Disseminated gonococcal infection in an elderly patient.письмо
Аннотация: A protein profile disclosed no abnormalities except for mild hypoalbuminaemia (30 g/W).Antibodies against hepatitis B surface antigens and hepatitis B core antigens were positive.A test for hepatitis surface B antigen was negative.Complement C3 and C4 were normal.Immunoglobulin A was 5 g/l (normal <3-75).Tests for IgG and IgM, rheumatoid factor, antinuclear antibodies, the Veneral Disease Research Laboratory test, tests for thyroid hormones and somatotropin were all normal or negative, as were HLA-B27 and serological assays for Brucella, Salmonella, Yersinia entero- colitica, and Chiamydia spp.Roentgenograms of the chest showed imagesofconsolidation andmultiplecavitations in the superior lobe of the right lung, com- patible with necrotising pneumonitis.Intra- dermoreaction with tuberculin 2U was positive.Microbiological examination of samples of sputum showed Gram positive cocci.Sputum and blood cultures were negative, and repeated searches found no mycobacteria in the sputum.Thereafter, percutaneous needle aspiration of the lung was performed.Cultures of the samples in anaerobic media were positive for microaerophilic Gram positive cocci and Bacteroides melaninogenicus.Cultures of stools were positive for Candida albicans.Upper gastrointestinal fibre endo- scopyconfirmed thepresenceofintensecandida oesophagitis and hiatal hernia.
Год издания: 1993
Авторы: Íñigo Rúa‐Figueroa, Eduardo Loza Cortina, Sebastián Suárez, Celia Erausquin Arruabarrena, J L Pena Sagredo
Издательство: BMJ
Источник: Annals of the Rheumatic Diseases
Ключевые слова: Reproductive tract infections research, Bacterial Infections and Vaccines, Syphilis Diagnosis and Treatment
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Том: 52
Выпуск: 1
Страницы: 83–83