RESUMO
No abstract available.
Assuntos
Neoplasias Cardíacas , Transplante de Células-Tronco Hematopoéticas , Células-Tronco Hematopoéticas , Leucemia , Leucemia-Linfoma Linfoblástico de Células Precursoras , Recidiva , Transplante de Células-TroncoRESUMO
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.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Artrite , Azotemia , Biópsia , Proteína C-Reativa , Drenagem , Imunofluorescência , Glomerulonefrite , Hematúria , Hospitalização , Imunoglobulina A , Articulações , Joelho , Staphylococcus aureus Resistente à Meticilina , Osteomielite , Proteinúria , Ombro , VancomicinaRESUMO
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.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Abdome , Biópsia , Carcinoma de Células Escamosas , Colo do Útero , Diagnóstico , Tratamento Farmacológico , Duodeno , Endoscopia do Sistema Digestório , Seguimentos , Linfonodos , Imageamento por Ressonância Magnética , Metástase Neoplásica , Neoplasias do Colo do ÚteroRESUMO
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.