Calcificación arterial idiopática de la infancia: diagnóstico post mortem de un recién nacido / Idiopathic infantile arterial calcification: post-mortem diagnostic of a premature newborn

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Fatal case of Trichoderma harzianum infection in a renal transplant recipient.

We describe the second known case of human infection by Trichoderma harzianum. A disseminated fungal infection was detected in the postmortem examination of a renal transplant recipient and confirmed in culture. The only other reported infection by this fungus caused peritonitis in a diabetic patient. The in vitro antifungal susceptibilities of the clinical strain and three other strains of Trichoderma species to six antifungal drugs are provided. This case illustrates the widening spectrum of opportunistic Trichoderma spp. in immunocompromised patients and emphasizes the problems in diagnosing invasive fungal diseases.

[Ectopic ovarian pregnancy]. / Embarazo ectópico ovárico.

Ovarian ectopic pregnancy is a rare form of ectopic pregnancy, with an estimated incidence ranging from 0.5% to 3% of the extrauterine pregnancies. For a correct diagnosis of the ovarian pregnancy, the traditional criteria proposed by Spiegelberg in 1878 must be fulfilled. This forced us sometimes to reject pregnancies which, despite being initially ovarian, during its evolution the adjacent tubal structures have been affected. Currently, the ectopic pregnancies are being diagnosed more early, mainly given the echographic advances, which have lead to very conservative treatments in order to avoid a reduced fertility. However, it is many times an intraoperative diagnosis. We present four new cases of ovarian ectopic pregnancy from our casuistry of the last three years with anatomoclinical study and literature review.