ABSTRACT
Endocarditis is a recognised complication ofhemodialysis. This is generally only thought of in terms of infective vegetations. We present a case of right-sided NBTE in a patient with an indwelling venous catheter who also had advanced pelvic malignancy. The unusual side of this patient's endocarditic lesions implicates a role for the venous catheter in determining the site of non-bacterial thrombus formation. It is also a reminder that endocarditis is always a risk when using central venous catheters, even after appropriate sterile precautions have been taken.
Subject(s)
Catheterization, Central Venous/adverse effects , Endocarditis/etiology , Neoplasms, Multiple Primary/genetics , Pelvic Neoplasms/complications , Renal Dialysis , Sebaceous Gland Neoplasms/complications , Thrombosis/etiology , Adult , Catheters, Indwelling , Endocarditis/diagnosis , Female , Humans , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Pelvic Neoplasms/genetics , Sebaceous Gland Neoplasms/genetics , SyndromeSubject(s)
Autoantibodies/blood , Hemorrhage/etiology , Lung Diseases/etiology , Nephritis/etiology , Peroxidase/immunology , Scleroderma, Systemic/complications , Vasculitis/complications , Vasculitis/diagnosis , Acute Disease , Adult , Antibodies, Antineutrophil Cytoplasmic/blood , Hemorrhage/blood , Humans , Lung Diseases/blood , Male , Nephritis/blood , Scleroderma, Systemic/blood , Syndrome , Time Factors , Vasculitis/bloodABSTRACT
We report a case of oligodendroglioma of the fourth ventricle complicated by disseminated intracranial and spinal oligodendrogliomatosis. This is further evidence that primary oligodendrogliomas arising in close proximity to the cerebrospinal pathway have a predilection for spontaneous dissemination. This condition should be considered in the differential diagnosis of hydrocephalus and myelopathy.
Subject(s)
Brain Neoplasms/secondary , Cerebral Ventricle Neoplasms/pathology , Oligodendroglioma/secondary , Spinal Cord Neoplasms/secondary , Adolescent , Brain/pathology , Brain Neoplasms/pathology , Cerebral Ventricles/pathology , Humans , Male , Oligodendroglioma/pathology , Spinal Cord/pathology , Spinal Cord Neoplasms/pathologyABSTRACT
Simultaneous Tru-cut biopsies and fine needle aspirations (FNAs) performed over a 2-year period on patients following renal transplantation were assessed by independent pathologists. When there was histological evidence of rejection, FNAs also demonstrated cellular features of rejection in 83% of cases, and this increased to 92% with repeated sampling. The presence of monocytes and histiocytes in FNAs correlated with vascular features of rejection on biopsy and failure to reverse the rejection process with steroids.
Subject(s)
Biopsy/methods , Graft Rejection , Kidney/pathology , Biopsy, Needle/adverse effects , Biopsy, Needle/instrumentation , False Negative Reactions , False Positive Reactions , Hematuria/etiology , Histiocytes , Humans , Kidney Transplantation , MonocytesABSTRACT
Amoebic infection in two male homosexuals is described. The possibility that this infection was acquired through homosexual practices and the implications to clinical and diagnostic services is discussed.
