Subject(s)
Choristoma/complications , Epilepsy/etiology , Age of Onset , Anticonvulsants/administration & dosage , Anticonvulsants/therapeutic use , Brain/physiopathology , Choristoma/genetics , Choristoma/physiopathology , Epilepsy/drug therapy , Female , Humans , Middle Aged , Pedigree , Phenytoin/administration & dosage , Phenytoin/therapeutic use , Sex Factors , Valproic Acid/administration & dosage , Valproic Acid/therapeutic use , X ChromosomeABSTRACT
A case of 26 year old male with an infection caused by Rickettsia conorii (RC) associated to erythema nodosum (EN) is presented. The patient had EN together with a high temperature and toxic symptoms 2 weeks after camping in the mountains. The diagnosis was made by ascertaining IgM titers positive to RC by indirect immunofluorescence (IIF). The disease disappeared 24 hours after the initiation of treatment with doxiciclin. Based on this observation, we consider RC to be an etiologic agent which should be taken into account in the differential diagnosis of EN.
Subject(s)
Boutonneuse Fever/complications , Erythema Nodosum/microbiology , Adult , Humans , MaleABSTRACT
A case of a 27 year old female diagnosed as having TB and AIDS, who had a mediastinal lymph node fistulized to the esophagus, is presented. We correlate this description to 2 important aspects: 1) lymph node TB as the most frequent cause of extrapulmonary TB; 2) The association of TB and AIDS. We analysed the rareness of this association, suggesting the possible mechanism of production, commenting on the main clinical features and diagnostic/therapeutic attitudes of esophago-mediastinal fistula of TB origin.