ABSTRACT
Pulmonary agenesis (PA) is a rare congenital anomaly, which may be unilateral or bilateral. Unilateral PA may be associated with nonspecific respiratory symptoms. We report the case of 5-month-old infant who presented a normal development until the age of 4 months when a respiratory infection caused an acute respiratory distress syndrome with a fatal outcome. The autopsy findings depicted the right lung agenesis without any other concomitant malformation. Although respiratory symptoms represent frequent complaints in pediatrics, the aim of this study is not only to draw attention to the unilateral pulmonary agenesis as a possible underlying malformation in children who present recurrent and severe respiratory symptoms, but also to report a case diagnosed at autopsy.
ABSTRACT
Endocardial fibroelastosis is an important cause of congestive heart failure and death in infancy and early childhood. When present, it is commonly associated with non immune hydrops fetalis. The aim of this study is to draw attention for possible cardiac abnormalities in cases of fetal hydrops, and report a case of premature death by primary endocardial fibroelastosis with autopsy.
Subject(s)
Endocardial Fibroelastosis/pathology , Heart Failure/pathology , Hydrops Fetalis/pathology , Myocardium/pathology , Adult , Autopsy , Endocardial Fibroelastosis/complications , Endocardial Fibroelastosis/diagnosis , Heart Defects, Congenital/complications , Heart Defects, Congenital/diagnosis , Heart Defects, Congenital/pathology , Heart Failure/complications , Heart Failure/diagnosis , Humans , Hydrops Fetalis/diagnosis , MaleABSTRACT
Racional - Para que um tumor seja considerado sincrônico deve ser excluída a possibilidade de metástase, tempo de diagnóstico entre o primeiro e o segundo tumor não deve ultrapassar seis meses. Tumores sincrônicos são relativamente raros, mas sabe-se da ocorrência simultânea dos tumores gástrico e colônico; em vista disso é prudente a conduta de se procurar o segundo tumor quando do diagnóstico do primeiro. No caso do Brasil esta...
Subject(s)
Cats , Gastrectomy , Stomach Neoplasms/surgery , Colonic Neoplasms/surgery , Adenocarcinoma , Biopsy , Colectomy , EndoscopyABSTRACT
We report the second case of infection with Chromobacterium violaceum that occurred in Brazil. A farm worker living in the State of São Paulo presented fever and severe abdominal pain for four days. At hospitalization the patient was in a toxemic state and had a distended and painful abdomen. Chest X-ray and abdominal ultrasound revealed bilateral pneumonia and hypoechoic areas in the liver. The patient developed failure of multiple organs and died a few hours later. Blood culture led to isolation of C. violaceum resistant to ampicillin and cephalosporins and sensitive to chloramphenicol, tetracyclin, aminoglicosydes, and ciprofloxacin. Autopsy revealed pulmonary microabscesses and multiple abscesses in the liver. The major features of this case are generally observed in infections by C. violaceum: rapid clinical course, multiple visceral abscesses, and high mortality. Because of the antimicrobial resistance profile of this Gram-negative bacillus, for appropriate empirical antibiotic therapy it is important to consider chromobacteriosis in the differential diagnosis of severe community infections in Brazil.
Subject(s)
Humans , Male , Adult , Chromobacterium , Gram-Negative Bacterial Infections/diagnosis , Anti-Bacterial Agents/therapeutic use , Chromobacterium/isolation & purification , Drug Resistance, Microbial , Gram-Negative Bacterial Infections/drug therapy , Liver Abscess/diagnosis , Liver Abscess/microbiologyABSTRACT
Com o objetivo de avaliar a eficácia da biópsia na elucidaçäo diagnóstica em adenomegalia em crianças, os autores estudaram 54 prontuários e 55 biópsias do Serviço de Anatomia-Patológica de dois hospitais situados na cidade de Santos. A análise mostrou, em 2/3 dos casos, Adenite Inespecífica (benigna). Foram identificados 10 casos de Tuberculose, 5 de Doença de Hodgkin e 1 de arranhadura de gato. O "índice terapêutico" (porcentagem de biópsias diagnósticas que possibilitam tratamento específico) foi de 35,2 (por cento), o que significa que a indicaçäo da biópsia foi correta e oportuna
