Asunto(s)
Vértebra Cervical Axis/diagnóstico por imagen , Ántrax/diagnóstico por imagen , Trastornos de la Conciencia/diagnóstico por imagen , Hipotermia/diagnóstico por imagen , Nalgas/diagnóstico por imagen , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Apófisis Odontoides/diagnóstico por imagenRESUMEN
The article presents the analyzes of medical histories of 16 patients, treated from suppurative diseases of burgeon (13 carbunculosis, 1 nephrepostasis, 2 abscesses of paranephric cellulose) from 1997 to 2009. Effectuated examinations and treatment of patients with suppurative diseases of burgeon speak to insufficient educating work of the medical service of a military unit in the sphere of prophylaxis if suppurative and catarrhal diseases, what leads to delayed call for medical aid. The second place by level of negative influence of appearance of supparative diseases of urinary organs is taken by conditions of service in northern climate and not full adaptation of service men to these conditions. Changing of food ration also leads to decreasing of immunity and organism general-defense status in conditions of extreme conditions of military service. The article presents indications to operative and conservative treatment of carbunculosis of burgeon.
Asunto(s)
Ántrax/cirugía , Enfermedades Renales/cirugía , Personal Militar , Antibacterianos/administración & dosificación , Antibacterianos/uso terapéutico , Ántrax/diagnóstico por imagen , Ántrax/tratamiento farmacológico , Humanos , Enfermedades Renales/diagnóstico por imagen , Enfermedades Renales/tratamiento farmacológico , Masculino , Radiografía , Resultado del Tratamiento , Ultrasonografía , Adulto JovenRESUMEN
Renal carbuncle is a cortical lesion following bacteremia, occurring in patient without any urologic known problems. The analysis of 11 consecutive renal carbuncles showed that one should consider the diagnosis of renal carbuncle in young patients with flank pain, fever, and absence of significant leucocyturia. Our study confirms that renal carbuncle is always caused by staphylococcus aureus and that treatment is based on appropriate antibiotherapy. Isolation of the bacteria was difficult unless ponction of carbuncle under ultrasound control was performed. The usefulness of ultrasonography for the diagnosis of renal carbuncle and for its distinction from other suppurative renal lesions is emphasized.
Asunto(s)
Ántrax/diagnóstico por imagen , Infecciones Estafilocócicas/complicaciones , Staphylococcus aureus/aislamiento & purificación , Adolescente , Adulto , Ántrax/tratamiento farmacológico , Ántrax/microbiología , Quimioterapia Combinada , Humanos , Oxacilina/uso terapéutico , Infecciones Estafilocócicas/tratamiento farmacológico , Infecciones Estafilocócicas/microbiología , Sulfametoxazol/uso terapéutico , Trimetoprim/uso terapéutico , UltrasonografíaRESUMEN
Renal carbuncles have traditionally been treated with surgical drainage and appropriate antibiotic therapy. Recently, 2 pediatric patients with well-documented renal carbuncles were treated with antibiotic therapy alone. Close follow-up documented complete resolution in both cases. Late studies showed no evidence of renal scarring or functional compromise.
Asunto(s)
Ántrax/tratamiento farmacológico , Enfermedades Renales/tratamiento farmacológico , Adolescente , Ampicilina/uso terapéutico , Ántrax/diagnóstico por imagen , Cefalosporinas/uso terapéutico , Niño , Quimioterapia Combinada/uso terapéutico , Enterobacter , Infecciones por Enterobacteriaceae/diagnóstico por imagen , Infecciones por Enterobacteriaceae/tratamiento farmacológico , Femenino , Gentamicinas/uso terapéutico , Humanos , Enfermedades Renales/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
During the years 1980-82 seven patients with renal carbuncles successfully underwent conservative treatment with antibiotics alone. Early diagnosis was made using excretory urography and nephrotomography, ultrasound and computerized tomography scan. Follow-up studies showed a normal kidney in six of the seven patients. One patient had a clinical remission, but ultrasound follow-up showed a small area in the right kidney with a few low-level echoes, representing focal scarring.
Asunto(s)
Absceso/tratamiento farmacológico , Antibacterianos/uso terapéutico , Ántrax/tratamiento farmacológico , Enfermedades Renales/tratamiento farmacológico , Absceso/diagnóstico por imagen , Enfermedad Aguda , Adulto , Ántrax/diagnóstico por imagen , Femenino , Estudios de Seguimiento , Humanos , Enfermedades Renales/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Tomografía , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Six cases of renal carbuncle are presented. Nonstaphylococcal carbuncles now greatly outnumber those of staphylococcal origin. Diagnostic modalities are discussed. No radiologic or laboratory investigation is specific, but the diagnosis should be suspected in most cases if adequate attention is given the patient's signs and symptoms. Surgical treatment is recommended.
Asunto(s)
Ántrax/diagnóstico por imagen , Enfermedades Renales/diagnóstico por imagen , Adolescente , Adulto , Ántrax/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Enfermedades Renales/cirugía , Masculino , Persona de Mediana Edad , Radiografía , UltrasonografíaRESUMEN
The use of intravenous iodinated contrast material after a preliminary computerized axial tomographic scan of the kidney has been an extremely valuable adjunct in differentiating benign, malignant, and some inflammatory processes. The diagnosis of type of lesion present has been facilitated and allows direction for further diagnosis and therapy.
Asunto(s)
Enfermedades Renales/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Ántrax/diagnóstico por imagen , Medios de Contraste/administración & dosificación , Hemangioma/diagnóstico por imagen , Humanos , Infusiones Parenterales , Enfermedades Renales Quísticas/diagnóstico por imagen , Neoplasias Renales/diagnóstico por imagen , Lipoma/diagnóstico por imagen , UrografíaRESUMEN
Although there are numerous references in the medical literature suggesting that calification associated with renal masses is indicative of malignant disease, our recent experience with four cases emphasizes that it is not possible to predict the nature of these lesions. The significance and etiology of renal calcification are discussed as well as the indications for clinical evaluation.
Asunto(s)
Calcinosis/diagnóstico por imagen , Hamartoma/diagnóstico por imagen , Enfermedades Renales/diagnóstico por imagen , Neoplasias Renales/diagnóstico por imagen , Adulto , Calcinosis/etiología , Ántrax/complicaciones , Ántrax/diagnóstico por imagen , Femenino , Hamartoma/complicaciones , Hematoma/complicaciones , Hematoma/diagnóstico por imagen , Humanos , Enfermedades Renales/complicaciones , Enfermedades Renales/etiología , Neoplasias Renales/complicaciones , Masculino , Persona de Mediana Edad , Pielonefritis/complicaciones , Pielonefritis/diagnóstico por imagen , RadiografíaRESUMEN
A case of renal carbuncle with unusual angiographic findings is presented. The abscess showed abnormal vessels on selective angiogrpahy which were enhanced after intra-arterial epinephrine. New foci of abnormal vessels were also seen on the postepinephrine angiogram.
Asunto(s)
Ántrax/diagnóstico por imagen , Epinefrina , Enfermedades Renales/diagnóstico por imagen , Adolescente , Diagnóstico Diferencial , Humanos , Neoplasias Renales/diagnóstico por imagen , Masculino , Radiografía , Arteria Renal/diagnóstico por imagenRESUMEN
Patients with spontaneous rupture of renal cortical cysts into the pyelocalciceal system present with gross hematuria, usually associated with flank or abdominal pain. Diagnosis is established by retrograde filling of the cyst cavity with contrast material through a wide pyelocaliceal communication visualized during IVP with nephrotomography. Percutaneous renal puncture with histochemical analysis of the aspirate is indicated in certain patients for diagnostic confirmation. Renal angiography and/or an operation should be performed when the differential diagnosis remains unclear. Antibiotics in the patients with urinary tract infections along with conservative medical management is sufficient treatment, since rapid closure of the cyst-pyelocaliceal communication with cessation of hemorrhage occurs rapidly in most patients.