Infective endocarditis caused by Arcanobacterium haemolyticum: a case report

Typhoid fever is a very common infectious disease, particularly in developing countries such as Sri Lanka. Although multiple organs are known to be affected by the disease, hepatic involvement could be considered the most important as studies have showed that it is associated with a higher relapse rate. We report a young patient who presented with fever and jaundice and found to have cholestatic hepatitis secondary to typhoid fever.     

Unusual cell wall ultrastructure of Leptotrichia buccalis.

Leptotrichia buccalis was examined by transmission electron microscopy. Its cell wall structure in generally compatible with that of gram-negative bacteria. However, the scale-like membranous folds associated with the external surface of the outer cell membrane appear to be sufficiently unusual to serve as a useful morphological criterion in the identification of L. baccalis cells.     

犬小孢子菌致体癣1例

报道1例由犬小孢子菌引起的体癣。患者,女,27岁,因前额、颈部多发环状红斑2周就诊。经真菌培养确诊为犬小孢子菌感染所致的体癣。予特比萘芬、灰黄霉素搽剂（商品名“止霉舒搽剂”）外用1周后痊愈。     

须癣毛癣菌致成人眉区脓癣1例

报告1例由须癣毛癣菌引起的眉毛区域脓癣。患者女性,46岁,左眉部周围红斑1个月。致病菌株经真菌学鉴定为须癣毛癣菌。给予盐酸特比萘芬250mg/d口服,硝酸舍他康唑软膏外用,治疗1个月后皮损完全愈合。     

红色毛癣菌致儿童脓癣1例

报道儿童脓癣1例。患儿男,5岁,头部左后侧圆形脓肿破溃结痂伴瘙痒疼痛半个月余。取断发及脓液直接镜检及真菌培养均阳性,做小培养确定菌种为红色毛癣菌,经综合治疗后痊愈。     

Acute abdomen due to primary omentitis: a case report

Background

Idiopathic segmental infarction of the greater omentum (ISIGO) is an uncommon cause of acute abdomen in children and adults and its etiology is rather vague and speculative. The clinical presentation is usually with atypical acute or subacute abdominal pain. In a number of cases radiologic imaging allows proper preoperative diagnosis and treatment.

Case presentation

We report a case of ISIGO in a 31 year old patient, who presented with acute abdominal pain, nausea, vomiting and leukocytosis. Radiologic investigation was non-specific. The patient underwent surgical resection of the infracted omentum with compete recovery.

Conclusion

ISIGO should be considered in the differential of acute abdomen especially when presentation is atypical and all other causes have been excluded. In cases with non-specific radiologic findings, laparotomy is necessary for proper diagnosis and treatment. Surgical resection of the infracted omentum results in uneventful recovery in the majority of cases.

     

石膏样小孢子菌所致面部难辨认癣1例

报道1例由石膏样小孢子菌引起的面部难辨认癣。患者为青年女性,因右眼上眼睑及周围出现浸润性斑块2个月就诊。2个月前发疹部位有烫伤史。经真菌培养和病理检查确诊为“石膏样小孢子菌感染”。予伊曲康唑胶囊口服、外用特比萘芬乳膏1周后痊愈。