Subject(s)
Nevus, Intradermal , Skin Abnormalities , Skin Neoplasms , Humans , Nevus, Intradermal/diagnosis , Skin Neoplasms/diagnosis , ScalpABSTRACT
BACKGROUND: Periprosthetic orbital haemorrhage is an uncommon complication of the alloplastic implants used in post-traumatic orbital floor repair. The small case series or individual reports provide no definite causative explanation for this delayed bleeding around silicone implants. It is likely that it is related to the disruption of fine capillaries within the pseudocapsule surrounding the implant, since the material does cause low-grade irritation with evidence of chronic inflammation. CASE REPORT: We report the case of a patient who developed a spontaneous periprosthetic bleeding 18 years' post-silicone sheet reconstruction of the orbital floor. RESULTS: Urgent removal of the implant insured prompt resolution of all symptoms and no further problem during the 2-year follow-up. CONCLUSION: This report emphasizes that periprosthetic orbital haemorrhage can occur years after the initial repair. Awareness of this rare complication allows for prompt diagnosis, decreasing the possibility of permanent damage of the orbital content. The removal of implant is necessary to relieve the symptoms and prevent potential infective complications.
Subject(s)
Fracture Fixation, Internal/instrumentation , Orbital Fractures/surgery , Plastic Surgery Procedures/adverse effects , Prostheses and Implants/adverse effects , Retrobulbar Hemorrhage/etiology , Bone Plates , Follow-Up Studies , Fracture Fixation, Internal/methods , Humans , Middle Aged , Orbital Fractures/diagnostic imaging , Plastic Surgery Procedures/methods , Reoperation/methods , Retrobulbar Hemorrhage/diagnostic imaging , Retrobulbar Hemorrhage/surgery , Silicone Elastomers/pharmacology , Time Factors , Tomography, X-Ray Computed/methods , Treatment OutcomeABSTRACT
Clinic, etiologic and therapeutic study of fungic infection in AIDS patients. The retrospective clinical study of the 10 AIDS patients admitted between 01.01.1994 and 31.12.2000 in Infectious Diseases Clinical Hospital of Iasi. The majority of the cases (7) were registered in the last 3 years: 4 children and 6 adults. HIV infection was known only for 4 patients according to their history, and for the other 6 patients this diagnosis was made concomitantly of fungic infection diagnosis. The disease onset was insidious in 7 cases (2 children and 5 adults) being characterized by manifestations of nervous system involvement and consciousness disturbances (6 cases). The etiological diagnosis was established for alive patients by cerebrospinal fluid culture and hemocultures and Cryptococcus neoformans was isolated for 9 patients and Candida to another one. Fungic infection lead to meningeal injuries to 6 patients and the systemic one in for 4 patients. Although, under antifungical and antiretroviral therapy, the disease was lethal for 4 patients. The fungic infection recrudesces in AIDS patients, possessing systemic or/and meningeal manifestation, long evolution that can be lethal for a lot of them.
