A 79-year-old lady, who was taking warfarin, presented to the Emergency Department with a painless anterior neck swelling, which was associated with hoarseness of voice, odynophagia, and shortness of breath. She first noticed the swelling after she removed her dentures in the evening. On examination, she had an increased respiratory rate. There was a large submandibular swelling at the anterior side of her neck. Upon mouth opening, there was a hematoma at the base of her tongue, which extended to both sides of the tonsillar pillars. The patient was intubated with a video laryngoscope due to her worsening respiratory distress. Intravenous vitamin K and fresh frozen plasma were given immediately. The patient was admitted to the ICU for ventilation and observation. The hematoma subsided after 2 days and she was discharged well.
In Egypt, knowledge about vector-borne bacterial pathogens in camels remains limited. To address this gap, 181 blood samples from adult one-humped camels (Camelus dromedarius) in the greater Cairo metropolitan area were collected from October 2021 to March 2022. Through PCR assays, four pathogens were detected, where Anaplasmataceae being the most common (54.7%), followed by hemotropic Mycoplasma spp. (29.3%), Rickettsia spp. (12.2%), and Coxiella burnetii (1.7%). Comparative sequence analysis revealed novel findings, including: 1) the identification of two distinct hemotropic Mycoplasma spp., one closely related to bovine Mycoplasma sp. (Mycoplasma wenyonii), and the other closely related to porcine Mycoplasma sp. (Candidatus Mycoplasma haemosuis); and 2) the detection of Anaplasma bovis and Anaplasma phagocytophilum. Additionally, Anaplasma platys, Rickettsia africae, and Coxiella burnetii were identified as well. It's worth noting that these vector-borne pathogens possess zoonotic potential, emphasizing the need for adopting a "One Health" approach in Egypt to safeguard the wellbeing of both humans and animals.