Subject(s)
Cardiovascular Diseases , Coronary Disease , Chronic Disease , Grief , Humans , Stress, PsychologicalABSTRACT
Brucellosis remains a diagnostic puzzle. We retrospectively studied the case notes of 105 patients with brucellosis who were admitted in the Department of Internal Medicine of the University of Patras Hospital, a tertiary care institution serving an extended rural area in western Greece, from 2003 to 2006. Five unusual causes of brucellosis were identified: hepatic, epidural and thyroid abscesses, intrahepatic cholestatic liver disease and pancytopenia. Virtually every human organ and system can be involved in brucellosis, which highlights the need to include brucellosis in the differential diagnosis, especially in endemic areas.
Subject(s)
Brucellosis/complications , Brucellosis/diagnosis , Adult , Aged , Aged, 80 and over , Brucellosis/epidemiology , Diagnosis, Differential , Epidural Abscess/microbiology , Female , Gallbladder Diseases/microbiology , Greece/epidemiology , Hospitals, University , Humans , Liver Diseases/microbiology , Male , Middle Aged , Pancytopenia/microbiology , Retrospective Studies , Thyroid Diseases/microbiologyABSTRACT
Brucellosis remains a diagnostic puzzle. We retrospectively studied the case notes of 105 patients with brucellosis who were admitted in the Department of Internal Medicine of the University of Patras Hospital, a tertiary care institution serving an extended rural area in western Greece, from 2003 to 2006. Five unusual causes of brucellosis were identified: hepatic, epidural and thyroid abscesses, intrahepatic cholestatic liver disease and pancytopenia. Virtually every human organ and system can be involved in brucellosis, which highlights the need to include brucellosis in the differential diagnosis, especially in endemic areas
Subject(s)
Brucellosis , Epidural Abscess , Retrospective Studies , Liver Diseases , Magnetic Resonance ImagingABSTRACT
We report four cases with unusual causes of rhabdomyolysis. These included quail ingestion (coturnism), interaction between grapefruit juice and atorvastatin, hypothyroidism and infection by Epstein-Barr virus.
Subject(s)
Rhabdomyolysis/diagnosis , Rhabdomyolysis/etiology , Adult , Animals , Beverages/adverse effects , Citrus paradisi/adverse effects , Female , Foodborne Diseases/complications , Foodborne Diseases/diagnosis , Humans , Male , Middle Aged , Quail , Renal Insufficiency/complications , Renal Insufficiency/diagnosisABSTRACT
Oral mucositis is a known complication of methotrexate (MTX) therapy, but a single efficacious intervention or agent for prophylaxis or management of this side effect has not yet been identified. We report a case of MTX-induced oral mucositis in a patient with rheumatoid arthritis, who was successfully treated with Wild chamomile mouthwashes.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Immunosuppressive Agents/adverse effects , Matricaria , Methotrexate/adverse effects , Mouthwashes/therapeutic use , Phytotherapy , Plant Extracts/therapeutic use , Stomatitis/drug therapy , Aged , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Arthritis, Rheumatoid/drug therapy , Female , Flowers , Humans , Immunosuppressive Agents/administration & dosage , Methotrexate/administration & dosage , Mouthwashes/administration & dosage , Plant Extracts/administration & dosage , Stomatitis/chemically inducedSubject(s)
Chemical and Drug Induced Liver Injury/diagnosis , Cholestasis, Intrahepatic/diagnosis , Teucrium/toxicity , Acute Disease , Aged , Beverages , Chemical and Drug Induced Liver Injury/complications , Chemical and Drug Induced Liver Injury/etiology , Chemical and Drug Induced Liver Injury/pathology , Cholestasis, Intrahepatic/complications , Cholestasis, Intrahepatic/etiology , Cholestasis, Intrahepatic/pathology , Diagnosis, Differential , Humans , MaleABSTRACT
A seroepidemiological study was conducted to assess the seroprevalence of hepatitis A, B and C markers in 285 males (mean age: 24.4+/-4.4 years) aboard a Greek warship. Two hundred and sixty three serum samples were tested. None was found to be positive for HAV antibodies, three persons (1.1%) were positive for HBsAg, four persons (1.5%) were positive for anti-HBc and one person (0.4%) was positive for anti-HCV. Forty-five persons (17.1%) had developed titles anti-HBs > 10 IU/L. The establishment of a vaccination policy against hepatitis A among warship personnel is strongly recommended.
