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Necrotizing Pneumonia
Necrotizing pneumonia (NP), also known as cavitary pneumonia or cavitatory necrosis, is a rare but severe complication of lung parenchymal infection. In necrotizing pneumonia, there is a substantial liquefactive necrosis, liquefaction following death of the lung tissue, which may lead to gangrene formation in the lung. In most cases patients with NP have fever, cough and bad breath, and those with more indolent infections have weight loss. Often patients clinically present with acute respiratory failure. The most common pathogens responsible for NP are ''Streptococcus pneumoniae'', ''Staphylococcus aureus'', and ''Klebsiella pneumoniae''. Diagnosis is usually done by chest imaging, e.g. Chest radiograph, chest X-ray or CT scan. Among these, a CT scan is the most sensitive test, which shows loss of lung architecture and multiple small thin walled cavities. Often cultures from bronchoalveolar lavage and blood may be done for identification of the causative organism(s). It is primaril ...
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Infectious Disease (medical Speciality)
Infectious diseases (ID), also known as infectiology, is a medical specialty dealing with the diagnosis and treatment of infections. An infectious diseases specialist's practice consists of managing nosocomial ( healthcare-acquired) infections or community-acquired infections. An ID specialist investigates and determines the cause of a disease (bacteria, virus, parasite, fungus or prions). Once the cause is known, an ID specialist can then run various tests to determine the best drug to treat the disease. While infectious diseases have always been around, the infectious disease specialty did not exist until the late 1900s after scientists and physicians in the 19th century paved the way with research on the sources of infectious disease and the development of vaccines. Scope Infectious diseases specialists typically serve as consultants to other physicians in cases of complex infections, and often manage patients with HIV/AIDS and other forms of immunodeficiency. Although many co ...
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René Laennec
René-Théophile-Hyacinthe Laennec (; 17 February 1781 – 13 August 1826) was a French physician and musician. His skill at carving his own wooden flutes led him to invent the stethoscope in 1816, while working at the Hôpital Necker. He pioneered its use in diagnosing various thorax, chest conditions. He became a lecturer at the in 1822 and professor of medicine in 1823. His final appointments were that of head of the medical clinic at the Hôpital de la Charité and professor at the Collège de France. He went into a coma and subsequently died of tuberculosis on 13 August 1826, at age 45. Early life Laennec was born in Quimper, Brittany, Quimper (Brittany). His mother died of tuberculosis when he was five years old, and he went to live with his great-uncle the Abbé Laennec (a priest). As a child, Laennec became ill with fatigue (medical), lassitude and repeated instances of fever, pyrexia. Laennec was also thought to have asthma. At the age of twelve, he proc ...
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Adenoviridae
Adenoviruses (members of the family (biology), family ''Adenoviridae'') are medium-sized (90–100 nanometer, nm), nonenveloped (without an outer lipid bilayer) viruses with an icosahedral nucleocapsid containing a double-stranded DNA genome. Their name derives from their initial isolation from human adenoids in 1953. They have a broad range of vertebrate hosts; in humans, more than 50 distinct adenoviral serotypes have been found to cause a wide range of Adenovirus infection, illnesses, from mild respiratory infections in young children (the common cold) to life-threatening multi-organ disease in people with a Immunodeficiency, weakened immune system. Virology Classification This family contains the following genus, genera: * ''Aviadenovirus'' * ''Barthadenovirus'' * ''Ichtadenovirus'' * ''Mastadenovirus'' (including all human adenoviruses) * ''Siadenovirus'' * ''Testadenovirus'' Diversity In humans, currently there are 88 human adenoviruses (HAdVs) in seven species (H ...
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Orthomyxoviridae
''Orthomyxoviridae'' () is a family of negative-sense single-stranded RNA virus, negative-sense RNA viruses. It includes nine genus, genera: ''Influenza A virus, Alphainfluenzavirus'', ''Influenza B virus, Betainfluenzavirus'', ''Influenza C virus, Gammainfluenzavirus'', ''Influenza D virus, Deltainfluenzavirus'', ''Isavirus'', ''Mykissvirus'', ''Quaranjavirus'', ''Sardinovirus'', and ''Thogotovirus''. The first four genera contain viruses that cause influenza in birds (see also avian influenza) and mammals, including humans. Isaviruses infect salmon; the thogotoviruses are arboviruses, infecting vertebrates and invertebrates (such as ticks and mosquitoes). The Quaranjaviruses are also arboviruses, infecting vertebrates (birds) and invertebrates (arthropods). The four genera of Influenza virus that infect vertebrates, which are identified by antigenic differences in their nucleoprotein and matrix protein, are as follows: * ''Influenza A virus, Alphainfluenzavirus'' infects huma ...
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Histoplasma Capsulatum
''Histoplasma capsulatum'' is a species of dimorphic fungus. Its sexual form is called ''Ajellomyces capsulatus''. It can cause pulmonary and disseminated histoplasmosis. ''Histoplasma capsulatum'' is "distributed worldwide, except in Antarctica, but most often associated with river valleys" and occurs chiefly in the " Central and Eastern United States" followed by " Central and South America, and other areas of the world". It is most prevalent in the Ohio and Mississippi River valleys. It was discovered by Samuel Taylor Darling in 1906. Growth and morphology ''Histoplasma capsulatum'' is an ascomycetous fungus closely related to '' Blastomyces dermatitidis''. It is potentially sexual, and its sexual state, ''Ajellomyces capsulatus'', can readily be produced in culture, though it has not been directly observed in nature. ''H. capsulatum'' groups with ''B. dermatitidis'' and the South American pathogen '' Paracoccidioides brasiliensis'' in the recently recognized fungal fami ...
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Aspergillus
'''' () is a genus consisting of several hundred mold species found in various climates worldwide. ''Aspergillus'' was first catalogued in 1729 by the Italian priest and biologist Pier Antonio Micheli. Viewing the fungi under a microscope, Micheli was reminded of the shape of an '' aspergillum'' (holy water sprinkler), from Latin ''spargere'' (to sprinkle), and named the genus accordingly. Aspergillum is an asexual spore-forming structure common to all ''Aspergillus'' species; around one-third of species are also known to have a sexual stage. While some species of ''Aspergillus'' are known to cause fungal infections, others are of commercial importance. Taxonomy Species In March 2010, ''Aspergillus'' covered 837 species of fungi. Notable species placed in Aspergillus include: * '' Aspergillus flavus'' is a notable plant pathogen impacting crop yields and a common cause of aspergillosis. * '' Aspergillus fumigatus'' is the most common cause of aspergillosis in individuals ...
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Bacteroides Fragilis
''Bacteroides fragilis'' is an anaerobic, Gram-negative, pleomorphic to rod-shaped bacterium. It is part of the normal microbiota of the human colon and is generally commensal, but can cause infection if displaced into the bloodstream or surrounding tissue following surgery, disease, or trauma. Habitat ''Bacteroides fragilis'' resides in the human gastrointestinal tract and is essential to healthy gastrointestinal function such as mucosal immunity and host nutrition. As a mesophile, optimal growth occurs at 37 °C and a pH around 7. Morphology Cells of ''B. fragilis'' are rod-shaped to pleomorphic with a cell size range of 0.5–1.5 × 1.0–6.0 μm.''B. fragilis'' is a Gram-negative bacterium and does not possess flagella or cilia making it immotile. However, it does utilize peritrichous fimbriae for adhesion to other molecular structures. ''B. fragilis'' also utilizes a complex series of surface proteins, lipopolysaccharide chains, and outer membrane vesicles ...
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Fusobacterium Nucleatum
''Fusobacterium nucleatum'' is a Gram-negative bacteria, Gram-negative, Anaerobic organism, anaerobic Bacteria, bacterium, Commensalism, commensal to the human oral cavity, that plays a role in periodontal disease. This organism is commonly recovered from different monocultured microbial and mixed infections in humans and animals. In health and disease, it is a key component of periodontal Dental plaque, plaque due to its abundance and its ability to coaggregate with other bacteria species in the oral cavity. Preterm births Research implicates periodontal disease caused by ''F. nucleatum'' with preterm births in humans. In many studies, ''F. nucleatum'' cells have been isolated from the amniotic fluid, placenta, and Chorion, chorioamnionic membranes of women Premature delivery, delivering prematurely. Moreover, laboratory mice intravenously inoculated with ''F. nucleatum'' have been found to deliver prematurely, and the pathology of the infection seems to mirror observations in ...
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Stenotrophomonas Maltophilia
'' Stenotrophomonas maltophilia'' is an aerobic, nonfermentative, Gram-negative bacterium. It is an uncommon bacterium and human infection is difficult to treat. Initially classified as ''Bacterium bookeri'', then renamed ''Pseudomonas maltophilia'', ''S. maltophilia'' was also grouped in the genus ''Xanthomonas'' before eventually becoming the type species of the genus '' Stenotrophomonas'' in 1993. ''S. maltophilia'' is slightly smaller (0.7–1.8 × 0.4–0.7 μm) than other members of the genus. They are motile due to polar flagella, and grow well on MacConkey agar producing pigmented colonies. ''S. maltophilia'' is catalase-positive, oxidase-negative (which distinguishes it from most other members of the genus) and has a positive reaction for extracellular DNase. ''S. maltophilia'' is ubiquitous in aqueous environments, soil, and plants; it has also been used in biotechnology applications. In immunocompromised patients, ''S. maltophilia'' can lead to nosoco ...
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Streptococcus Pyogenes
''Streptococcus pyogenes'' is a species of Gram-positive, aerotolerant bacteria in the genus '' Streptococcus''. These bacteria are extracellular, and made up of non-motile and non-sporing cocci (round cells) that tend to link in chains. They are clinically important for humans, as they are an infrequent, but usually pathogenic, part of the skin microbiota that can cause group A streptococcal infection. ''S. pyogenes'' is the predominant species harboring the Lancefield group A antigen, and is often called group A ''Streptococcus'' (GAS). However, both '' Streptococcus dysgalactiae'' and the '' Streptococcus anginosus'' group can possess group A antigen as well. Group A streptococci, when grown on blood agar, typically produce small (2–3 mm) zones of beta-hemolysis, a complete destruction of red blood cells. The name group A (beta-hemolytic) ''Streptococcus'' is thus also used. The species name is derived from Greek words meaning 'a chain' () of berries ( atiniz ...
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Acinetobacter Baumannii
''Acinetobacter baumannii'' is a typically short, almost round, rod-shaped (coccobacillus) Gram-negative bacterium. It is named after the bacteriologist Paul Baumann. It can be an opportunistic pathogen in humans, affecting people with compromised immune systems, and is becoming increasingly important as a hospital-derived ( nosocomial) infection. While other species of the genus '' Acinetobacter'' are often found in soil samples (leading to the common misconception that ''A. baumannii'' is a soil organism, too), it is almost exclusively isolated from hospital environments. Although occasionally it has been found in environmental soil and water samples, its natural habitat is still not known. Bacteria of this genus lack flagella but exhibit twitching or swarming motility, likely mediated by type IV pili. Motility in ''A. baumannii'' may also be due to the excretion of exopolysaccharide, creating a film of high- molecular-weight sugar chains behind the bacterium to move forwar ...
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Mycoplasma Pneumoniae
''Mycoplasma pneumoniae'' is a species of very small-cell bacteria that lack a cell wall, in the class Mollicutes. ''M. pneumoniae'' is a human pathogen that causes the disease Mycoplasma pneumonia, a form of atypical bacterial pneumonia related to cold agglutinin disease. It is one of the smallest self-replicating organisms and its discovery traces back to 1898 when Nocard and Roux isolated a microorganism linked to cattle pneumonia. This microbe shared characteristics with pleuropneumonia-like organisms (PPLOs), which were soon linked to pneumonias and arthritis in several animals. A significant development occurred in 1944 when Monroe Eaton cultivated an agent thought responsible for human pneumonia in embryonated chicken eggs, referred to as the "Eaton agent." This agent was classified as a bacteria due to its cultivation method and because antibiotics were effective in treating the infection, questioning its viral nature. In 1961, a researcher named Robert Chanock, collabo ...
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