ABSTRACT
Intrapelvic mass formation as a result of particulate wear debris induced osteolysis is a recognised late complication of cementless total hip arthroplasty. Clinical presentation typically involves hip and/or leg pain resulting in functional impairment, and obstructive urinary symptoms developing 3-20 years after surgery. An acute confusional state has never been described in this scenario. We report the case of an 86-year-old gentleman with a diagnosis of dementia brought to our emergency department with an acute confusional state. Abdominal imaging revealed a distended bladder, a large pelvic mass and a lytic lesion within his right acetabulum. Cytological and microbiological examination of fluid obtained with radiologically guided aspiration of the mass was negative for neoplasia and infection.
Subject(s)
Arthroplasty, Replacement, Hip/adverse effects , Arthroplasty, Replacement, Hip/instrumentation , Delirium/etiology , Hip Prosthesis/adverse effects , Osteolysis/etiology , Urinary Retention/etiology , Acute Disease , Aged, 80 and over , Delirium/diagnosis , Delirium/psychology , Delirium/therapy , Humans , Male , Osteolysis/diagnostic imaging , Osteolysis/therapy , Prosthesis Design , Stress, Mechanical , Tomography, X-Ray Computed , Treatment Outcome , Urinary Retention/diagnostic imaging , Urinary Retention/therapyABSTRACT
Soros de pacientes infectados com Taenia solium, Hymenolepis nana e Echinococcus granulosus foram testados contra antigenos parasitarios homologos e heterologos usando o teste de ELISA e foi verificado alto grau de reatividade cruzada. Para identificar os polipeptideos responsaveis por esta reatividade cruzada foi utilizado o teste "Enzyme Linked Immunoelectro Transfer Blot (EITB)". Soros de pacientes infectados por T. solium, H. nana, e E. granulosus foram colocados em contato com precipitado de sulfato de amonia e antigenos nao purificados de T. solium e os de H. nana e E. granulosus....
