RESUMO
A differential diagnosis of ascites includes many different entities, both benign and malignant. However, no cases of Salmonella enteritis or other infectious enteritis-causing ascites have previously been described. We present the case of a 21-yr-old female admitted with abdominal pain and diarrhea caused by Salmonella enteritis. An abdominal and pelvic sonogram revealed a moderate amount of free fluid in the pelvis. We conclude that Salmonella enteritis is in fact a potential cause of free intraperitoneal fluid, and should be considered in the differential diagnosis of ascites under appropriate clinical circumstances.
Assuntos
Ascite/microbiologia , Gastroenterite/microbiologia , Salmonella enteritidis/isolamento & purificação , Adulto , Ascite/diagnóstico por imagem , Feminino , Humanos , UltrassonografiaRESUMO
Two patients with long-term central venous access catheters introduced via the right subclavian vein demonstrated catheter migration into the right internal jugular vein several months after satisfactory catheter placement. One patient developed internal jugular vein thrombosis, which was treated with direct infusion of urokinase before catheter removal. In the other patient, the catheter was repositioned by using an intravascular snare loop, which was introduced via the femoral vein. In the first patient, an interim chest radiograph suggested the mechanism by which the catheter had migrated and provided a clue for early detection of catheter migration.
Assuntos
Cateterismo Venoso Central/instrumentação , Migração de Corpo Estranho/diagnóstico por imagem , Veias Jugulares , Adulto , Idoso , Feminino , Migração de Corpo Estranho/complicações , Humanos , Masculino , Radiografia , Trombose/tratamento farmacológico , Trombose/etiologia , Ativador de Plasminogênio Tipo Uroquinase/uso terapêuticoRESUMO
Several authors have reported the appearance of reversible hypoattenuated cerebral lesions, representing ischemia, in computed tomography scans of patients with severe pre-eclampsia. Hepatic hemorrhage and sometimes rupture have also been reported in this setting, but these problems have apparently never occurred in a patient with reversible ischemia. The authors describe a 34-year-old patient with severe pre-eclampsia in whom reversible cerebral ischemia developed in combination with hepatic and renal hematomas, which subsequently partially resolved.
