ABSTRACT
Genitourinary sarcomas are very rare entities. This paper contributes one case report of an undifferentiated pelvic fibrosarcoma in a 53-year old patient. It also includes some observations on the clinical development, complementary studies used, difficulties for the pathoanatomical diagnosis and treatment issues.
Subject(s)
Fibrosarcoma/pathology , Prostatic Neoplasms/pathology , Diabetes Mellitus, Type 2/complications , Fibrosarcoma/complications , Humans , Male , Middle Aged , Pelvis , Prostatic Neoplasms/complicationsABSTRACT
OBJECTIVE: To present an uncommon but startling case of a urinary tract infectious disease such as renal emphysematous pyelonephritis. METHOD/RESULTS: We report the case of a decompensated diabetic female patient who presented an intrarenal infectious picture with gas formation compatible with emphysematous pyelonephritis that showed good evolution following medical treatment and simple nephrectomy surgery. CONCLUSIONS: Emphysematous pyelonephritis is a serious infective disease that occurs almost exclusively in diabetic patients and requires a fast and correct diagnosis differentiating between diffuse from focused processes in order to advise conservative or aggressive therapy on the renal unit (percutaneous drainage/nephrectomy), based on immediate hemodynamic and antibiotic medical support, due to its serious prognosis such as is described in the literature.
Subject(s)
Emphysema/complications , Pyelonephritis/complications , Emphysema/diagnosis , Emphysema/surgery , Female , Humans , Middle Aged , Pyelonephritis/diagnosis , Pyelonephritis/surgeryABSTRACT
OBJECTIVES: Nocardiosis is an infection caused by the Nocardia genus that rarely involves the genitourinary system. The microbiological characteristics of Nocardia asteroides and the pathogenesis, possible symptoms, diagnosis and treatment of nocardiosis are reviewed. METHODS/RESULTS: We describe a patient with lung involvement and intraparenchymal abscess in the left kidney that required nephrectomy. Nocardia asteroides was isolated in the culture. CONCLUSIONS: Systemic nocardiosis is a serious infectious disease characterized by infection of the brain or two nonadjacent organs. Specific genitourinary involvement is rare and involvement of the renal parenchyma usually occurs during the aggressive course of acute systemic nocardiosis. The fatal outcome of our case conforms to the high rate of mortality described in the literature, particularly in acute systemic nocardiosis with neurological involvement, and emphasizes the importance of early diagnosis and appropriate antibiotic therapy.
