RESUMO
Myiasis is the infestation of a mammal by fly larvae which thrive by feeding on, and occupying the host. Largely a problem in livestock, human infestations in rural tropical areas of the globe are not uncommon. Myiasis may involve the skin, eyes, nasal passages, gastrointestinal and genitourinary tracts. Cases of urinary myiasis are rare in the USA; however, it may occur in immunocompromised hosts, those with previous urologic instrumentation or those with poor socioeconomic status. We present a case of successful outpatient treatment of urinary myiasis in an immunocompetent female without prior urological history.
Assuntos
Nefropatias/parasitologia , Miíase/parasitologia , Antiparasitários/uso terapêutico , Feminino , Humanos , Ivermectina/uso terapêutico , Nefropatias/tratamento farmacológico , Pessoa de Meia-Idade , Miíase/tratamento farmacológicoRESUMO
We report treatment of intermediate risk prostate cancer in a patient with a brief period of androgen deprivation secondary to a pituitary adenoma. This was a patient with intermediate risk prostate cancer diagnosed in the setting of an elevated prostate-specific antigen (PSA). The patient subsequently demonstrated a decline in PSA along with symptoms of hypogonadism and visual disturbance, and was consequently found to have a pituitary tumour. Trans-sphenoidal resection of the sellar mass was performed with normalisation of hormone profiles. The patient subsequently completed a course of radiation therapy for prostate cancer with PSA nadir to undetectable levels without evidence of biochemical recurrence at 7â months follow-up.
