ABSTRACT
A case of pericardial effusion presenting clinically with pretamponade is shown. TBC is not a rare cause of Pericardial effusion and at present Tuberculosis is a more and more frequent infection also in occidental countries. Guide lines for diagnosis and treatment are revised.
Subject(s)
Abdominal Pain/microbiology , Anorexia/microbiology , Fever/microbiology , Pericardial Effusion/complications , Pericardial Effusion/diagnosis , Pericarditis, Tuberculous/complications , Pericarditis, Tuberculous/diagnosis , Aged , Cardiac Tamponade/complications , Cardiac Tamponade/diagnosis , Cardiac Tamponade/microbiology , Diagnosis, Differential , Echocardiography , Electrocardiography , Humans , Male , Pericardial Effusion/microbiology , Pericarditis, Constrictive/complications , Pericarditis, Constrictive/diagnosisABSTRACT
The case of a 61 yo diabetic woman presenting with dysuria and lower abdominal pain is described. The incomplete resolution of the clinical picture after short antibiotic treatment and a strong suspect of autonomic neuropathy oriented to an anamnestic reevaluation that evidenced the presence of pneumaturia. The last was the key-symptom that guided to diagnostic imaging showing emphysematous cystitis while a gastroscopy confirmed the presence of autonomic neuropathy manifested by gastroparesis. Emphisematous cystitis is a characteristic infectious complication of diabetic patients induced by a persistent incomplete bladder emptying and bacterial glucose fermentation. The complete eradication of the infectious agent requires a long term antibiotic course and a prompt identification of this pathology.
Subject(s)
Cystitis/diagnosis , Diabetes Mellitus, Type 2/diagnosis , Diabetic Nephropathies/diagnosis , Abdominal Pain/etiology , Cystitis/etiology , Diabetes Mellitus, Type 2/complications , Diabetic Nephropathies/complications , Female , Humans , Middle Aged , Urination Disorders/etiologyABSTRACT
A severe, life-threatening metabolic alchalosis associated with a stenosing pancreatic carcinoma in a female type II diabetic patients is presented, and a review of the most frequent causes of hyperemesis, orthostatic hypotension and lethargy is shown.