Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_249»
«MEDICAL WRITING: CASE ABSTRACT_249»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
cyriacigeorgica bacteraemia presenting with cytomegalovirus disease and
rapidly fatal pneumonia in a renal transplant patient: a case report
Nocardia cyriacigeorgica bacteraemia has been described in the setting of profound
immunodeficiency in only two previous case reports. In both instances,
diagnosis was rapidly facilitated by 16S rRNA gene sequencing of blood culture
isolates. To the best of our knowledge, we believe that our case is the first
presentation of N. cyriacigeorgica bacteraemia associated with
acute cytomegalovirus disease in a kidney transplant recipient, which was then
followed by severe and fatal pneumonia only seven days later.
We present the case of a
73-year-old Caucasian woman, a renal transplant recipient, with peripheral
vascular disease, hypertension, osteoporosis and vascular dementia who was
diagnosed with septicemia and pneumonia. In spite of appropriate anti-microbial
therapy for nocardial sepsis, she developed severe pneumonia and acute renal
This case illustrates a potential
for disseminated nocardial infection to produce clinical syndromes that may be
indistinguishable from acute cytomegalovirus disease. An atypical presentation
(pneumonia and renal failure) of a rare disease (nocardial septicemia) in the
setting of renal transplantation is discussed. This case illustrates that the
possibility of severe cytomegalovirus disease should be considered in renal
transplanted patients diagnosed with nocardial septicemia who subsequently
develop severe sepsis, pneumonia, and renal failure. Molecular diagnosis should
readily be available to assist with the prompt diagnosis and treatment of these
infections in renal transplant patients.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?