ABSTRACT
Xanthogranulomatous pyelonephritis is a renal inflammatory process associated with chronic obstruction and renal calculi. A patient with xanthogranulomatous pyelonephritis presented with the acute onset of hemoptysis and a lung mass. At thoracotomy the mass was resected and found to be a renal calculus embedded within inflammatory tissue.
Subject(s)
Hemoptysis/etiology , Kidney Calculi/complications , Lung Diseases/etiology , Pyelonephritis/complications , Aged , Female , HumansABSTRACT
Increasing rates of congenital syphilis have been reported in recent years despite the availability of adequate therapy. In our perinatal-neonatal center, approximately 1.5% of newborns have reactive serologic tests for syphilis. Untreated or partly treated maternal syphilis can adversely affect neonatal outcome since the treponeme can cross the placenta at any time during pregnancy. As a result of hematogenous placental transmission, neonatal manifestations are usually systemic and similar to the secondary stage of syphilis, and include hepatosplenomegaly, jaundice, neurosyphilis, and skeletal changes. A case of early congenital syphilis in an extremely premature infant with primary skeletal involvement is presented.
Subject(s)
Infant, Premature, Diseases/diagnostic imaging , Syphilis, Congenital/diagnostic imaging , Tibia/diagnostic imaging , Gentamicins/therapeutic use , Humans , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/drug therapy , Male , Penicillins/therapeutic use , Radiography , Syphilis, Congenital/drug therapySubject(s)
Infant, Premature, Diseases/diagnosis , Legionnaires' Disease/diagnosis , Humans , Infant, Newborn , Infant, Premature, Diseases/diagnostic imaging , Infant, Premature, Diseases/microbiology , Legionella pneumophila/isolation & purification , Legionnaires' Disease/diagnostic imaging , Legionnaires' Disease/microbiology , Lung/diagnostic imaging , Lung/microbiology , Male , RadiographyABSTRACT
Sixty-seven patients with disseminated cancer were randomly allocated to treatment with continuous closed chest drainage removing all fluid for 72 hours (PD) or pleural drainage for 72 hours with the instillation into the pleural space of radioactive colloidal chromic phosphate (PD + 32P). Forty-nine patients had breast carcinoma, and the remaining 18 patients had other cancers. Four of 49 patients with breast cancer and 13 of 18 with other cancer were dead in 8 weeks from the onset of effusion. In the group of patients with breast cancer PD + 32P controlled the effusion in 12 of 22 (54%) and PD alone in 15 of 30 episodes (50%). In the nonbreast group of patients PD + 32P controlled the effusion in five of six evaluable episodes (83%), and PD alone was successful in two of nine (22%). In 33% of breast cancer patients and 25% of the nonbreast-cancer patients, systemic chemotherapy produced objective remissions. Pleural effusion did not recur in any of these patients.
