ABSTRACT
We report a 71 years old man suffering from transient ischemic attack associated with a calcinosis cerebri (Fahr's disease). Arterial hypertension was the unique vascular risk factor disclosed.
Subject(s)
Brain Diseases/complications , Calcinosis/complications , Dysarthria/etiology , Ischemic Attack, Transient/etiology , Aged , Brain Diseases/diagnostic imaging , Calcinosis/diagnostic imaging , Clopidogrel , Dysarthria/drug therapy , Humans , Ischemic Attack, Transient/drug therapy , Magnetic Resonance Imaging , Male , Platelet Aggregation Inhibitors/therapeutic use , Ticlopidine/analogs & derivatives , Ticlopidine/therapeutic use , Tomography, X-Ray ComputedABSTRACT
Presentamos un caso de calcinosis cerebral (posiblemente por una enfermedad de Fahr primaria) asociado a un cuadro de accidente isquémico transitorio (disartria) en un varón anciano con hipertensión arterialy sin ningún otro factor de riesgo vascular
We report a 71 years old man suffering from transient ischemic attack associated with a calcinosis cerebri (Fahrs disease). Arterial hypertension was the unique vascular risk factor disclosed
Subject(s)
Humans , Male , Middle Aged , Calcinosis/complications , Calcinosis/diagnosis , Dysarthria/complications , Dysarthria/diagnosis , Hypertension/complications , Hypertension/diagnosis , Platelet Aggregation Inhibitors/therapeutic use , Risk Factors , Acidosis, Lactic/diagnosis , Skull/pathology , SkullABSTRACT
We report here a case of primary haematogenous osteomyelitis diagnosed in a young mild asthmatic male with immunocompetence. A hard job worked as trigger of the septic picture from a forunculosis lesion located on the abdominal wall. Meticilin-susceptible Staphylococcus aureus was isolated from blood cultures and from sternal aspiration liquid. Two months after clinical onset Ig G 4 elevation was achieved at the immunodeficiency screening. Stafilococycal lung CT images accompanied to the septic course. Intravenous cloxacilin and gentamycin treatment followed by oral rifampicin and levofloxacin achieved a total recovery.
Subject(s)
Osteomyelitis/microbiology , Pneumonia, Staphylococcal/diagnosis , Sepsis/diagnosis , Staphylococcal Infections/diagnosis , Adult , Asthma , Humans , Immunocompetence , Male , Osteomyelitis/drug therapy , Pneumonia, Staphylococcal/drug therapy , Sepsis/drug therapy , Staphylococcal Infections/drug therapy , SternumABSTRACT
Presentamos un caso de osteomielitis esternal hematógena en un varón joven con antecedentes de asma moderado y normalidad de las funciones inmunológicas. El cuadro se desencadenó después de un esfuerzo físico importante y probablemente por la reactivación de una lesión foruncular en la pared del abdomen. Se aisló Staphylococcus aureus sensible a meticilina tanto en los hemocultivos como en el líquido extraído de la lesión esternal. Se pudo objetivar una elevación de la fracción Ig G 4 en la fase de reimisión clínica. El cuadro séptico se acompañaba de lesiones pulmonares sugerentes de neumonía neumocócica. El tratamiento a base de cloxacilina y gentamicina por vía endovenosa seguido por Rifampicina y Levofloxacino por vía oral dio como resultado una restitutio ad integrum"
We report here a case of primary haematogenous osteomyelitis diagnosed in a young mild asthmatic male with immunocompetence. A hard job worked as trigger of the septic picture from a forunculosis lesion located on the abdominal wall. Meticilin-susceptible Staphylococcus aureus was isolated from blood cultures and from sternal aspiration liquid. Two months after clinical onset Ig G 4 elevation was achieved at the immunodeficiency screening. Stafilococycal lung CT images accompanied to the septic course. Intravenous cloxacilin and gentamycin treatment followed by oral rifampicin and levofloxacin achieved a total recovery
Subject(s)
Male , Adult , Humans , Pneumonia/microbiology , Osteomyelitis/microbiology , Sternum/microbiology , Sepsis/microbiology , Staphylococcus aureus/pathogenicity , Anti-Bacterial Agents/therapeutic use , Pneumonia/etiology , Osteomyelitis/etiology , Pneumonia/drug therapy , Osteomyelitis/drug therapyABSTRACT
OBJECTIVE: To asses the knowledge and attitude about smoking habit of in-patients in order to detect the sanitary activities that could help to decrease the prevalence of smoking. MATERIAL AND METHODS: Cross-sectional observational study of random sample (n=395) of in-patients of University Hospital Virgen Macarean, Seville, Spain. Participation rate was 89% (n=350) and the interviewer-administered questionnaire was completed with epidemiological and clinical additional data. RESULTS: Sixty per cent of in-patients were smokers or former smokers. There were statistically significant differences in smoking distribution by age, gender, education, socio-economic level and admission diagnosis. Etiologic relationships between tobacco smoking and lung cancer or chronic lung disease were known by more than 90% of in-patients but other smokings health effects were not so well known: larynx (86%), oesophagus (86%) and oral cavity (81%) cancer, coronary heart disease (82%) and low birthweight (78%). Forty-five per cent of smokers began to smoke before the age of 15 and an additional 40% at 15-19 year. Forty-six per cent of smokers tried to leave this habit without success in spite of receiving medical advice of leaving smoking (61%) and the recommendations of family and friends (60%). CONCLUSIONS: Preventive campaigns against tobacco smoking must include pharmacological and psicological treatment for current smokers because an important proportion of them try to leave this habit without success.
