RESUMO
The authors report three sisters with bilateral isolated apical pleural fibrosis of unknown origin, which did not respond to empirical antituberculosis therapy and oral corticosteroids. The disease evolved in an unrelenting fashion producing pleural fibrosis at the lung bases and leading to the death of two sisters and to lung transplantation in the other one. There was no history of other familial disease or consanguinity. The particular features of these cases and the differences from other reports of apparently cryptogenic pleural fibrosis are outlined.
Assuntos
Doenças Pleurais/congênito , Adulto , Biópsia , Broncoscopia , Diagnóstico Diferencial , Evolução Fatal , Feminino , Fibrose/complicações , Fibrose/congênito , Fibrose/diagnóstico , Humanos , Transplante de Pulmão , Núcleo Familiar , Doenças Pleurais/complicações , Doenças Pleurais/diagnóstico , Radiografia Torácica , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Clinical and biological pitfalls that lead to incorrect or delayed diagnoses of airport malaria are described based on 7 cases reported from the Paris region in the summer of 1994. We also report the outcome and the epidemiological features of these patients.
Assuntos
Malária Falciparum/diagnóstico , Malária Falciparum/epidemiologia , Adulto , Diagnóstico Diferencial , Reservatórios de Doenças , Feminino , Humanos , Malária Falciparum/transmissão , Masculino , Pessoa de Meia-Idade , Controle de Mosquitos , Paris/epidemiologia , ViagemRESUMO
The goal of this study was to evaluate the contribution of sigmoidoscopy with bioptic microbiology to the etiologic diagnosis of acute diarrhea in adults. Patients and methods. Sixty-five patients with acute diarrhea were included prospectively from February 1993 to November 1994. Ages ranged from 17 to 83 years. In each patient, two stool samples were cultured and three examined for parasites. Clostridium difficile toxin was looked for in the 18 patients who had taken antimicrobials before onset of the diarrhea. Sigmoidoscopy with collection of biopsy specimens for bacteriologic cultures was performed routinely. Results. A pathogenic organism was identified in 35 patients (54%). Eighteen patients (28%) had positive stool cultures. Clostridium difficile toxin was detected in six patients. Colonic biopsy cultures were positive in 26 patients (40%). Endoscopic findings established the diagnosis of pseudomembranous colitis with negative tests for C. difficile toxin in two patients, diverticulitis in one, ischemic colitis in two, and cryptogenic colitis in seven. Conclusions. Sigmoidoscopy ensured the diagnosis in over 72% of cases of acute diarrhea. This investigation complements stool cultures and should be done routinely in adults with severe acute diarrhea.
Assuntos
Colo/microbiologia , Colo/patologia , Diarreia/diagnóstico , Sigmoidoscopia , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Toxinas Bacterianas/isolamento & purificação , Biópsia , Clostridioides difficile/isolamento & purificação , Infecções por Clostridium/diagnóstico , Colite/complicações , Colite/diagnóstico , Colite/patologia , Colite Isquêmica/complicações , Colite Isquêmica/diagnóstico , Colite Isquêmica/patologia , Diarreia/etiologia , Diarreia/microbiologia , Diarreia/patologia , Doença Diverticular do Colo/complicações , Doença Diverticular do Colo/diagnóstico , Doença Diverticular do Colo/patologia , Enterocolite Pseudomembranosa/complicações , Enterocolite Pseudomembranosa/diagnóstico , Enterocolite Pseudomembranosa/patologia , Fezes/microbiologia , Fezes/parasitologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosAssuntos
Amoxicilina/uso terapêutico , Ciprofloxacina/uso terapêutico , Ácidos Clavulânicos/uso terapêutico , Colite Ulcerativa/microbiologia , Infecções por Klebsiella/tratamento farmacológico , Klebsiella/isolamento & purificação , Proctocolite/microbiologia , Adulto , Ácido Clavulânico , Colite Ulcerativa/tratamento farmacológico , Resistência Microbiana a Medicamentos , Humanos , Infecções por Klebsiella/microbiologia , Masculino , Úlcera Péptica Hemorrágica/tratamento farmacológico , Úlcera Péptica Hemorrágica/microbiologia , Proctocolite/tratamento farmacológicoRESUMO
Seven patients developed acute hepatitis after receiving Plethoryl for obesity for 4 to 16 weeks. Jaundice was generally associated with or preceded by asthenia, nausea and pruritus. Serum aminotransferase activities were markedly increased whereas alkaline phosphatase and gamma-glutamyltransferase activities were moderately elevated. There was no hepatic failure. In all cases, Plethoryl administration was promptly discontinued. In 6 cases, jaundice disappeared within 2 to 4 weeks, and recovery occurred within 2 to 5 months. In one case, however, jaundice disappeared within 12 weeks and recovery took 10 months.
Assuntos
Doença Hepática Induzida por Substâncias e Drogas/etiologia , Cicloexanos/efeitos adversos , Cicloexanonas/efeitos adversos , Tri-Iodotironina/análogos & derivados , Vitamina A/análogos & derivados , Doença Aguda , Adulto , Cicloexanonas/metabolismo , Diterpenos , Combinação de Medicamentos/efeitos adversos , Combinação de Medicamentos/metabolismo , Interações Medicamentosas , Feminino , Humanos , Fígado/metabolismo , Pessoa de Meia-Idade , Tri-Iodotironina/efeitos adversos , Tri-Iodotironina/metabolismo , Vitamina A/efeitos adversos , Vitamina A/metabolismoRESUMO
A benign villous tumor of the second duodenum was treated by endoscopic excision. Fifty-four previously published cases are reviewed. Villous tumors of the duodenum are very uncommon. Presenting features include intestinal bleeding and/or occlusive symptoms and/or obstructive jaundice. Diagnosis is established by fiberoptic endoscopy and biopsies. Complete removal of the tumor is mandatory because of the high incidence of malignant changes (approximately 33%). Endoscopic excision is only possible in a small number of cases, when the tumor is small, benign, and pedunculated. Complete removal of the tumor ald unequivocal diagnosis of benign tumor on histological examination are required to withstand from further therapy. The best procedure is often surgical excision or segmentary duodenal resection. This is satisfactory for benign lesions or tumors with focal in situ malignant changes. Pancreatoduodenectomy should be considered for invasive malignant tumors.
Assuntos
Neoplasias Duodenais/cirurgia , Papiloma/cirurgia , Fatores Etários , Neoplasias Duodenais/diagnóstico , Neoplasias Duodenais/patologia , Duodenoscopia , Feminino , Humanos , Pessoa de Meia-Idade , Papiloma/diagnóstico , Papiloma/patologia , Fatores SexuaisRESUMO
The authors report a case of retroperitoneal lymphatic dissemination of a seminoma without any demonstrable primary testicular tumour. Irradiation of the patient led to complete cure, apparently stable with two years' follow up. The authors explored both sides of the scrotum clinically and surgically without finding any testicular tumour. A brief review of the literature reveals three possibilities: --lymphatic metastasis of an infraclinical testicular seminoma, --extra-nodal retroperitoneal metastasis of a testicular tumour, --retroperitoneal seminomatous tumour developing in embryonic rests of germinal tissue which might possibly be complicated by a retroperitoneal lymph node metastasis. The case of the authors falls within the precise context of lymph node metastases of an undemonstrated testicular tumour.