Fatal rupture of a mycotic aneurysm of the right coronary artery post pneumococcal sepsis.

Aneurysms of the coronary arteries are rare and mycotic coronary aneurysms are even rarer. We report a unique, yet unfortunately autopsy-proven fatal case of a ruptured atherosclerotic mycotic aneurysm of the right coronary artery with streptococcus pneumoniae in a non-immunocompromised patient resulting in cor tamponade and death.

[Diagnostic image (141) Nodules in a patient with rheumatoid arthritis. Multicentric reticulohistiocytosis as a paraneoplastic manifestation]. / Diagnose in beeld (141). Knobbeltjes bij een reumapatiënt. Multicentrische reticulohistiocytose als paraneoplastische manifestatie.

A 59-year-old man presented with polyarthritis and noduli on fingers and buccal mucous membrane due to multicentric reticulohistiocytosis. This was a paraneoplastic manifestation of a renal cell carcinoma, and regression of noduli was seen after nephrectomy.

[Acute kidney insufficiency following administration of tiaprofenic acid]. / Acute nierinsufficiëntie na gebruik van tiaprofeenzuur.

A 62-year-old woman was admitted with acute renal failure, 3 weeks after starting intake of the nonsteroidal anti-inflammatory drug tiaprofenic acid (Surgam). A renal biopsy revealed tubulointerstitial nephritis. After discontinuation of the drug and correction of electrolyte disturbances, renal function recovered almost completely within 6 months.