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1.
Korean Journal of Medicine ; : 112-116, 2000.
Artigo em Coreano | WPRIM | ID: wpr-70050

RESUMO

Although infectious diseases are frequent in systemic lupus erythematosus, salmonella osteomyelitis is rarely reported. We here report an unusual case of salmonella osteomyelitis with osteonecrosis in a patient with systemic lupus erythematosus. A 29-year old woman with systemic lupus erythematosus was admitted to our hospital because of a painful swelling of right knee joint. She had been taking steroid and cyclophosphamide for 4 months because of diffuse membranous proliferative lupus nephritis. MRI showed both osteonecrosis of the right distal femur and osteomyelitis of the right proximal tibia. The abscess culture demonstrated almonella species (non typhoidal). The infection was treated successfully by a combination of surgical drainage and intravenous ceftriaxone.


Assuntos
Adulto , Feminino , Humanos , Abscesso , Ceftriaxona , Doenças Transmissíveis , Ciclofosfamida , Drenagem , Fêmur , Articulação do Joelho , Lúpus Eritematoso Sistêmico , Nefrite Lúpica , Imageamento por Ressonância Magnética , Osteomielite , Osteonecrose , Infecções por Salmonella , Salmonella , Tíbia
2.
Korean Journal of Nephrology ; : 984-988, 1999.
Artigo em Coreano | WPRIM | ID: wpr-87850

RESUMO

Iodinated contrast-induced acute renal failure is estimated to occur in 0.15 to 2% of all patients undergoing contrast imaging studies. Incidence is higher in patients with renal insufficiency, diabetes mellitus, dehydration, multiple myeloma, congestive heart failure, advanced age. We here report successful vascular interventional procedure by using gadopentetate dimeglumine(Gd-DTPA) as a contrast agent in a patient with chronic renal insufficiency and right superficial femoral artery stenosis. The patient had a history of iodinated contrast-induced acute renal failure. Gd-DTPA(0.17mmoVkg) diluted 1: 1 with 0.9% norrnal saline was used as contrast agent for the interventional procedure. Percutaneous transluminal angioplasty was successfully performed and there was no evidence of contrast material- induced acute renal failure after the procedure. Gd- DTPA is an alternative contrast agent for patients with chronic renal insufficiency.


Assuntos
Humanos , Injúria Renal Aguda , Angioplastia , Constrição Patológica , Desidratação , Diabetes Mellitus , Artéria Femoral , Gadolínio DTPA , Insuficiência Cardíaca , Incidência , Mieloma Múltiplo , Ácido Pentético , Insuficiência Renal , Insuficiência Renal Crônica
3.
Korean Journal of Nephrology ; : 989-993, 1999.
Artigo em Coreano | WPRIM | ID: wpr-87849

RESUMO

Although spontaneous bacterial peritonitis is a frequent complication in the childhood nephrotic syndrome, it is very rare in adults with nephrotic syndrome. It frequently develops when the patients are either in relapse or receiving steroid therapy at the time peritonitis is diagnosed. We report an unusual case of a spontaneous bacterial peritonitis as the presenting feature in a 15-year-old male patient with nephrotic syndrome. He presented with diffuse abdominal pain and distension for 15 days. Abdominal paracentesis revealed the diagnostic laboratory findings of peritonitis, and the bacterial culture of the ascites showed a mixed growth of Escherichia coli and Pseudomonas aeruzinosa. His serum albu- min level was 1.6gldL and the amount of 24 hours proteinuria was 21.0g/day. Although he was treated with adequate antibiotics for 3 weeks, the peritonitis was more aggravated. We decided to insert a catheter into the peritoneal cavity for continuous drainage of the intractable ascites. Two weeks after drainage, the peritonitis improved as the peritonitis subsided, the proteinuria disappeared completely without a steroid therapy. Six months after spontaneous remission, the proteinuria have recurred, and the kidney biopsy then showed focal segmental glomerulorsclerosis.


Assuntos
Adolescente , Adulto , Humanos , Masculino , Dor Abdominal , Antibacterianos , Ascite , Biópsia , Catéteres , Drenagem , Escherichia coli , Rim , Síndrome Nefrótica , Paracentese , Cavidade Peritoneal , Peritonite , Proteinúria , Pseudomonas , Recidiva , Remissão Espontânea
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