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2.
Korean Journal of Medicine ; : 148-153, 2016.
Article Dans Coréen | WPRIM | ID: wpr-65767

Résumé

A 64-year-old woman was admitted with vertebral osteomyelitis and polyarthritis (both knees and the right shoulder). She had had no health problems before these conditions developed. Joint culture grew methicillin-resistant Staphylococcus aureus. During hospitalization, hematuria, proteinuria, azotemia, and decreased C3 were reported. The renal biopsy showed mesangial proliferative glomerulonephritis with C3 and IgA co-dominant deposits on immunofluorescence staining. Following incision and drainage of the right shoulder and right knee, and intravenous vancomycin for 15 weeks, the C-reactive protein, proteinuria, hematuria, and C3 level all normalized. Here, we report a case of Staphylococcus-associated glomerulonephritis with a brief review of the literature.


Sujets)
Femelle , Humains , Adulte d'âge moyen , Arthrite , Azotémie , Biopsie , Protéine C-réactive , Drainage , Technique d'immunofluorescence , Glomérulonéphrite , Hématurie , Hospitalisation , Immunoglobuline A , Articulations , Genou , Staphylococcus aureus résistant à la méticilline , Ostéomyélite , Protéinurie , Épaule , Vancomycine
3.
Clinical Endoscopy ; : 570-575, 2015.
Article Dans Anglais | WPRIM | ID: wpr-185238

Résumé

Colonic perforation may occur as a complication of diagnostic and therapeutic colonoscopy. The risk factors for perforation after colorectal endoscopic submucosal dissection (ESD) include an inexperienced endoscopist, a large tumor size, and submucosal fibrosis. The mechanisms of perforation include unintended endoscopic resection/dissection and severe thermal injury. Here, we report a case of colon perforation that occurred after ESD with snaring of a laterally spreading tumor. The perforation was completely unexpected because there were no colorectal ESD-associated risk factors for perforation, deep dissection, or severe coagulation injury in our patient.


Sujets)
Humains , Côlon , Coloscopie , Fibrose , Facteurs de risque , Protéines SNARE
4.
Korean Journal of Pancreas and Biliary Tract ; : 111-114, 2015.
Article Dans Coréen | WPRIM | ID: wpr-164816

Résumé

We report a case of duodenal metastasis from squamous cell carcinoma of the cervix confirmed by histopathological diagnosis. A 48-year-old woman was diagnosed with uterine cervix cancer stage IVB and underwent chemotherapy. During follow-up after chemotherapy, a mass suspicious of malignancy was found at the 3rd portion of the duodenum on the magnetic resonance imaging of the abdomen. Esophagogastroduodenoscopy with biopsy was done for an ulcerofungating mass at the 3rd portion of the duodenum. Squamous cell carcinoma was confirmed on the biopsy which was same as the histopathological diagnosis confirmed by cervix biopsy and right supraclavicular lymph node biopsy resulting from metastasis of cervix. Since 1981, only ten cases of small bowel metastasis from squamous cell carcinoma of cervix have been reported. It is exceedingly rare to find metastasis to the duodenum from uterine cervix cancer.


Sujets)
Femelle , Humains , Adulte d'âge moyen , Abdomen , Biopsie , Carcinome épidermoïde , Col de l'utérus , Diagnostic , Traitement médicamenteux , Duodénum , Endoscopie digestive , Études de suivi , Noeuds lymphatiques , Imagerie par résonance magnétique , Métastase tumorale , Tumeurs du col de l'utérus
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