Subject(s)
Endocarditis, Bacterial/diagnosis , Renal Dialysis , Humans , Male , Middle Aged , Risk FactorsSubject(s)
Pericarditis/microbiology , Streptococcal Infections/diagnosis , Streptococcus agalactiae , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Male , Aged , Humans , Endocarditis, Subacute Bacterial/microbiology , Renal Dialysis/adverse effects , Renal Insufficiency, Chronic/complications , Vancomycin/therapeutic useABSTRACT
CASE REPORT: A young female patient with systemic lupus erithematosus, inactive for a long period, is described. She develops bilateral serous detachments of the retinal pigment epithelium and neurosensory retina after corticosteroid therapy for a residual nephritis. DISCUSSION: This unusual chorioretinopathy has been reported in association with systemic lupus erithematosus and during corticosteroid therapy in many disorders. This patient, with low activity erithematosus lupus, develops serous retinal detachments after receiving corticosteroid therapy that damage the coriocapillary-pigment epithelium barrier, disordered in lupus patients.
Subject(s)
Glucocorticoids/adverse effects , Lupus Erythematosus, Systemic/drug therapy , Prednisone/adverse effects , Retinal Detachment/chemically induced , Adult , Female , Fluorescein Angiography , Fundus Oculi , Glucocorticoids/administration & dosage , Humans , Prednisone/administration & dosage , Retinal Detachment/surgery , Treatment Outcome , Visual AcuityABSTRACT
Caso clínico: Se describe una paciente joven con lupus eritematoso sistémico, en largo período de inactividad, en la que una pauta de bajas dosis de esteroides para su nefropatía residual desencadena en la retina unos desprendimientos serosos bilaterales del epitelio pigmentario y del neuroepitelio.Discusión: La existencia de esta rara coriorretinopatía ha sido descrita tanto en el lupus eritematoso sistémico como asociada al uso de esteroides en diversos procesos. La peculiaridad del caso se basa en la aparición de desprendimientos serosos retinianos en un lupus eritematoso muy poco activo, desencadenados por la terapia esteroidea, que daña el complejo coriocapilar-epitelio pigmentario, ya alterado en los pacientes con lupus. (AU)
Subject(s)
Humans , Female , Adult , Retinal Detachment , Prednisone , Lupus Erythematosus, Systemic , Fundus Oculi , Treatment Outcome , Fluorescein Angiography , Glucocorticoids , Visual AcuityABSTRACT
We report a case of intracystic hemorrhage in a patient with acquired cystic kidney disease, undergoing hemodialysis. A surgical procedure was performed owing to the discrepancy between the clinical and radiological findings. The histological analyses revealed no evidence of kidney tumours.