Treatment of portosystemic shunt-borne hepatic encephalopathy in a 97-year-old woman using balloon-occluded retrograde transvenous obliteration: A case report.

Background: Hyperammonemia and hepatic encephalopathy are common in patients with portosystemic shunts. Surgical shunt occlusion has been standard treatment, although recently the less invasive balloon-occluded retrograde transvenous obliteration (B-RTO) has gained increasing attention. Thus far, there have been no reports on the treatment of portosystemic shunts with B-RTO in patients aged over 90 years.

The first case report of septic abortion resulting from β-lactamase-negative ampicillin-resistant non-typeable infection.

This is the first case report of septic abortion due to β-lactamase-negative ampicillin-resistant (BLNAR) non-typeable infection. In Japan, BLNAR is widespread and has become a clinical concern, especially in paediatrics and otolaryngology, but has not been previously recognized as a causative agent of obstetric or gynaecological infection. A 31-year-old pregnant woman presented at 17 weeks and 6 days of gestation with a high fever; she was admitted with a diagnosis of threatened premature delivery.

[A case of osteomyelitis caused by mixed infection by Aggregatibacter aphrophilus and Staphylococcus aureus].

A 46-year-old man presented with a 10-day history of progressive weakness and numbness in both his legs. The spinal MRI and abdominal CT revealed discitis of L4/L5 and multiple epidural abscesses. The blood culture tested positive for methicillin sensitive Staphylococcus aureus (MSSA).

[Plasmodium malariae malaria with more than a 4-month incubation period: difficult to distinguish from a relapse of Plasmodium vivax malaria].

We report herein on a case of Plasmodium malariae malaria with more than a 4-month incubation period. A 35-year-old Japanese man who first presented to our clinic with fever and history of travel to Papua New Guinea was suspected of having Plasmodium vivax malaria based on peripheral smear results. We admitted him and initiated treatment with mefloquine.

Impact of infectious diseases service consultation on diagnosis of infective endocarditis.

Background: The infectious diseases (ID) consultation service is a new clinical entity in Japan. We examined the impact of ID consultation on the diagnosis of infective endocarditis (IE) at a large teaching hospital in Japan.

Methods: Routine consultation with an ID service for cases of positive blood culture was implemented at Kameda Medical Center in November 2004.

Urosepsis caused by Globicatella sanguinis and Corynebacterium riegelii in an adult: case report and literature review.

We report an extremely rare case of urosepsis caused by Globicatella sanguinis and Corynebacterium riegelii coinfection in a 94-year-old Japanese man with nephrolithiasis. Prompt identification of this coinfection is important so that effective antimicrobial coverage can be initiated.