Subject(s)
Trichinellosis/diagnosis , Adult , Exanthema/etiology , Food Parasitology , Humans , Male , Trichinellosis/complications , Trichinellosis/etiologyABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Trichinella/pathogenicity , Trichinellosis/diagnosis , Meat/parasitology , Swine/parasitology , Exanthema/etiologySubject(s)
Diabetic Ketoacidosis/complications , Peripheral Vascular Diseases/complications , Thrombosis/complications , Amputation, Surgical , Diabetic Ketoacidosis/diagnosis , Diabetic Ketoacidosis/therapy , Female , Humans , Lower Extremity , Middle Aged , Peripheral Vascular Diseases/diagnosis , Peripheral Vascular Diseases/surgery , Thrombosis/diagnosis , Thrombosis/therapy , Treatment OutcomeABSTRACT
OBJECTS: To show the clinical results of a corpus callosotomy (CC) treatment using conformal stereotactic radiosurgery (SRS) on a patient with medically intractable multifocal epilepsy. MATERIALS AND METHODS: A 17-year-old male patient underwent corpus callosotomy conformal SRS using a dedicated linear accelerator (linac) with dynamic arcs technique. The prescribed dose was 36.0 Gy at the periphery of the rostrum, genu, and a half of the body of the corpus callosum (CCA). At 8 months after conformal SRS, the patient developed a significant brain edema and moderate transitory motor deficit, which were controlled with steroids. After 32 months follow-up, there is an improvement of 84% on drop attacks and generalized tonic-clonic seizures. CONCLUSIONS: Conformal SRS for corpus callosotomy with a single isocenter reproduce the results reported on literature using Gamma Knife-based SRS. The results show that this technique is safe and demonstrate its efficacy to control seizures.
Subject(s)
Corpus Callosum/surgery , Radiosurgery , Radiotherapy, Conformal , Adolescent , Anticonvulsants/therapeutic use , Brain Edema/etiology , Brain Edema/pathology , Brain Edema/therapy , Corpus Callosum/pathology , Drug Resistance , Electroencephalography , Epilepsy/surgery , Humans , Magnetic Resonance Imaging , Male , Paresis/etiology , Particle Accelerators , Postoperative Complications/pathology , Postoperative Complications/therapy , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Female , Middle Aged , Humans , Diabetic Ketoacidosis/complications , Peripheral Vascular Diseases/complications , Thrombosis/complications , Amputation, Surgical , Diabetic Ketoacidosis/diagnosis , Diabetic Ketoacidosis/therapy , Lower Extremity , Peripheral Vascular Diseases/diagnosis , Peripheral Vascular Diseases/surgery , Thrombosis/diagnosis , Thrombosis/therapyABSTRACT
PURPOSE/METHODS: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. RESULTS/CONCLUSIONS: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis).
Subject(s)
AIDS-Related Opportunistic Infections/microbiology , Choroiditis/microbiology , Cryptococcosis , Adult , Humans , MaleABSTRACT
Objetivo/Método: Presentamos el caso de un paciente de 31 años con presunta coroiditis criptocócica que ocurrió en el seno de una meningitis criptocócica y SIDA. Múltiples lesiones pequeñas blanco-amarillentas aparecieron bilateralmente en coroides, así como abundantes hemorragias y exudados algodonosos asociados a disminución de agudeza visual. También realizamos diagnóstico diferencial con otras entidades frecuentes y revisión de los tratamientos. Resultados/Conclusiones: Criptococos neoformans es un hongo oportunista con predilección por afectación meníngea en SIDA (10 por ciento). Las manifestaciones oculares normalmente son por afectación de los pares craneales o por papiledema secundario al aumento de presión intracraneal (hasta en un 50 por ciento de los casos). La coroiditis criptocócica ocurre menos frecuentemente (5 por ciento de pacientes con meningitis) (AU)
Purpose/Methods: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. Results/Conclusions: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis) (AU)
Subject(s)
Adult , Male , Humans , Cryptococcosis , AIDS-Related Opportunistic Infections , ChoroiditisABSTRACT
PURPOSE: To report a case of Propionibacterium acnes endophthalmitis in a patient with an Ahmed glaucoma valve. CASE REPORT: A nine-year-old boy with bilateral congenital glaucoma, with an Ahmed glaucoma valve implanted in the left eye, had recurrent conjunctival dehiscence and endophthalmitis. RESULTS: Vitreous cultures demonstrated the presence of Propionibacterium acnes. CONCLUSIONS: This is the first reported case of Propionibacterium acnes endophthalmitis in an Ahmed glaucoma valve and the second one in a glaucoma drainage device. We strongly recommend using a patch graft to prevent and treat tube exposure. Conjunctival grafts may be useful to close the conjunctiva when there is marked scarring to prevent patch exposure and melting or extrusion.
Subject(s)
Endophthalmitis/microbiology , Eye Infections, Bacterial/etiology , Glaucoma Drainage Implants/adverse effects , Gram-Positive Bacterial Infections/etiology , Propionibacterium acnes/isolation & purification , Prosthesis-Related Infections/etiology , Antifungal Agents/therapeutic use , Child , Endophthalmitis/drug therapy , Endophthalmitis/pathology , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/pathology , Glaucoma/congenital , Glaucoma/surgery , Gram-Positive Bacterial Infections/drug therapy , Gram-Positive Bacterial Infections/pathology , Humans , Male , Prosthesis-Related Infections/drug therapy , Prosthesis-Related Infections/pathology , Recurrence , Retinal Detachment/diagnostic imaging , Retinal Detachment/etiology , Ultrasonography , Vitreous Body/microbiologyABSTRACT
Objetivo: Los epiteliomas espinocelulares (EE) palpebrales son raros (1 a 2 por ciento de todas las lesiones palpebrales). La verdadera frecuencia de estas tumoraciones está aún por determinar por la tendencia a errores diagnósticos (epitelioma basocelular y carcinoma sebáceo) según reflejan varias publicaciones. Métodos: Hemos estudiado retrospectivamente una serie de 18 pacientes tratados quirúrgicamente de forma consecutiva en nuestro hospital entre 1990 y 1998, analizando sus características en cuanto a edad, sexo, tamaño, localización, tratamiento efectuado y recurrencia. Resultados: El estudio histopatológico confirmó 18 EE. Se presentan con mayor frecuencia en el sexo masculino, en el párpado inferior y en el lado derecho. La edad media y década de mayor incidencia fueron 71 años y 71 a 80 años de edad (45 por ciento) respectivamente. Conclusiones: Los EE son el segundo grupo en frecuencia de los tumores malignos palpebrales. Se originan en general a partir de lesiones actínicas queratósicas preexistentes, sin embargo, tienen menor poder matastatizante que los EE localizados en otras partes. Son mucho más metastatizantes que los epiteliomas basocelulares (EB). Los hombres se afectan con más frecuencia. Las recurrencias después de la cirugía son raras pero tres de nuestros pacientes desarrollaron una invasión orbitaria (16,6 por ciento). El principal factor de riesgo es la exposición a rayos ultravioleta (UV), desafortunadamente, nuestra cultura valora como deseable el bronceado de la piel, y los pacientes de riesgo pueden pagar un elevado precio por esta vanidad (AU)
