ABSTRACT
Submucosal haematoma of the oesophagus is an uncommon condition which may be under-recognised. Presentation may be with chest pain, dysphagia or haematemesis. Endoscopy, CT scan, barium meal or a combination of these modalities makes the diagnosis. Most patients make a full recovery.
Subject(s)
Esophageal Diseases/complications , Hematoma/complications , Mallory-Weiss Syndrome/complications , Aged , Esophageal Diseases/diagnostic imaging , Female , Hematoma/diagnostic imaging , Humans , Middle Aged , Radiography , Vomiting/complicationsABSTRACT
Chronic subdural haematoma is predominantly a disease of the elderly. It usually follows a minor trauma. A history of direct trauma to the head is absent in up to half the cases. The common manifestations are altered mental state and focal neurological deficit. Neurological state at the time of diagnosis is the most important prognostic factor. Morbidity and mortality is higher in the elderly but outcome is good in patients who undergo neurosurgical intervention.
Subject(s)
Hematoma, Subdural, Chronic , Accidental Falls , Age Factors , Aged , Brain/diagnostic imaging , Craniocerebral Trauma/complications , Epilepsy/etiology , Hematoma, Subdural, Chronic/diagnosis , Hematoma, Subdural, Chronic/etiology , Hematoma, Subdural, Chronic/surgery , Humans , Pneumocephalus/etiology , Postoperative Complications , Prognosis , Recurrence , Risk Factors , Tomography, X-Ray ComputedABSTRACT
A slaughterhouse worker presented with fever and a pleuropericardial effusion. Conventional microbiology failed to identify the responsible organism. However, DNA sequencing definitively identified Campylobacter fetus ssp fetus, which is rare in immunocompetent individuals. Prolonged treatment was required to eradicate the infection.