RESUMO
A patient suffering from multiple episodes of fever and chills due to septic pulmonary emboli is reported. Hereditary hemorrhagic telangiectasia was involving the mucous membranes of his oral cavity and the stomach but not the pulmonary vascular bed. Since no other infectious embolic sources were found and the patient's pulmonary infection was not extirpated by a prolonged course of antibiotics but only cured after surgical treatment of multiple periodontal abscesses, we speculate that gingival arteriovenous malformations being involved by periodontitis were the source of small septic emboli.
Assuntos
Infecções/complicações , Doenças Periodontais/complicações , Embolia Pulmonar/etiologia , Telangiectasia Hemorrágica Hereditária/complicações , Abscesso/complicações , Abscesso/cirurgia , Humanos , Infecções/cirurgia , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/cirurgia , Embolia Pulmonar/diagnóstico por imagem , Radiografia Torácica , Tomografia Computadorizada por Raios X , Extração DentáriaRESUMO
A case of stomach rupture in a 47-year-old scuba diver is reported. Symptoms of gastrointestinal expansion during ascent are quite common and are caused by decompression of swallowed air. Gastric perforation is however rare, and needs to be promptly recognized and surgically repaired.
Assuntos
Mergulho/efeitos adversos , Ruptura Gástrica/etiologia , Estômago/lesões , Feminino , Humanos , Pessoa de Meia-Idade , Ruptura Gástrica/diagnóstico , Ruptura Gástrica/cirurgiaRESUMO
In 3935 patients who underwent upper fiberpanendoscopy in two Zurich hospitals the coincidence of different active peptide lesions has been investigated. There was an association of reflux esophagitis and duodenal ulcer in old age: in patients with reflux esophagitis aged over 60 years, duodenal ulcer was found twice as often as in elderly patients without esophagitis. No association of reflux esophagitis and gastric ulcer or of gastric ulcer and duodenal ulcer was observed.
