Assuntos
Ceftriaxona/uso terapêutico , Cefalosporinas/uso terapêutico , Meningoencefalite/tratamento farmacológico , Neurossífilis/tratamento farmacológico , Adulto , Humanos , Masculino , Meningoencefalite/diagnóstico , Meningoencefalite/fisiopatologia , Neurossífilis/diagnóstico , Neurossífilis/fisiopatologiaRESUMO
Enterococcus faecalis meningitis is an infrequent entity that accounts for less than 1% of all suppurative meningitis in the adult. Usually, this infection affects patients with compromised host defenses or those who have congenital or acquired CNS lesions mainly as intrahospitalary infections. An 85 year old woman from our community (Tandil county) without any predisposed condition, was admitted in the hospital in an unconscious state (grade 3 Glasgow's index), meningeal signs and purulent CSF, from which E. faecalis was isolated. The patient was treated with IV Ampicillin and Gentamycin (17 days), intrathecal Gentamycin (4 days) and IV dexametasona (6 days). The clinical and bacteriological remission was achieved, without any sequel or relapse during 2 years follow up.
Assuntos
Meningites Bacterianas/etiologia , Idoso , Idoso de 80 Anos ou mais , Quimioterapia Combinada , Enterococcus faecalis/isolamento & purificação , Feminino , Humanos , Meningites Bacterianas/líquido cefalorraquidiano , Meningites Bacterianas/diagnóstico , Meningites Bacterianas/tratamento farmacológicoRESUMO
Enterococcus faecalis meningitis is an infrequent entity that accounts for less than 1
of all suppurative meningitis in the adult. Usually, this infection affects patients with compromised host defenses or those who have congenital or acquired CNS lesions mainly as intrahospitalary infections. An 85 year old woman from our community (Tandil county) without any predisposed condition, was admitted in the hospital in an unconscious state (grade 3 Glasgows index), meningeal signs and purulent CSF, from which E. faecalis was isolated. The patient was treated with IV Ampicillin and Gentamycin (17 days), intrathecal Gentamycin (4 days) and IV dexametasona (6 days). The clinical and bacteriological remission was achieved, without any sequel or relapse during 2 years follow up.
Assuntos
Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Meningites Bacterianas/etiologia , Meningites Bacterianas/diagnóstico , Meningites Bacterianas/líquido cefalorraquidiano , Meningites Bacterianas/tratamento farmacológico , Enterococcus faecalis/isolamento & purificação , Quimioterapia CombinadaRESUMO
Enterococcus faecalis meningitis is an infrequent entity that accounts for less than 1
of all suppurative meningitis in the adult. Usually, this infection affects patients with compromised host defenses or those who have congenital or acquired CNS lesions mainly as intrahospitalary infections. An 85 year old woman from our community (Tandil county) without any predisposed condition, was admitted in the hospital in an unconscious state (grade 3 Glasgows index), meningeal signs and purulent CSF, from which E. faecalis was isolated. The patient was treated with IV Ampicillin and Gentamycin (17 days), intrathecal Gentamycin (4 days) and IV dexametasona (6 days). The clinical and bacteriological remission was achieved, without any sequel or relapse during 2 years follow up.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Leucoencefalopatia Multifocal Progressiva/etiologia , Humanos , Leucoencefalopatia Multifocal Progressiva/diagnóstico , Leucoencefalopatia Multifocal Progressiva/patologia , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
La LMP es una enfermedad infrecuente del sistema nervioso central, de tipo desmielinizante y de origen viral (Papova JC) que afecta a pacientes inmunodeprimidos. El SIDA se ha sumado a las afecciones que favorecen el desarollo de la LMP, debido al trastorno inmune que ocasiona. Se relata el caso de un enfermo de 45 años, con criterios clínicos, epidemiológicos y serológicos de infección por HIV, que padeció en su evolución un cuadro neurológico de pogresión subaguda. La clínica y los exámenes complementarios orientaron el diagnóstico de LMP. Esta presunción fue confirmada histológicamente, detectandose el agente causal en las lesiones. Se destaca, asimismo, la asociación de una entidad infrecuente (LMP), con otra de interés creciente (SIDA) en nuestro medio
Assuntos
Pessoa de Meia-Idade , Humanos , Masculino , Síndrome da Imunodeficiência Adquirida/complicações , Leucoencefalopatia Multifocal Progressiva/etiologia , Encéfalo/patologia , Leucoencefalopatia Multifocal Progressiva/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
La LMP es una enfermedad infrecuente del sistema nervioso central, de tipo desmielinizante y de origen viral (Papova JC) que afecta a pacientes inmunodeprimidos. El SIDA se ha sumado a las afecciones que favorecen el desarollo de la LMP, debido al trastorno inmune que ocasiona. Se relata el caso de un enfermo de 45 años, con criterios clínicos, epidemiológicos y serológicos de infección por HIV, que padeció en su evolución un cuadro neurológico de pogresión subaguda. La clínica y los exámenes complementarios orientaron el diagnóstico de LMP. Esta presunción fue confirmada histológicamente, detectandose el agente causal en las lesiones. Se destaca, asimismo, la asociación de una entidad infrecuente (LMP), con otra de interés creciente (SIDA) en nuestro medio (AU)