Introduction.
Saprochaete capitata is an emerging opportunistic fungus that is responsible for an uncommon mycosis known as geotrichosis, mainly reported in patients with haematological malignancies. It is a life-threatening condition associated with a high mortality rate of over 52 %. S. capitata may affect any organ, with a predilection for the lungs.
Case presentation. Here we report a case of pulmonary geotrichosis in a neutropenic HIV-infected patient with a prior history of treated tuberculosis. The main risk factor for pulmonary geotrichosis is profound and prolonged neutropenia. To our knowledge, this is the first reported case of S. capitata infection occurring on top of probable active miliary tuberculosis.
Conclusion. The clinical and radiological features are non-specific and similar to those of other pulmonary fungal diseases, hence the importance of mycological examination to confirm the diagnosis. Through this report, we urge clinicians to vigilantly consider S. capitata as an aetiological agent in the differential diagnosis of fungal infections in HIV-infected individuals and to routinely screen for associated infections.
Root avulsion corresponds to the tearing of the roots of the spinal cord by stretching during a trauma. The most incriminated etiologies are road accidents and obstetric trauma. It results clinically in total or partial paralysis of the limb concerned or neuropathic pain. MRI is the key diagnostic test. Here we report a case of post-traumatic brachial plexus root avulsion in a 61-year-old patient following a road accident. The MRI of the cervical plexus, performed one month after the trauma, revealed a pre-foraminal fluid-like lesion on the left next to the D1 conjugation hole, suggestive of a pseudomeningocele. MRI is the key diagnostic imaging tool. In fact, it establishes the lesion topography, whether pre or post-nodal, and enables the search for associated lesions.
Emphysematous osteomyelitis (EO) is a rare yet life-threatening condition that must be considered in patients presenting with intraosseous gas on imaging. Anaerobic bacteria or members of the Enterobacteriaceae family are typically implicated in EO. The presence of significant comorbidities, such as malignancy and diabetes mellitus, can increase the risk of developing this condition, and high mortality rates have been reported. Prompt diagnosis and management are critical for improving patient outcomes, and radiologists play a vital role in identifying and interpreting imaging findings suggestive of EO.in this article we report the exceptional case of emphysematous osteomyelitis of the femur in a 12-year-old girl with no prior medical history. Microbiological analysis of the collected samples revealed the presence of Staphylococcus aureus.
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