We report a rare case of onychomycosis caused by Syncephalastrum racemosum in a 50-year-old diabetic patient. The patient’s nail was surgically excised and thorough debridement was done. The patient was successfully treated with topical nystatin.
Introduction: Chryseobacterium gleum is an uncommon pathogen in humans. It is a gram negative, nonfermenting bacterium distributed widely in soil and water. We present a case of urinary tract infection caused by Chryseobacterium gleum in a patient with right lower ureteric calculi. Case presentation: This case describes a 62-year-old male admitted for ureteric calculi to the Department of Urology in a tertiary care hospital in Kerala. A strain of Chryseobacterium gleum was isolated and confirmed by MALDI-TOF MS .The bacterium was sensitive to Piperacillin-Tazobactum (100/10µg ), Cefotaxime(30µg),Ceftazidime(30 µg ) and Ofloxacin(30 µg). It was resistant to Nitrofurantoin (300µg),Tobramycin(10µg),Gentamicin(30µg),Nalidixic acid(30µg) and Amikacin(30µg). Conclusion: Chryseobacterium gleum should be considered as a potential opportunistic and emerging pathogen. Resistance to a wide range of antibiotics such as aminoglycosides, penicillin, cephalosporins has been documented. In depth studies on Epidemiological, virulence and pathogenicity factors needs to be done for better diagnosis and management.
Paecilomyces is a common saprophyte found in air and food and is also associated with many types of human infections. Pneumonia due to Paecilomyces is rare and the clinical manifestations are unspecific. So distinguishing Paecilomyces infection clinically and prompt microbiological identification will help in adminiatering empirical antifungal therapy. We describe a case of atypical pneumonia by Paecilomyces lilacinus in a patient with interstitial lung disease and cor pulmonale. The female patient had breathlessness for over two years and was admitted to hospital as it worsened. Her X-ray revealed right and left ventricular failure. Sputum was sent for fungal bacterial culture and KOH for fungal elements. The Culture on Sabourouds Dextrose Agar grew purecolonies of Paecilomyces.
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