ABSTRACT
Hypernatremia is a rare cause of rhabdomyolysis. Here, we report a case of hypernatremia-induced rhabdomyolysis in a patient with meningioma involving the pituitary gland. A 61-year-old male was admitted for decreased mentality and poor oral intake. He had undergone an operation for meningioma 10 years prior. At admission, he appeared lethargic and severely dehydrated with an initial sodium level of 178 mEq/L. Hypernatremia remained persistent despite massive hydration and the serum creatine phosphokinase level was 18,047 U/L after 3 days. Bone scintigraphy also showed findings consistent with rhabdomyolysis. Brain magnetic resonance imaging revealed extensive masses involving the pituitary gland and an intranasal biopsy confirmed meningioma. Polyuria, and low anti-diuretic hormone levels supported the diagnosis of central diabetes insipidus-induced hypernatremia. Desmopressin was administered intranasally and the patient's serum sodium and muscle enzyme levels were normalized.
Subject(s)
Humans , Male , Middle Aged , Biopsy , Brain , Creatine Kinase , Deamino Arginine Vasopressin , Diabetes Insipidus , Diagnosis , Hypernatremia , Magnetic Resonance Imaging , Meningioma , Pituitary Gland , Polyuria , Radionuclide Imaging , Rhabdomyolysis , SodiumABSTRACT
Recently, invasive infections with the human pathogen Streptococcus dysgalactiae subspeciesequisimilis (SDSE) have increased around the globe. Typing of the emm gene of SDSE, which encodes a virulence factor (M protein), has provided important information. Here, we report two cases of invasive SDSE infection that presented with endocarditis and bacteremia, and their emm gene types.
Subject(s)
Humans , Bacteremia , Endocarditis , Streptococcus , VirulenceABSTRACT
Recently, invasive infections with the human pathogen Streptococcus dysgalactiae subspeciesequisimilis (SDSE) have increased around the globe. Typing of the emm gene of SDSE, which encodes a virulence factor (M protein), has provided important information. Here, we report two cases of invasive SDSE infection that presented with endocarditis and bacteremia, and their emm gene types.
Subject(s)
Humans , Bacteremia , Endocarditis , Streptococcus , VirulenceABSTRACT
No abstract available.
Subject(s)
Adult , Humans , Male , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Appendicitis/diagnosis , Bacteremia/etiology , Consolidation Chemotherapy/adverse effects , Cytomegalovirus Infections/diagnosis , Immunocompromised Host , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapyABSTRACT
Primary lymphoma of the small intestine is commonly diagnosed after serious complications, such as bowel perforation and bleeding. It results from vague symptoms and the lack of routine screening programs due to low prevalence. Ileal intubation can be used for screening and diagnosis of various small intestinal diseases. However, the value of routine terminal ileum intubation during colonoscopy remains controversial because of its low diagnostic yield. In Korea, there has been no report of asymptomatic primary lymphoma of the small intestine discovered through ileal intubation during colonoscopy. Thus, we report a case of asymptomatic primary lymphoma of the small intestine diagnosed incidentally through terminal ileum intubation during screening colonoscopy, and we review the literature on small intestinal lymphoma and the value of routine ileal intubation.
Subject(s)
Colonoscopy , Diagnosis , Endoscopy , Hemorrhage , Ileum , Intestinal Diseases , Intestine, Small , Intubation , Korea , Lymphoma , Mass Screening , PrevalenceABSTRACT
A 62-year-old diabetic female was admitted to the hospital with fever and pain in both legs. Computed tomography scans of the abdomen revealed necrotizing fasciitis of the right thigh extending into the abdominal wall, and abscesses on the right psoas muscle. Magnetic resonance imaging showed increased T2 signal intensity along the peroneus muscle and fascia of the lower left leg. The patient received antibiotics and underwent debridement of the infected and necrotic tissue. Intra-abdominal abscesses were drained. Blood and pus cultures showed growth of Klebsiella pneumoniae, as had been suspected due to string test results showing hypermucoviscosity. Free-skin grafts were performed to repair tissue loss and the patient was subsequently discharged 82 days after admission. This represents the first reported case of necrotizing fasciitis and psoas muscle abscess caused by a hypervirulent strain of K. pneumoniae in Korea.
Subject(s)
Female , Humans , Middle Aged , Abdomen , Abdominal Abscess , Abdominal Wall , Abscess , Anti-Bacterial Agents , Blood , Debridement , Fascia , Fasciitis, Necrotizing , Fever , Klebsiella pneumoniae , Klebsiella , Korea , Leg , Magnetic Resonance Imaging , Muscles , Pneumonia , Psoas Abscess , Psoas Muscles , Suppuration , Thigh , TransplantsABSTRACT
A 62-year-old diabetic female was admitted to the hospital with fever and pain in both legs. Computed tomography scans of the abdomen revealed necrotizing fasciitis of the right thigh extending into the abdominal wall, and abscesses on the right psoas muscle. Magnetic resonance imaging showed increased T2 signal intensity along the peroneus muscle and fascia of the lower left leg. The patient received antibiotics and underwent debridement of the infected and necrotic tissue. Intra-abdominal abscesses were drained. Blood and pus cultures showed growth of Klebsiella pneumoniae, as had been suspected due to string test results showing hypermucoviscosity. Free-skin grafts were performed to repair tissue loss and the patient was subsequently discharged 82 days after admission. This represents the first reported case of necrotizing fasciitis and psoas muscle abscess caused by a hypervirulent strain of K. pneumoniae in Korea.