RESUMO
Brucellosis may show itself only through its bone and muscle complications, especially in the lumbar region, such as vertebral colliquation or psoas abscess. The authors describe a case of brucellosis (56 year old male, butcher) with lumbar bone and muscle involvement. The first symptom was a persistent pain of the right lumbar region, with irradiation to the homolateral leg. At admission the patient showed a lumbar cutaneous fistula with pus-like secretion. Quick diagnosis and therapy can prevent irreparable damage, even when the symptoms are silent.
Assuntos
Doenças Ósseas/etiologia , Brucelose , Doenças Musculares/etiologia , Animais , Antibacterianos/uso terapêutico , Doenças Ósseas/diagnóstico , Brucelose/diagnóstico , Brucelose/tratamento farmacológico , Bovinos , Diagnóstico Diferencial , Doxiciclina/uso terapêutico , Humanos , Ílio , Vértebras Lombares , Masculino , Pessoa de Meia-Idade , Doenças Musculares/diagnóstico , Músculos Psoas , Rifampina/uso terapêutico , Irrigação TerapêuticaRESUMO
The paper analyses the authors' initial experience of video laparoscopic cholecystectomy, outing the difficulties and incidence of morbidity in the preliminary group of 38 patients. The details of complications and their pathogenesis are also reported.
Assuntos
Colecistectomia Laparoscópica , Colecistectomia Laparoscópica/efeitos adversos , Colecistectomia Laparoscópica/métodos , Colecistectomia Laparoscópica/estatística & dados numéricos , Colelitíase/complicações , Colelitíase/cirurgia , Feminino , Humanos , Laparotomia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Reoperação , TelevisãoRESUMO
The authors report a series of 111 cases of non-palpable breast tumours. Radiological examinations showed the following mammographic patterns: microcalcification (63%); irregular opacity and/or denseness (26%); opacity and low density microcalcifications (12%), to which 3 progressive risk rates were assigned (high, medium, low). Histological controls of the tumours showed a positive predictive value of 73% for mammographic patterns defined as "high-risk". Localisation using a metal probe proved to be a simple and efficacious method which was well tolerated by patients.
Assuntos
Neoplasias da Mama/diagnóstico , Biópsia por Agulha , Humanos , MamografiaRESUMO
A case is reported of HIV-related Kaposi's sarcoma of the skin which occurred on a traumatized area. Such a case has not been previously described. The probable pathogenetic role of vasal growth factors produced by platelets, macrophages and lymphocytes' is emphasized.