RESUMO
INTRODUCTION: Intestinal symptoms (cramping, flatulence) and iron deficient anemia are classical presenting manifestations of duodenal hookworm infestation in patients living in endemic area. CASE REPORT: We report a 45-year-old immunocompetent metropolitan man who presented with intestinal obstruction secondary to massive hookworm infestation complicated by fatal plurimicrobial bacteriemia with refractory septic shock. CONCLUSION: We report a case of acute surgical abdominal presentation with septicemia and refractory shock syndrome due to ileal translocation secondary to massive hookworm infestation. To the best of our knowledge, such a case has not yet been reported.
Assuntos
Bacteriemia/microbiologia , Infecções por Uncinaria/complicações , Doenças do Íleo/microbiologia , Doenças do Íleo/parasitologia , Obstrução Intestinal/microbiologia , Obstrução Intestinal/parasitologia , Bacteriemia/complicações , Bacteriemia/parasitologia , Evolução Fatal , Infecções por Uncinaria/microbiologia , Humanos , Doenças do Íleo/complicações , Doenças do Íleo/patologia , Obstrução Intestinal/complicações , Obstrução Intestinal/patologia , Intestino Delgado/microbiologia , Intestino Delgado/parasitologia , Masculino , Pessoa de Meia-Idade , Sepse/complicações , Sepse/microbiologia , Sepse/parasitologiaRESUMO
Neurocysticercosis diagnosis is based on a combination of clinical, epidemiological, radiological, and immunological findings. We describe a real-time PCR assay for the confirmation of neurocysticercosis diagnosis in cerebrospinal fluid. The assay, tested on samples from nine patients living in France and diagnosed with neurocysticercosis, had a detection rate of 83.3% and 100% specificity.
Assuntos
Líquido Cefalorraquidiano/parasitologia , Técnicas de Diagnóstico Molecular/métodos , Neurocisticercose/diagnóstico , Parasitologia/métodos , Reação em Cadeia da Polimerase em Tempo Real/métodos , Taenia/isolamento & purificação , Animais , DNA de Helmintos/química , DNA de Helmintos/genética , França , Humanos , Dados de Sequência Molecular , Neurocisticercose/parasitologia , Sensibilidade e Especificidade , Análise de Sequência de DNA , Taenia/genéticaRESUMO
The purpose of our study is to determine the causes and the management of anastomotic aneurysms. We report the cases of 25 patients with a mean age of 64 years at the time of initial surgical revascularisation. The mean interval between the first operation and the occurrence of anastomotic aneurysm is 5 years (range 2 months-11 years). The treatment consists on the interposition of a graft in 8 patients, anastomotic angioplasty in 9 patients and the reconstruction of the anastomosis in 8 patients. Hospital mortality was 20%. Late death occurs 3 patients and the long-term morbidity was evaluated at 22%. A recurrence of anastomotic false aneurysm occurred in 4 patients (16%) (Range 7 months-1 year). In conclusion anastomotic false aneurysm is one of the major complications of vascular reconstruction; careful follow-up can detect the rare instances of anastomotic aneurysm and reoperation can be accomplished with a low-rate of adverse outcome.
