Diverticulitis aguda perforada simulando prostatitis aguda / Perforated acute diverticulitis mimicking acute prostatitis

We present an unfrequent case of acute diverticulitis mimmicking acute prostatitis. Case report: A 72-year-old man suffering from hypogastric and genital pain, fever and dysuria, with an edematous and tender prostate at physical examination, was initially diagnosed of acute prostatitis. 24 hours later the patient developed left lower quadrant pain and abdominal distension. A CT scan was performed, showing pneumoperitoneum and acute sigmoid diverticulitis signs. The patient underwent a Hartmann's procedure.

Presentamos un caso infrecuente de diverticulitis aguda con manifestaciones clínicas sugerentes de prostatitis aguda. Caso clínico: Varón de 72 años, presenta dolor hipogástrico y en región genital, fiebre y disuria, palpándose una próstata edematosa y dolorosa al tacto rectal, por lo que es inicialmente diagnosticado de prostatitis aguda. A las 24 horas el paciente desarrolla un cuadro de distensión abdominal y dolor en fosa ilíaca izquierda. Una TC abdominal mostró neumoperitoneo y signos de diverticulitis aguda. Se intervino al paciente realizando una intervención de Hartmann.

Morphological and morphometric variability of three clones of Trypanosoma cruzi and the strain of origen (Bolivia) / Morphological and morphometric variability of three clones of Trypanosoma cruzi and the strain of origin (Bolivia)

Knowing the great divesity of medical and biological properties of Trypanosoma cruzi, the causal agent of Chagas'disease, we quantified the morphological parameters that typify the different forms of three clones of T. cruzi and their original strain, Bolivia, in comparison among themselves and with strain Bolivia, attempting to provide additional data concerning the clonal biological behaviour of this parasite. Blood forms morphology was quantified using a computarized image analysis (Videoplan/Kontron) and statistical analysis was determined using ANOVA-1 Test. Large number of quantitative differences among slender, broad, and stout forms were found. The comparison of clones I, II and III with their mother strain, leads to the emergence of significant differences in at least 12 parameters out of the 16 we studied. When clones were compared among themselves, the differences decrased. Variations of the percentagens of the three kinds of clones were found along the acute infection. These data are the first step in correlating the morphological and pathogenic characteristics of the parasite.