autopsy |
| url | https://www.redalyc.org/articulo.oa?id=576060831007 |