Subject(s)
Polyps , Sarcoidosis, Pulmonary/complications , Aged , Anti-Bacterial Agents/therapeutic use , Antifungal Agents/therapeutic use , Aspergillus nidulans/isolation & purification , Bronchoscopy , Enterobacter cloacae/isolation & purification , Female , Humans , Polyps/complications , Polyps/diagnosis , Polyps/microbiology , Polyps/therapyABSTRACT
A 19 year-old female presented with sudden onset of severe headache and photophobia. Clinical examination, blood tests and lumbar puncture were unremarkable.The patient was taking drospirenone/ethinyl estradiol oral contraceptives. An unenhanced computed tomography (CT) was performed with findings suspicious for sinus thrombosis. A confirmatory CT venography was made, which was diagnostic for sinus thrombosis. Thrombophilia screening was performed and showed normal values. Estrogen-containing hormonal contraceptives was the only risk factor, and this therapy has venous thrombosis as a rare side effect.
Subject(s)
Androstenes/adverse effects , Contraceptives, Oral, Combined/adverse effects , Contraceptives, Oral, Hormonal/adverse effects , Ethinyl Estradiol/adverse effects , Sinus Thrombosis, Intracranial/chemically induced , Female , Humans , Sinus Thrombosis, Intracranial/diagnostic imaging , Tomography, X-Ray Computed , Young AdultABSTRACT
Intrathoracic goiter represents an important differential diagnosis in the examination of lung tumours. A 71-year-old healthy woman presented with dyspnoea, stridor and an inhomogeneous tumour compressing the upper part of the right lung at the level of the left atrium. Computed tomography showed bilateral pleural effusions and a pericardial effusion. Thyroid scintigraphy demonstrated no uptake in the pulmonary mass and material from two sets of core-needle biopsies were inconclusive. Surgery with histology revealed a degenerated benign intrathoracic goiter.
Subject(s)
Goiter, Substernal/diagnosis , Aged , Diagnosis, Differential , Female , Goiter, Substernal/pathology , Goiter, Substernal/surgery , Humans , Lung Neoplasms/diagnosisABSTRACT
Contrast media may induce nephrotoxicity, particularly in elderly patients with pre-existing renal impairment. The concomitant use of metformin may lead to lactic acidosis due to metformin accumulation. Thus, metformin should be discontinued prior to use of contrast media. We observed acute renal failure requiring haemodialysis in a 74-year-old man with non-insulin-dependent type II diabetes. The man had had an intravenous urography to examine an increased plasma creatinine level, and metformin had not been discontinued. We report the case to remind doctors of this avoidable side effect.