1
|
Pekova L, Gulubova M, Hadzhi M, Mitev M, Angelova S. A case of Covid-19-associated invasive pulmonary mucormycosis in a pediatric patient with a newly diagnosed diabetes. Respir Med Case Rep 2022; 37:101655. [PMID: 35494551 PMCID: PMC9040516 DOI: 10.1016/j.rmcr.2022.101655] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/18/2022] [Accepted: 04/20/2022] [Indexed: 11/28/2022] Open
Affiliation(s)
- L. Pekova
- Dept. of Infectious Diseases, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
- Corresponding author. Department of Infectious Diseases, Medical Faculty, Trakia University, 11 Armeyska Str., 6000, Stara Zagora, Bulgaria.
| | - M. Gulubova
- Dept. of General and Clinical Pathology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - M. Hadzhi
- Dept. of General and Clinical Pathology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - M. Mitev
- Dept. of Imaging Diagnostic, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - S. Angelova
- Dept. of Microbiology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| |
Collapse
|
2
|
Pekova L, Parusheva P, Mitev M, Dochev I, Naydenov C. A rare case of an HIV-seronegative patient with Toxoplasma gondii meningoencephalitis. IDCases 2021; 26:e01271. [PMID: 34504768 PMCID: PMC8416635 DOI: 10.1016/j.idcr.2021.e01271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 06/09/2021] [Revised: 07/27/2021] [Accepted: 08/30/2021] [Indexed: 11/17/2022] Open
Abstract
Cerebral toxoplasmosis is a common opportunistic infection that causes expansive brain lesions in people living with HIV/AIDS. But it is extremely rarely associated with HIV negative patients. This study presents a case of a 23-year-old male with non HIV-relative cerebral toxoplasmosis. There was an acute onset of the disease. The first symptoms included fever and signs of meningoradicular irritation. Neurological abnormalities progressed in cranial nerves disorders and pyramidal syndrome. The cerebrospinal fluid (CSF) changes were consistent with those of viral meningoencephalitis. CT and MRI showed multiple ring-enhancing lesions with high-intensity signals in cerebrum brain stem and cerebellum. The tests for HIV (ELISA and Western blot) were negative. Serological detection of Toxoplasma gondii (T. gondii) IgM and IgG antibodies in the CSF confirmed the diagnosis. Parasitic, bacterial, viral encephalitis and meningoencephalitis, as well as neoplastic metastatic process and other neurological diseases were discussed in the differential diagnosis. The intensity of the disease activity fluctuated during the hospital stay regardless of the adequate therapy.
Collapse
Affiliation(s)
- L. Pekova
- Dept. of Infectious diseases, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - P. Parusheva
- Dept. of Infectious diseases, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - M. Mitev
- Dept. of Imaging Diagnostic, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| | - I. Dochev
- Dept. of Ophthalmology, University Hospital “Prof. Stoyan Kirkovitch”, Stara Zagora, Bulgaria
| | - C. Naydenov
- Dept. of Neurology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria
| |
Collapse
|
3
|
Tsachev I, Pepovich R, Marutsov P, Baymakova M, Pishmisheva M, Pekova L, Gospodinova K. Seroprevalence of hepatitis E virus infection in pigs from Southern Bulgaria: a preliminary report. Int J Infect Dis 2019. [DOI: 10.1016/j.ijid.2018.11.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
|
4
|
Baymakova M, Popov G, Andonova R, Kovaleva V, Parousheva P, Pepovich R, Marutsov P, Pekova L, Plochev K, Tsachev I. Coxiella burnetii infection presenting as fever of unknown origin: a retrospective case series from Bulgaria. Int J Infect Dis 2019. [DOI: 10.1016/j.ijid.2018.11.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
5
|
Baymakova M, Pekova L, Plochev K, Parousheva P. Severe clinical forms of Mediterranean Spotted Fever: A case series from an endemic area in Bulgaria. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.11.369] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
6
|
Mladenova Z, Dikova A, Thongprachum A, Petrov P, Pekova L, Komitova R, Iturriza-Gomara M, Ushijima H. Diversity of human parechoviruses in Bulgaria, 2011: Detection of rare genotypes 8 and 10. Infect Genet Evol 2015; 36:315-322. [PMID: 26453770 DOI: 10.1016/j.meegid.2015.10.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 09/30/2015] [Accepted: 10/03/2015] [Indexed: 10/22/2022]
Abstract
Human parechovirus (HPeV) infections are commonly asymptomatic but are also found in association with symptoms of the gastrointestinal and respiratory tract, or central nervous system. In order to study their distribution and genetic diversity in Bulgaria, specimens from 229 children aged <5years old hospitalized due to neurological manifestations (n=104) and acute gastroenteritis (n=125) were analyzed. Stool samples were tested using reverse transcription followed by real-time polymerase chain reaction toward the 5'UTR region, and the HPeVs detected were identified by PCR directed to VP1 followed by sequencing. HPeV infection rates of 1.9% and 7.2% were found in children presented with neurological symptoms or with acute diarrhea, respectively. Four different HPeV genotypes, HPeV-3 (n=2), HPeV-5 (n=2), HPeV-8 (n=1) and HPeV-10 (n=1) were identified. All but two HPeVs were detected in acute diarrheal cases, while a single HPeV-3 strain and an HPeV-8 strain were detected in association with facial palsy and encephalitis, respectively. This is the first report of HPeV-8 and HPeV-10 in Europe.
Collapse
Affiliation(s)
- Zornitsa Mladenova
- National Reference Laboratory of Enteroviruses, Department of Virology, National Center for Infectious and Parasitic Diseases, Sofia, Bulgaria.
| | - Antoaneta Dikova
- National Reference Laboratory of Enteroviruses, Department of Virology, National Center for Infectious and Parasitic Diseases, Sofia, Bulgaria
| | - Aksara Thongprachum
- Department of Microbiology, Faculty of Medicine, Nihon University, Tokyo, Japan
| | - Petar Petrov
- Infectious Ward, University Multi-profiled Hospital for Active Treatment "St. Anna", Sofia, Bulgaria
| | - Liliq Pekova
- Multi-profiled Hospital for Active Treatment "Prof. St. Kirkovich", Stara Zagora, Bulgaria
| | - Radka Komitova
- University Multi-profiled Hospital for Active Treatment "St. George", Plovdiv, Bulgaria
| | - Miren Iturriza-Gomara
- Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom
| | - Hiroshi Ushijima
- Department of Microbiology, Faculty of Medicine, Nihon University, Tokyo, Japan
| |
Collapse
|
7
|
Mumdzhieva H, Dakov D, Pekova L. [Rare case of Crimean haemorrhagic fever in a pregnant woman]. Akush Ginekol (Sofiia) 2009; 48:31-32. [PMID: 20198776] [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: 05/28/2023]
Abstract
A rare case of Crimean haemorrhagic fever in a pregnant woman during the sixth month of gestation is described. The typical clinical course of the disease is present with positive anamnesis and visible locus from tick bite. After several days, fever and local lymphadenitis appear, followed by severe toxicoinfectious and haemorrhagic syndromes. The disease is proved virologically and serologically. The outcome is favourable for the pregnant woman. She is discharged home after 16-day hospital treatment. During the illness no complications of the fetus are documented. The pregnancy terminates with a normal-term delivery of a healthy newborn baby with birthweight of 3350g. The clinical and laboratory follow up of the baby showed no abnormalities. The case is of interest because of the rarely and often severe course of the disease during pregnancy. In this case the outcome is favourable for both the mother and the newborn child.
Collapse
|
8
|
Mumdzhiev H, Pekova L. [The assisted reproduction and the newborn child]. Akush Ginekol (Sofiia) 2009; 48:34-40. [PMID: 20198784] [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: 05/28/2023]
Abstract
A review of the literature was made concerning the perinatal complications of children conceived through assisted reproduction technology. The main complications were due to the high frequency of multiple gestation and prematurity. There is convicting data for a twofold increase of the frequency of congenital malformations: neural tube defects, intestinal atresia and hypospadias. Chromosomal disorders are more frequent when Intracytoplasmic spermal injection is used. There is no evidence of increased risk of tumors. The psychomotor and intellectual development of the children conceived by assisted reproduction is normal. Nowadays, in order to decrease the incidence of multiple pregnancy, elective single embryo transfer if the preferable technology of assisted reproduction.
Collapse
|
9
|
Pekova L, Shomov G, Mladenova I, Pellicano R. Clostridium difficile-associated disease with lethal outcome in a 77-year-old woman. A case report. MINERVA GASTROENTERO 2007; 53:383-386. [PMID: 18043555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Clostridium difficile-associated disease (CDAD) ranges in severity from mild diarrhoea to fulminant colitis and death. Antimicrobial use is the primary risk factor for development of CDAD. C. difficile typically affects older or severely ill patients, hospitalized or residents in long-term-care facilities. We report a case of CDAD in a 77-year-old woman operated on for cholecystitis calculosa and treated with cephalosporins and aminoglycosides. Symptoms and signs of CDAD were watery diarrhoea, mucus stool, high fever and, weakness. Sigmoidoscopy was provided on the second day after hospitalization. It revealed diffuse pseudomembranes throughout the distal colon, confirming C. difficile infection. Antimicrobial agents administered at the admission were stopped and treatment with oral vancomycin, metronidazole and famotidine was initiated. Despite this the patient's status worsened and she died because of cardiogenic shock.
Collapse
Affiliation(s)
- L Pekova
- Department of Hygiene, Infectious Diseases and Epidemiology, Medical Faculty, Tracian University, Stara Zagora, Bulgaria.
| | | | | | | |
Collapse
|
10
|
Pekova L, Mladenova I, Pellicano R. Clinical features of acute hepatitis C of nosocomial origin in Bulgaria. Panminerva Med 2007; 49:98-100. [PMID: 17625487] [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: 05/16/2023]
|