RESUMO
Extramedullary plasmacytoma (EMP) is a common plasma cell tumor often involving the upper aerodigestive tract. Although extremely rare, mediastinal involvement is possible. An 81-year-old man was presented to our emergency department with chest and back pain with weakness in both legs. Chest X-ray showed a large mass in the upper right mediastinum; subsequently, computed tomography and magnetic resonance imaging evaluated the mass. He was diagnosed with mediastinal EMP, which progressed to spinal cord compression. The patient was treated with radiotherapy and chemotherapy. Spinal cord compression, due to metastatic tumor, is an emergency clinical situation that requires prompt diagnosis and treatment. Emergency medicine physicians should be aware of the clinical presentation and complications associated with EMP.
Assuntos
Idoso de 80 Anos ou mais , Humanos , Dor nas Costas , Diagnóstico , Tratamento Farmacológico , Emergências , Medicina de Emergência , Serviço Hospitalar de Emergência , Perna (Membro) , Imageamento por Ressonância Magnética , Mediastino , Mieloma Múltiplo , Plasmocitoma , Radioterapia , Compressão da Medula Espinal , Medula Espinal , TóraxRESUMO
Internal iliac artery aneurysm (IIAA) is a type of abdominal aneurysm that is a rare cause of lower urinary tract symptoms because of its anatomic location. If diagnosed after rupture, it can be lethal and surgery is mandatory. A 57-year-old male presented with acute urinary retention and syncope. An intra-abdominal mass initially thought to be an aneurysm was apparent by ultrasound. A computed tomography scan of the abdomen confirmed an internal iliac artery aneurysm accompanied by rupture. The patient was discharged without any complications within 20 days after receiving a vascular graft and resection of the aneurysm.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Abdome , Aneurisma , Aneurisma Ilíaco , Artéria Ilíaca , Sintomas do Trato Urinário Inferior , Ruptura , Síncope , Transplantes , Retenção UrináriaRESUMO
Acute generalized exanthematous pustulosis is a rare, drug-induced disease that is occasionally accompanied by acute renal failure. It is characterized by the abrupt onset of widespread pustules on an erythematous base and rapid spontaneous healing. We report a case involving a 47-year-old male who presented with exanthematous pustules after taking medication. Azotemia was found in the resulting blood test. We were able to achieve the final diagnosis by skin biopsy. After instructing the patient not to take the previous medication, oral steroids were prescribed. He recovered within 2 weeks with just desquamations remaining.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Pustulose Exantematosa Aguda Generalizada , Injúria Renal Aguda , Azotemia , Biópsia , Testes Hematológicos , Pele , EsteroidesRESUMO
Emphysematous pyelonephritis (EPN) is a necrotizing infection of the renal parenchyma and its surrounding tissues that results in the accumulation of gas in the renal parenchyma, collecting system or perinephric tissue. EPN is a potentially life-threatening condition, which is most commonly associated with poorly controlled diabetes. We describe a case of emphysematous pyelonephritis associated with emphysematous ureteritis and cystitis in a 68-year-old diabetic woman, who was cured with medical treatment and surgical intervention.