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4. A novel case of Vibriobacteremia in an immune-competent patient

Author

Ahmed, Muzeer, Kazi, Abdul Nafey, Sheikh, Muhammad Ateeb, Adnan, Fareeha, and Herekar, Fivzia Farooq

Abstract

Vibrio Cholera, a gram negative bacterium, is notoriously known to cause diarrheal epidemics. The serotypes O1 and O139 are mainly responsible for the diarrheal outbreaks due to the enterotoxin they produce. This enterotoxin however seems to be protective against bacteremia and hence bacteremia is rarely encountered. We report a case of an immune-competent young female who initially presented with hypokalemic periodic paralysis secondary to acute on chronic diarrhea. She was discharged after rehydration and bounced back in septic shock and her blood cultures grew Vibrio Choleraidentified on Vitek. She succumbed to this organism within 24 hours of re-admission.

Published
2024
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6. Leprosy manifesting with type 2 leprae reaction in a patient presenting with chronic fever: A case report.

Author

Herekar FF, Ashraf H, and Salahuddin N

Subjects
Adult, Arthritis microbiology, Chronic Disease, Humans, Lymphadenopathy microbiology, Male, Uveitis microbiology, Erythema Nodosum microbiology, Fever microbiology, Leprosy, Lepromatous complications, Leprosy, Lepromatous diagnosis
Abstract

Leprosy is a chronic granulomatous disease involving the skin and nerves, leading to a debilitating condition. Leprosy has been controlled in most parts of the world; therefore physicians are not very well versed in the recognition, management and assessment of this disease. The protean manifestations of leprosy often lead to delays in diagnosis and increase the morbidity. We present a case of a 33-year-old male with fever, lymphadenopathy, nodular skin lesions, uveitis and arthritis. Lymphnode, bonemarrow and skin biopsy revealed 3+ AFB smear with negative AFB cultures, leading to the diagnosis of leprosy. The course of illness was complicated by flare of Erythema Nodosum Leprosum (ENL).

Published
2018

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