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Refractory Toxic Shock-Like Syndrome from Streptococcus dysgalactiae ssp. equisimilis and Intravenous Immunoglobulin as Salvage Therapy: A Case Series

Islam, Marjan; Karter, Dennis; Altshuler, Jerry; Altshuler, Diana; Schwartz, David; Torregrossa, Gianluca
Infections from Streptococcus dysgalactiae ssp. equisimilis (SDSE) can cause a wide variety of infections, ranging from mild cellulitis to invasive disease, such as endocarditis and streptococcal toxic shock-like syndrome (TSLS). Despite prompt and appropriate antibiotics, mortality rates associated with shock have remained exceedingly high, prompting the need for adjunctive therapy. IVIG has been proposed as a possible adjunct, given its ability to neutralize a wide variety of superantigens and modulate a dysregulated inflammatory response. We present the first reported cases of successful IVIG therapy for reversing shock in the treatment of SDSE TSLS.
PMID: 27597908
ISSN: 2090-6625
CID: 2238042

Remission of AIDS-associated progressive multifocal leukoencephalopathy with combined cidofovir and radiotherapy: a case report [Letter]

Torgovnick, Josh; Sethi, Nitin; Karter, Dennis; Arsura, Edward
PMID: 16847421
ISSN: 0269-9370
CID: 75578

Lactobacillus acidophilus bacteraemia after use of a probiotic in a patient with AIDS and Hodgkin's disease [Case Report]

Ledoux, David; Labombardi, Vincent J; Karter, Dennis
We report the case of a patient who developed bacteraemia and septic pulmonary emboli with Lactobacillus acidophilus after taking a probiotic containing this organism
PMID: 16595054
ISSN: 0956-4624
CID: 75566

Lyme disease complicated with pseudotumor cerebri [Case Report]

Nord, Jill A; Karter, Dennis
To our knowledge, pseudotumor cerebri as a complication of Lyme disease has been described only in children. We report the first case of an adult with pseudotumor cerebri due to Lyme disease and the use of serial lumbar punctures as the sole therapy
PMID: 12856231
ISSN: 1537-6591
CID: 75522

Amphotericin B lipid complex therapy in an AIDS patient with Rhodotorula rubra fungemia [Case Report]

Lui, A Y; Turett, G S; Karter, D L; Bellman, P C; Kislak, J W
PMID: 9798050
ISSN: 1058-4838
CID: 75628

Vitamin A deficiency in non-vitamin-supplemented patients with AIDS: a cross-sectional study

Karter, D L; Karter, A J; Yarrish, R; Patterson, C; Kass, P H; Nord, J; Kislak, J W
The prevalence of vitamin A deficiency and its association with dietary retinol intake in patients with AIDS was assessed in a cross-sectional study. Sixty eligible patients with AIDS provided serum samples that were analyzed for retinol content. Exclusion criteria included current use of vitamin supplements (57% of the 140 willing to participate) and pregnancy (none). Past dietary intake was determined using a standardized food intake frequency questionnaire. The prevalence of hyporetinemia was 22%. This was a 241-fold greater prevalence than that of a representative sample of the U.S. population, after adjusting for age and sex. There was a positive association between serum retinol status and dietary intake, but 27% of those with adequate intake had serum retinol levels below the normal range. These findings suggest that regardless of intake, patients with AIDS may represent a population at considerable risk of vitamin A deficiency
PMID: 7834403
ISSN: 1077-9450
CID: 75620