Primary abscess of the omentum: A case report.

A Thai woman, 63 years old, presented with high grade fever, abdomino-pelvic mass with pain five days before admission. Physical examination and ultrasonography suspected an ovarian tumor with complication. The operation was performed three days after admission. The greater omental abscess was found, while other visceral organs were normal. Partial omentectomy was performed, and histopathological report showed acute and chronic inflammation with multiple microabscesses. Antimicrobial therapy was continued post-operatively until clinical improved. Although primary abscess of the omentum is uncommon, it should be included in the differential diagnosis of the inflammatory abdomino-pelvic mass.

Disseminated tuberculosis.

Tuberculosis usually causes symptoms. Many patients may first be aware of fatigue, anorexia, weight loss, irregular menses, or a low grade fever that persists over weeks to months. Symptomatic patients with disease can be characterized as having generalized or systemic signs and symptoms, pulmonary signs and symptoms, signs and symptoms related to other organs, or a combination of these features, namely miliary or disseminated tuberculosis. Acute symptoms may be superimposed on a more chronic pattern which may simulate many other diseases. Tuberculosis may mimic, or occur concurrently, with pneumonia, sarcoidosis, fungal infection, or neoplasm. However, medical attention should be sought in order that appropriate treatment for tuberculosis can be given to the patients.

Pregnancy complicated with SLE and RPGN : A case report.

Pregnancy complicated with systemic lupus erythematosus (SLE) is notoriously variable in its presentation, course, and outcome. Renal involvement is demonstrated in half of patients. Exaggerated by pregnancy on renal function is not concluded. But renal failure is one of the leading causes of death. We report a case of lupus complicating pregnancy that no prepregnancy remission. She developed clinically pre-eclampsia and lupus nephritis in 17 weeks gestation. Flares of disease with deterioration of renal function despite corticosteroid therapy lead to stop pregnancy. Although pregnancy has been terminated, she became worse and died before starting hemodialysis. Histologic study from renal necropsy and clinical manifestation consistented with rapidly progressive glomerulonephritis (RPGN).