A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis

Sinusitis is a common ailment a clinician comes across in their day-to-day practice. Simple as it may sound, it may become a very debilitating condition depending on the comorbidities of the patient and the organism involved. Rhizopus and Escherichia coli are less common organisms to affect the sinu...

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Autores principales: Rathnayake, Dulaanga, M. M., Basith, E., Tharmini, M., Umakanth, K. T., Sundaresan, Jayasekara, P. I., Sigera, L. S. M., Welagedara, P. G. R. I. S., Francis, Vaithehi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Microbiology Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479965/
https://www.ncbi.nlm.nih.gov/pubmed/34595394
http://dx.doi.org/10.1099/acmi.0.000243
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author Rathnayake, Dulaanga
M. M., Basith
E., Tharmini
M., Umakanth
K. T., Sundaresan
Jayasekara, P. I.
Sigera, L. S. M.
Welagedara, P. G. R. I. S.
Francis, Vaithehi
author_facet Rathnayake, Dulaanga
M. M., Basith
E., Tharmini
M., Umakanth
K. T., Sundaresan
Jayasekara, P. I.
Sigera, L. S. M.
Welagedara, P. G. R. I. S.
Francis, Vaithehi
author_sort Rathnayake, Dulaanga
collection PubMed
description Sinusitis is a common ailment a clinician comes across in their day-to-day practice. Simple as it may sound, it may become a very debilitating condition depending on the comorbidities of the patient and the organism involved. Rhizopus and Escherichia coli are less common organisms to affect the sinuses, but they are more common in immunocompromised patients such as patients with uncontrolled diabetes. Rhizopus can be a very debilitating infection as it erodes into the bone and blood vessels resulting in tissue necrosis. However, coinfection of both of these organisms is a very rare occurrence. Psoas abscess is also a less common infection in the immunocompetent patients but it is more common among the immunocompromised patients. It is extremely rare for both of these organisms to cause sinusitis in one patient, and for E. coli to simultaneously infect two different sites in the same patient. We report a case where a diabetic patient who had E. coli and Rhizopus coinfected sinusitis with simultaneous E. coli psoas abscess was successfully managed. The Rhizopus was treated with liposomal amphotericin B for 16 weeks while E. coli was treated with IV Meropenum. Furthermore, pneumocephalus is a condition that usually occurs following head trauma but the patient we are reporting developed pneumocephalus following Rhizopus sinusitis, which was treated with high-flow oxygen.
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spelling pubmed-84799652021-09-29 A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis Rathnayake, Dulaanga M. M., Basith E., Tharmini M., Umakanth K. T., Sundaresan Jayasekara, P. I. Sigera, L. S. M. Welagedara, P. G. R. I. S. Francis, Vaithehi Access Microbiol Case Reports Sinusitis is a common ailment a clinician comes across in their day-to-day practice. Simple as it may sound, it may become a very debilitating condition depending on the comorbidities of the patient and the organism involved. Rhizopus and Escherichia coli are less common organisms to affect the sinuses, but they are more common in immunocompromised patients such as patients with uncontrolled diabetes. Rhizopus can be a very debilitating infection as it erodes into the bone and blood vessels resulting in tissue necrosis. However, coinfection of both of these organisms is a very rare occurrence. Psoas abscess is also a less common infection in the immunocompetent patients but it is more common among the immunocompromised patients. It is extremely rare for both of these organisms to cause sinusitis in one patient, and for E. coli to simultaneously infect two different sites in the same patient. We report a case where a diabetic patient who had E. coli and Rhizopus coinfected sinusitis with simultaneous E. coli psoas abscess was successfully managed. The Rhizopus was treated with liposomal amphotericin B for 16 weeks while E. coli was treated with IV Meropenum. Furthermore, pneumocephalus is a condition that usually occurs following head trauma but the patient we are reporting developed pneumocephalus following Rhizopus sinusitis, which was treated with high-flow oxygen. Microbiology Society 2021-07-12 /pmc/articles/PMC8479965/ /pubmed/34595394 http://dx.doi.org/10.1099/acmi.0.000243 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non Commercial License. The Microbiology Society waived the open access fees for this article.
spellingShingle Case Reports
Rathnayake, Dulaanga
M. M., Basith
E., Tharmini
M., Umakanth
K. T., Sundaresan
Jayasekara, P. I.
Sigera, L. S. M.
Welagedara, P. G. R. I. S.
Francis, Vaithehi
A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title_full A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title_fullStr A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title_full_unstemmed A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title_short A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis
title_sort rare case of escherichia coli and rhizopus sinusitis complicated with pneumocephalus, e. coli psoas abscess and sepsis
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479965/
https://www.ncbi.nlm.nih.gov/pubmed/34595394
http://dx.doi.org/10.1099/acmi.0.000243
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