ABSTRACT
We report a case of embolism of the intrarenal arterial branches of a cardiac origin. The results of the urographic, ultrasound, ascending pyelography and laboratory work up prompted us to suspect the vascular nature of the condition. Its unilateral feature, involvement of the intrarenal arterial branches, and the coexisting mitral valve disease with atrial flutter advised conservative management with systemic anticoagulation.
Subject(s)
Acenocoumarol/therapeutic use , Embolism/drug therapy , Heparin/therapeutic use , Renal Artery Obstruction/etiology , Atrial Flutter/complications , Embolism/diagnosis , Female , Humans , Middle Aged , Mitral Valve Stenosis/complications , Renal Artery Obstruction/diagnosis , Renal Artery Obstruction/drug therapyABSTRACT
An additional case of primary psoas abscess is described. The literature is reviewed and its etiopathogenesis, clinical features, diagnosis and treatment are discussed.
Subject(s)
Escherichia coli Infections , Psoas Abscess , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Diabetes Mellitus, Type 1/complications , Disease Susceptibility , Drainage , Escherichia coli Infections/diagnostic imaging , Escherichia coli Infections/etiology , Escherichia coli Infections/surgery , Humans , Male , Middle Aged , Psoas Abscess/diagnostic imaging , Psoas Abscess/etiology , Psoas Abscess/surgery , Tomography, X-Ray ComputedABSTRACT
A case of condyloma acuminata occupying almost the entire penile urethra is reported herein. The literature is reviewed highlighting its etiopathogenesis, histologic features, and treatment according to the stage of the disease. The different treatment modalities that have been utilized and those currently used are described, with a special emphasis on the increasing importance of laser therapy. Some considerations are presented relative to diagnosis, and a therapeutic protocol according to the stage of the disease is described. Due to the high incidence of recurrence, close follow-up of these patients is advocated.
Subject(s)
Condylomata Acuminata , Urethral Neoplasms , Adult , Combined Modality Therapy , Condylomata Acuminata/diagnosis , Condylomata Acuminata/surgery , Fluorouracil/therapeutic use , Humans , Male , Urethral Neoplasms/diagnosis , Urethral Neoplasms/surgeryABSTRACT
Four cases of perineoscrotal gangrene are reported herein. All were immune-suppressed and three were diabetics. Its primary focus was in the GU tract or intestine. Culture was positive for Gram-negative aerobes and anaerobes. Early aggressive surgery and adjuvant antibiotic therapy achieved an excellent survival rate.
