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11.
Arch Esp Urol ; 52(8): 890-2, 1999 Oct.
Article in Spanish | MEDLINE | ID: mdl-10589125

ABSTRACT

OBJECTIVE: To report a case of erythrocytosis in a patient with a hydronephrotic horseshoe kidney and normal erythropoietin values. METHODS/RESULTS: A hydronephrotic horseshoe kidney was discovered during evaluation to determine the etiology of the erythrocytosis in a 23-year-old male with normal erythropietin values. Blood parameters returned to normal following heminephrectomy. The hydronephrosis had been caused by stenois of the pyeloureteric junction. CONCLUSIONS: Although erythropoietin values may be normal, hydronephrosis can cause secondary erythrocytosis.


Subject(s)
Hydronephrosis/etiology , Kidney Diseases, Cystic/complications , Kidney/abnormalities , Polycythemia/etiology , Adult , Diagnosis, Differential , Erythropoietin/blood , Humans , Hydronephrosis/diagnostic imaging , Hydronephrosis/surgery , Kidney/diagnostic imaging , Kidney/surgery , Kidney Diseases, Cystic/diagnostic imaging , Kidney Diseases, Cystic/surgery , Male , Polycythemia/diagnosis , Polycythemia Vera/diagnosis , Tomography, X-Ray Computed
15.
Arch Esp Urol ; 51(5): 491-3, 1998 Jun.
Article in Spanish | MEDLINE | ID: mdl-9675949

ABSTRACT

OBJECTIVE: To report a case of hematoma of the psoas muscle, an uncommon hemorrhagic complication of carcinoma of the prostate. METHODS/RESULTS: Hematoma of the iliac psoas was caused by disseminated intravascular coagulation arising from multiple bony metastases of a prostatic cancer. The hematoma was successfully managed conservatively. CONCLUSIONS: Hematoma of the psoas muscle is generally secondary to a coagulopathy. Conservative treatment generally achieves good results.


Subject(s)
Hematoma/pathology , Prostatic Neoplasms/complications , Psoas Muscles/pathology , Hematoma/etiology , Humans , Male , Middle Aged
16.
Br J Rheumatol ; 36(2): 276-9, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9133947

ABSTRACT

We present a 79-yr-old white woman admitted to the hospital with diffuse myalgias and muscle weakness associated with eosinophilia. Examination of a muscle biopsy section revealed eosinophilic myositis with vasculitis. This association is infrequent and we describe the first case report with symmetrical polyneuropathy. The treatment with prednisone (60 mg/day) led to a complete clinical-pathological recovery of the disease. We review the differential diagnosis and the aetiopathogenic mechanism.


Subject(s)
Eosinophilia/complications , Myositis/complications , Peripheral Nervous System Diseases/complications , Vasculitis/complications , Aged , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Eosinophilia/drug therapy , Eosinophilia/pathology , Female , Humans , Muscle, Skeletal/pathology , Myositis/drug therapy , Myositis/pathology , Peripheral Nervous System Diseases/drug therapy , Peripheral Nervous System Diseases/pathology , Prednisolone/therapeutic use , Vasculitis/drug therapy , Vasculitis/pathology
18.
Enferm Infecc Microbiol Clin ; 10(9): 543-6, 1992 Nov.
Article in Spanish | MEDLINE | ID: mdl-1489796

ABSTRACT

BACKGROUND: Fungal infections are nowadays more common in clinical practice. The most frequently isolated fungi are Candida and Cryptococcus. Infection due to Rhodotorula mucilaginosa is very uncommon. We describe here our experience with R. mucilaginosa fungemia, with emphasis on total parenteral nutrition related episodes. METHOD: A retrospective review identified 3 patients with R. mucilaginosa, and predisposing conditions, clinical features, treatment used and outcome were analyzed. The case definition includes the repeated isolation of R. mucilaginosa in several blood-cultures and/or the isolation of R. mucilaginosa in one single blood culture together with its isolation in any other site. RESULTS: Three patients were identified. In all of them there are some defects in immune response (skin anergy in two, immunosuppressive therapy in the remaining patient), had an iv line placed, under antibiotic therapy and total parenteral nutrition. All factors could have been related to the development of R. mucilaginosa infection. CONCLUSION: Although its pathogenic role is controversial, in two or our patients R. mucilaginosa infections correlates well with clinical signs and symptoms of invasive infections (fever, hemodynamic changes). The treatment is still not clear.


Subject(s)
Catheterization, Central Venous/adverse effects , Cross Infection/microbiology , Fungemia/microbiology , Parenteral Nutrition, Total , Rhodotorula/isolation & purification , Adult , Antifungal Agents/therapeutic use , Cross Infection/drug therapy , Cross Infection/epidemiology , Cross Infection/etiology , Equipment Contamination , Female , Fungemia/drug therapy , Fungemia/epidemiology , Fungemia/etiology , Humans , Male , Middle Aged , Parenteral Nutrition, Total/instrumentation , Postoperative Complications/microbiology , Retrospective Studies , Rhodotorula/classification , Rhodotorula/pathogenicity
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