Were the victims of Elizabethkingia meningoseptica immune suppressed? If yes, were they on immune suppressing medications?
Challenges in the laboratory diagnosis of this organism complicate a true understanding of its role in disease. Difficulties in culture, including variable (strain-dependent) growth on MacConkey agar (1) and misidentification on some automated laboratory platforms (4,7), contribute to diagnostic challenges.
It needs a new agar. PROTEINS only. Then take the proteins away.
Forget mass spec, run it through an electron microscope. Get ABSOLUTE diagnosis and not just the best guess. WHAT DOES THE DAMN THING LOOK LIKE!!!!!!!
By the time all the guess work is done, the person is dead. Get over it. SPEND THE BUCKS. Any university and the NIH of all places would be happy to help. There needs to be a protocol to prevent the spread of the organism. The NIH should develop the protocol for the electron microscope. THE BEST way is to use the same one over and over and then terminally disinfected with pressure every time it is used.
Patient support. The body systems have to receive support similar to that of septic shock. Be prepared for the worst to happen. Keep their blood pressure under control. Put in Triple Lumens at the very least, but, it would be better to monitor cardiac output as well. Expect them to collapse and prevent it at first instance. Those measures can always be backed off minute by minute in an intensive care setting. Medicine doesn't usually invoke extreme measures until a patient manifests those symptoms. I think these patients should be supported from the beginning.
The cascade of failure under septic shock is too late to apply measures to save the patient. With such plasma infusion should begin with first understanding of it's positive diagnosis.
Ask Sandoz (click here) for any research on iGg serum that would have antibodies known to attacks similar infections.
I think that is it for now. I am sure everyone at NIH has thought about this anyway.
Oh, fever. Cooling blankets, but, everyone knows that.
Also, DIALYSIS water if kidney support is necessary. USE STERILE WATER ONLY. Acute failure can occur, but, it will reverse if the people live through it.
Challenges in the laboratory diagnosis of this organism complicate a true understanding of its role in disease. Difficulties in culture, including variable (strain-dependent) growth on MacConkey agar (1) and misidentification on some automated laboratory platforms (4,7), contribute to diagnostic challenges.
It needs a new agar. PROTEINS only. Then take the proteins away.
Forget mass spec, run it through an electron microscope. Get ABSOLUTE diagnosis and not just the best guess. WHAT DOES THE DAMN THING LOOK LIKE!!!!!!!
By the time all the guess work is done, the person is dead. Get over it. SPEND THE BUCKS. Any university and the NIH of all places would be happy to help. There needs to be a protocol to prevent the spread of the organism. The NIH should develop the protocol for the electron microscope. THE BEST way is to use the same one over and over and then terminally disinfected with pressure every time it is used.
Patient support. The body systems have to receive support similar to that of septic shock. Be prepared for the worst to happen. Keep their blood pressure under control. Put in Triple Lumens at the very least, but, it would be better to monitor cardiac output as well. Expect them to collapse and prevent it at first instance. Those measures can always be backed off minute by minute in an intensive care setting. Medicine doesn't usually invoke extreme measures until a patient manifests those symptoms. I think these patients should be supported from the beginning.
The cascade of failure under septic shock is too late to apply measures to save the patient. With such plasma infusion should begin with first understanding of it's positive diagnosis.
Ask Sandoz (click here) for any research on iGg serum that would have antibodies known to attacks similar infections.
I think that is it for now. I am sure everyone at NIH has thought about this anyway.
Oh, fever. Cooling blankets, but, everyone knows that.
Also, DIALYSIS water if kidney support is necessary. USE STERILE WATER ONLY. Acute failure can occur, but, it will reverse if the people live through it.
