0000000000008963
AUTHOR
Giordano S
Efficacia e tollerabilità dell'associazione caspofungin/amphotericina B liposomiale in pazienti con candidosi
Considerazioni su un caso di schizosomiasi urinaria
Infezioni invasive da Candida in gravi prematuri
Un caso di infezione da Geotrichum capitatum
Considerazioni su tre casi di endocardite brucellare
Considerazioni su un caso di schistosomiasi vescicale
Cuteneous leishmaniasis (CL) in western Sicily
Treatment of human brucellosis with rifampin plus minocycline
In order to evaluate the efficacy and tolerability of a high intravenous dose of rifampin plus oral minocycline (administered daily for 3 weeks) for the treatment of acute brucellosis, we retrospectively reviewed the outcome of 239 consecutive patients (135 adults and 104 children) diagnosed and treated over a 17-year period in Italy. The combination used resulted in 100% response and a relapse rate lower than 2%. Fifty-two (30 adults and 22 children) (29.8%) complained of mild adverse effects including an increase in aspartate aminotransferase (>250 IU) observed in 12 cases and considered related to rifampin and in 11 cases a reversible hyperpigmentation of the tongue attributed to minocyc…
Indagine clinico epidemiologica sulle enteriti infettive a Palermo II- Campylobacter: primi isolamenti in Sicilia occidentale
Cystic hydatidosis: a rare case of spine localization.
Screening sierologico per Leishmania infantum su donatori di sangue e HIV+ asintomatici residenti in area endemica [Serological screening for Leishmania infantum in asymptomatic blood donors and HIV+ patients living in an endemic area]
Visceral leishmaniasis (VL) is endemic in Sicily (48 new cases in 2004, of which nine were in Agrigento). In southern Europe between 25-70 per cent of adult VL cases are related to HIV infection. The HIV cases have a high risk (1.5-9%) of developing VL either as a new infection or as the revival of a latent infection. We therefore carried out serologic screening to detect antibodies against L. infantum by IFAT in 1449 blood donors in Agrigento and the surrounding area (May-December 2005) and in 120 HIV+ in western Sicily, all of whom were asymptomatic and had no history of VL. L. DNA was assessed by nested PCR in blood samples of some seropositive donors. Of the 1449 blood donors, 11 (0.75%…
Indagine clinico epidemiologica sulle enteriti infettive a Palermo II- Camphylobacter: primi isolamenti in Sicilia occidentale
Procalcitonin levels in plasma in oncohaematologic patients with an without bacterial infections
BACKGROUND: The flogosis markers currently in use show both low sensitivity and specificity, particularly in neoplastic and degenerative diseases. Procalcitonin (PCT) is a pro-peptide of calcitonin produced mainly but not only in the C-cells of the thyroid glands and, as several studies show, PCT levels in plasma increase during infections. Bacterial infections are also the main cause of death in oncological patients. Furthermore, in patients with leukaemia in chemotherapy recovery, infections often induce relapses. The aim of the present study is to detect PCT levels in plasma in oncohaematologic patients with and without infections. METHODS: The study was carried out on 54 patients by a q…
INFEZIONE POLMONARE DA BLASTOSCHIZOMICES CAPITATUS
Geotrichum capitatum, now known as Blastoschizomyces capitatus, can be responsible for several opportunistic infections (systemic infection or localized at lungs, liver, kidney, encephalitis or meningitis) in an immunocompromised host, especially in those patients affected by leukaemia or under immunosuppressive therapies. A 66-year-old woman with polimyosite under steroid and immunosuppressant therapy was hospitalized in ICU for an acute respiratory distress with moderate hypoxaemia and normocapnia. Pulmonary X-ray revealed a bilateral pneumonia. Hypoxaemia became severe 48 hours later and the patient underwent mechanical ventilation and empirical antibiotic therapy. Blood cultures, urine …
Parassitosi emergente: la sindrome da LMV
Idatidosi umana: recenti acquisizioni e descrizione di quattro casi pediatrici a sede inusuale
Human hydatid disease due to Echinococcus granulosus is frequently observed in Italy, especially in the central and southern areas and on the islands. In the last twenty years some major advances in the field thefield of epidemiology as well as diagnostic and therapeutical approaches have changed our knowledge of this disease. In Italy, localization in the liver, kidney or peritoneum accounts for about 95% of cases. The authors describe four describe four paediatric cases with unusual localization (kidney and muscle), highlighting difficulties in the diagnosis
Screening sierologico per l'infantum in soggetti HIV+ in area endemica Sicilia occidentale
La spondilodiscite oggi: osservazioni su nove casi
Un caso di sinusite da Aspergillus
Infezione actinomicotica: considerazioni su due casi clinici
Considerazioni su un caso di schistosomiasi urinaria.
Urinary tract schistosomiasis is a parasitic disease caused by S. haematobium with a wide range of clinical manifestations related to the mucosal and submucosal granulomatous lesions of the bladder. It affects about 80 million people in Africa, Middle-East and India, while in Italy it is rarely seen among immigrants from endemic areas and returning travellers. The authors describe a case occurred in a 26 year old man, recently emigrated from a rural area of Ghana. He had the symptoms of a haemorrhagic cystitis. Cystoscopy and biopsy showed granulomatous lesions of bladder with calcified eggs. Microscopic examination of urine was positive for Schistosoma haematobium eggs. The therapy with Pr…
EPIDEMIOLOGICAL SURVEILLANCE OF VISCERAL LEISHMANIASIS IN SICILY, ITALY
Abstract Visceral leishmaniasis (VL) is endemic in Sicily. Although it is a notifiable disease, there is evidence that the actual number of cases is higher than that reported. In 1987, a regional reference center for active surveillance of VL was established and it recorded a total of 284 cases through 1995, a mean of 31.5 cases/year and about four-fold more than previously reported. Of the 284 cases, 150 (53%) were children (≤ 14 years of age), and of the 134 adults, 39 (29%) were coinfected with human immunodeficiency virus (HIV). The commonest viscerotropic zymodeme of Leishmania infantum, MON 1, was identified in 40 (93%) of 43 HIV-negative and eight (57%) of 14 HIV-positive patients. A…
Efficacia e tollerabilità di piperacillina/tazobactam in profilassi preoperatoria
EMPIEMA PLEURICO MICOTICO: UNA ENTITà CLINICA EMERGENTE
Mucormicosi cutanea primitiva: descrizione di un caso clinico
Il significato della proteina C reattiva in cardiochirurgia nella diagnosi delle infezioni post-operatorie
Piperacillina/tazobactam in terapia empirica
Leishmaniosi viscerale e sindrome di Down:descrizione di un caso clinico
Endocardite non brucellare
Secondary hemophagocytic lymphohistiocytosis: forget me not!
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Sindrome nefrosica e sepsi da Gram negativi in corso di strongiloidiasi: considerazioni su un caso in immigrato imunocompetente
Strongyloidiasis is caused by a small intestinal nematode with a complex life cycle. In Italy the infection is endemic in rural areas of the Po Valley. The clinical syndrome of S. stercoralis encompasses a broad spectrum of symptoms and signs and, in the immunocompromised host, larvae can migrate to different organs and tissues. Also immune response seems to play a role in the pathogenesis of the disease. We report a case of strongyloidiasis complicated by Gram-negative sepsis and nephrotic syndrome in an immigrant from South America with a normal immune response. Whereas sepsis cleared up quickly, parasitic clearance was obtained only after treatment with ivermectin and nephrotic syndrome …