[Abdominal pregnancy at a patient after cesarean section, bilateral salpingectomy and embryotransfer]. / Abdominální tehotenství u pacientky po císarském rezu, oboustranné salpingektomii a embryotransferu.

OBJECTIVE: Presentation of rare complication following the assisted reproduction at a patient after cesarean section and bilateral salpingectomy. DESIGN: Case report. SETTINGS: Department of Obstetrics and Gynaecology, Regional Hospital Liberec, a. s.; Department of Obstetrics and Gynaecology, Palacky University Hospital, Olomouc. OBSERVATION: Pregnant woman, 26-years old, primiparous, with history of cesarean section and bilateral salpingectomy, was referred from the assisted reproduction centre to solve suspicion of molar intrauterine pregnancy. This diagnosis was settled on the basis of ultrasound scan of uterine cavity and high level of human choriogonadotropine. Instrumental revision of uterine cavity was performed, however there was not consequently demonstrated any histological prove of the pregnancy tissue in uterine cavity and decrease of human choriogonadotropine values. The verifying ultrasound examination was made and then the suspicion of ectopic pregnancy on the right side of the uterus was expressed. Laparoscopy diagnosed ectopic pregnancy localized in the right broad ligament. It was treated by exstirpation of the pregnancy tissue. CONCLUSION: The diagnosis of ectopic pregnancy should be based on personal history, human choriogonadotropine level assessment and pelvic ultrasound examination. Although it´s important to evaluate all the components globally, ultrasound examination is in a majority of cases the most important part for setting the right diagnosis.

[Simultaneous occurrence of Toxoplasma gondii and Borrelia burgdorferi antibodies in patients with suspected toxoplasmosis or borreliosis]. / Soubezný výskyt protilátek proti Toxoplasma gondii a Borrelia burgdorferi u pacientu s podezrením na onemocnení toxoplazmózou nebo boreliózou.

In 1995-1997 the frequency of concurrent antibodies against Toxoplasma gondii and Borrelia burgdorferi was assessed in two groups of patients with different clinical symptoms. In 485 subjects the dermatological form (erythema migrans) of borreliosis was suspected, 877 subjects had clinical symptoms suggesting the nodular form of toxoplasmosis. The group of 485 subjects with suspected borreliosis comprised 199 (41%) subjects with the diagnosis confirmed by the serological finding and 286 (59%) subjects were serologically negative. During concurrent examination for toxoplasmosis a statistically significantly higher incidence of antitoxoplasmatic antibodies was recorded in patients with suspected borreliosis but without detected antibodies against Borrelia burgdorferi (29%) than in the group with both types of antibodies (11.5%), p < 0.001. The expected values of the incidence of antibodies against Toxoplasma gondii in the population (25%) were however not substantially surpassed by the actual values. In the group of 877 patients with suspected toxoplasmosis there were 114 subjects (13%) with acute toxoplasmosis, 300 subjects (34%) with anamnestic titres suggesting the chronic form of infection and 463 (53%) subjects where the infection with toxoplasmosis was not confirmed by serological tests. In the whole group, regardless whether the acute or chronic form of infection was involved, but also in the group without antitoxoplasmatic antibodies a significantly elevated number of subjects with antiborrelia antibodies (18-25%) was recorded as compared with the expected values of the incidence of antibodies against Borrelia burgdorferi in the population (10%), p < 0.001. In the discussion the authors deal with the possible causes of these phenomena.

[The first case of imported dermatobiasis in Czechoslovakia]. / První prípad importu dermatobiózy do Ceskoslovenska.

Dermatobiasis, a tropical furuculoid myiasis caused by the larvae of Dermatobia hominis (family Cuterebridae) was manifested in a Czech expert already within several days of field work in the state Minas Gerais, Brasil. Due to the localization at the root of the nose above the left eye vision was impaired and the patient developed a general reaction. As loss of the eye was feared, the patient returned to his homeland. The recorded case draws attention to the fact that several days in an endemic area suffice to contract this serious parasitosis and that the latter may then be introduced also into Central Europe.