1
|
Davidson N, Campbell K, Foroughi F, Tayal V, Lynar S, Crawford LC, Kidd SE, Baird R, Davies J, Meumann EM. Disseminated Saksenaea infection in an immunocompromised host associated with a good clinical outcome: a case report and review of the literature. BMC Infect Dis 2020; 20:755. [PMID: 33054720 PMCID: PMC7559758 DOI: 10.1186/s12879-020-05459-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Accepted: 09/29/2020] [Indexed: 11/24/2022] Open
Abstract
Background Saksenaea species (spp.) are uncommon causes of mucormycosis but are emerging pathogens mostly associated with trauma and soil contamination often in immunocompetent hosts. Due to lack of sporulation in the laboratory, diagnosis and susceptibility testing is difficult so optimal treatment regimens are unknown. Case presentation A 67 year-old man from the Northern Territory in Australia, with a history of eosinophilic granulomatosis with polyangiitis, developed disseminated Saksenaea infection after initially presenting with symptoms consistent with bacterial pyelonephritis. Despite a delay in diagnosis; with aggressive surgical management and dual therapy with amphotericin B and posaconazole, he survived. Conclusions We describe an unusual case of disseminated infection with a favourable outcome to date.
Collapse
Affiliation(s)
- N Davidson
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia. .,Sullivan and Nicolaides Pathology, Brisbane, Australia.
| | - K Campbell
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia
| | - F Foroughi
- Department of Pathology, Royal Darwin Hospital, Darwin, Australia
| | - V Tayal
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia
| | - S Lynar
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia.,Global and Tropical Health Division, Charles Darwin University, Menzies School of Health Research, Darwin, Australia
| | - L C Crawford
- National Mycology Reference Centre, Microbiology and Infectious Diseases, SA Pathology, Frome Road, Adelaide, South Australia, Australia
| | - S E Kidd
- National Mycology Reference Centre, Microbiology and Infectious Diseases, SA Pathology, Frome Road, Adelaide, South Australia, Australia
| | - R Baird
- Department of Pathology, Royal Darwin Hospital, Darwin, Australia
| | - J Davies
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia.,Global and Tropical Health Division, Charles Darwin University, Menzies School of Health Research, Darwin, Australia
| | - E M Meumann
- Division of Medicine, Royal Darwin Hospital, Darwin, Australia.,Global and Tropical Health Division, Charles Darwin University, Menzies School of Health Research, Darwin, Australia
| |
Collapse
|
2
|
Vargish T, Crawford LC, Stallings RA, Wasilauskas BL, Myers RT. A randomized prospective evaluation of orally administered antibiotics in operations on the colon. Surg Gynecol Obstet 1978; 146:193-8. [PMID: 341376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
In this randomized, prospective study of 91 patients undergoing operations on the colon, we found that neomycin, neomycin-phthalylsulfathiazole and neomycin-erythromycin base all provided adequate intestinal antisepsis. Wound infection rates for all groups were also similar and close to the national average for operations on the colon. A detailed analysis of the wound infections in our series revealed that 60 per cent of these infections were from organisms different from those found on the colonic mucosa. This evidence indicates the possible advantage of parenteral antibiotic therapy to achieve adequate tissue levels of antibiotics not presently possible with orally administered agents.
Collapse
|
3
|
Myers RT, Crawford LC, DeWeerd JH. A useful and inexpensive carrier for split thickness meshed skin grafts. Am Surg 1973; 39:238-9. [PMID: 4572777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|