Subject(s)
Crohn Disease/complications , Sjogren's Syndrome/complications , Female , Humans , Middle AgedABSTRACT
BACKGROUND: A case of organophosphorus intoxication with rebounding symptoms is reported. CASE REPORT: Case report of a 24-year-old man who poisoned himself with organophosphorus pesticide and was hospitalized in a 22-bed adult medical surgical intensive care unit at a tertiary care hospital. The patient had ingested organophosphorus pesticide after an argument and fight with his family and had presented typical clinical and biological manifestations of intoxication by this chemical. He was treated by mechanical ventilation, large fluid infusion, gastric lavage, as well as atropine and pralidoxime. After 48 hours of intensive care, the patient improved considerably, but shortly after this improvement, mental, hemodynamic, and respiratory status altered again. Gastric fibroscopy showed a small plastic bag containing powder in the stomach which was responsible for the rebounding symptoms of the intoxication. CONCLUSIONS: Gastric fibroscopy can be helpful in case of organophosphorus intoxication with persistent or rebounding symptoms.
Subject(s)
Organophosphate Poisoning , Pesticides/poisoning , Adult , Endoscopy, Digestive System , Fatal Outcome , Humans , MaleABSTRACT
INTRODUCTION: Involvement of the skin in Crohn's disease is rare. We report the case of a young woman presenting cutaneous nodules revealing a Crohn's disease. CASE REPORT: R. K. a 19 year old woman was admitted the impatient clinic for a 2 week history of nodular lesions of the extremities. Simultaneously, she had watery diarrhoea and abdominal pain associated with a bad general condition and fever. Skin examination showed ulcerated lesions with a non infiltrated inflammatory bader of the left food and the right calf associated with an abscess of the left forearm. Skin biopsy showed an inflammatory infiltrate of the deep dermis with tuberculoid noncaseating granulomas. Colonoscopy demonstrated multiple ulcers, a "globlestone appearance" of the glow and segmental glitis. Colonoscopy was followed by a peritonitis which made steroid therapy questionable. Meanwhile, the patient underwent a colonostomy and was fed intravenously, the skin lesions resolved. A follow up colonoscopy demonstrated colon polyps, and the biopsy of the colon showed features of colitis and "follicular" duodenitis which was in concordance with the diagnosis of Crohn's disease. COMMENTARIES: Usually, cutaneous lesions in Crohn's disease are consistent with nodules and granulomatous fissures of the grain. Involvement of the mucosa is rare. We report the case of "metastatic" localisation of nodular abscesses in Corhn disease. Improvement of cutaneous lesions might be explained by the nonuse of the digestive track allowed by the parenteral supplementation.
