RESUMO
Cavernous sinus thrombophlebitis is a serious disease. We report herein a case seen in a 9-year-old boy hospitalized for an acute pneumopathy. Clinical signs were made of a diffuse edema of the upper two-thirds of the face, eyelid edema, chemosis, exophthalmia, meningeal syndrome, and infections syndromes associated with alteration of consciousness. A CT scan revealed a heterogenous enhancement and enlargement of the left cavernous sinus and homogenous opacity of the sphenoidal sinuses. Therapeutic management was complicated due to allergy to ß-lactams and the multidrug resistance of Staphylococcus aureus.
Assuntos
Trombose do Corpo Cavernoso/microbiologia , Infecção Hospitalar/microbiologia , Staphylococcus aureus Resistente à Meticilina , Infecções Estafilocócicas , Criança , Humanos , MasculinoRESUMO
L'anurie obstructive est un etat d'insuffisance renale secondaire a une obstruction des voies excretrices superieures survenant de facon bilaterale ou sur un rein unique anatomique ou fonctionnel. C'est une urgence chirurgicale. Nous decrivons les aspects epidemio-cliniques; therapeutiques et evolutifs de l'anurie obstructive dans les services d'urologie de l'hopital universitaire JRA a Antananarivo Madagascar. Quarante deux patients ont ete retenus avec un sex ratio de 0;2. L'etiologie lithiasique (42;85) suivie des tumeurs pelviennes (38;09) dominaient. Le resultat du traitement medico-chirurgical etait bon avec une recuperation de la fonction renale des les premiers jours. On notait 6 deces (14;28)
Assuntos
Anuria/etiologia , Anuria/cirurgia , Relatos de Casos , Litíase , Neoplasias PélvicasRESUMO
Pheochromocytoma is uncommon in children. We report herein a case in a 6-year-old boy whose pheochromocytoma was revealed by cerebral ischemia as a consequence of acute-cardiac failure. Twenty-four-hour urinary catecholamines were markedly increased. Abdominal ultrasonography and computed tomography located the tumor on the left adrenal gland. After surgical excision, hypertension disappeared. Diagnosis and treatment of pheochromocytoma in children are discussed.
Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Isquemia Encefálica/etiologia , Feocromocitoma/diagnóstico , Acidente Vascular Cerebral/etiologia , Criança , Insuficiência Cardíaca/complicações , Insuficiência Cardíaca/etiologia , Humanos , Hipertensão/complicações , Hipertensão/etiologia , MasculinoRESUMO
La localisation intra pulmonaire des teratomes est inhabituelle. La forme maligne de cette pathologie constitue une eventualite rare et particuliere des cancers du poumon. Nous rapportons un cas de teratome intra pulmonaire de forme maligne chez une femme de 52 ans. Notre objectif; a travers ce cas; est de faire connaitre cette pathologie et de realiser une revue de litterature afin de soulever les aspects clinique; therapeutique et evolutif
