RESUMEN
We report a case of posterior femorotibial dislocation with an isolated lesion of the posterior cruciate ligament. Outcome was favorable after reduction and conservative treatment for six weeks and was satisfactory at six months follow-up. Acceptable functional results can be obtained after non-operative treatment of this very severe knee injury.
Asunto(s)
Luxaciones Articulares/diagnóstico , Luxaciones Articulares/terapia , Traumatismos de la Rodilla/diagnóstico , Traumatismos de la Rodilla/terapia , Manipulación Ortopédica , Modalidades de Fisioterapia , Ligamento Cruzado Posterior/lesiones , Accidentes de Tránsito , Adolescente , Estudios de Seguimiento , Humanos , Luxaciones Articulares/etiología , Luxaciones Articulares/fisiopatología , Traumatismos de la Rodilla/etiología , Traumatismos de la Rodilla/fisiopatología , Imagen por Resonancia Magnética , Masculino , Manipulación Ortopédica/métodos , Motocicletas , Modalidades de Fisioterapia/métodos , Rango del Movimiento Articular , Rotura , Resultado del TratamientoRESUMEN
Cerebral angiopathy of the postpartum period is a rare entity, sometimes promoted by vasoconstrictives drug prescription. Its clinical presentation includes headaches, seizures and focal neurological deficits, which develop shortly after a normal pregnancy. The diagnosis is based on clinical findings and angiography, showing multiple narrowing of the intracranial cerebral arteries. This neurological feature is reversible and the clinical outcome is good. We report a case of benign cerebral angiopathy in a 20-year-old woman in the postpartum period, occurring after administration of sumatriptan and ergot derivates.
Asunto(s)
Trastornos Cerebrovasculares/inducido químicamente , Ergonovina/efectos adversos , Oxitócicos/efectos adversos , Trastornos Puerperales/inducido químicamente , Sumatriptán/efectos adversos , Vasoconstrictores/efectos adversos , Adulto , Angiografía Cerebral , Trastornos Cerebrovasculares/diagnóstico , Femenino , Humanos , Complicaciones del Trabajo de Parto/tratamiento farmacológico , Embarazo , Tomografía Computarizada por Rayos XRESUMEN
We report two cases of children with malignancies and subpleural nodules found on computed tomography (CT) scan. In both cases the diagnosis was anthracosis. This pathologic condition has never been reported in children. Causes of anthracosis include a smoking environment, living in urban areas and air pollution.
Asunto(s)
Neumoconiosis/diagnóstico por imagen , Contaminantes Atmosféricos/efectos adversos , Niño , Diagnóstico Diferencial , Exposición a Riesgos Ambientales/efectos adversos , Femenino , Humanos , Neumoconiosis/etiología , Neumoconiosis/cirugía , Radiografía Torácica , Toracotomía , Contaminación por Humo de Tabaco/efectos adversos , Tomografía Computarizada por Rayos X , Población UrbanaRESUMEN
Septic deep venous thrombosis is a major complication associated with central venous catheterization in intensive care units. The most common causative organisms are Staphylococcus aureus, gram-negative bacilli and Candida species. The incidence of Candida infections is increasing, especially in intensive care patients receiving total parenteral nutrition and long-term broad-spectrum antibiotics. Although intravascular catheter-induced septic thrombophlebitis is quite common, superior vena cava obstruction is a rare complication. However, few data exist concerning the best strategy for managing septic thrombophlebitis, especially when medical therapy fails. We report successful surgical management of Candida albicans suppurative thrombosis of the superior vena cava in a young patient.
Asunto(s)
Candidiasis/complicaciones , Cateterismo Venoso Central/efectos adversos , Fungemia/complicaciones , Trombosis/cirugía , Vena Cava Superior , Adolescente , Candidiasis/tratamiento farmacológico , Infección Hospitalaria/complicaciones , Infección Hospitalaria/tratamiento farmacológico , Infección Hospitalaria/microbiología , Femenino , Fungemia/tratamiento farmacológico , Humanos , Supuración , Trombosis/microbiologíaRESUMEN
Primary mediastino pulmonary tuberculosis in infancy is increasing in France. Bacteriological diagnosis is difficult. The aim of the study is to assess the value of chest radiograph and CTscan for diagnosis of tuberculosis. We studied 15 infants, 3 month old to 18 month old, between November 1990 and June 1992. On plain film, lymphadenopathies were present in 13 cases and parenchymal disease in 10 cases, parenchymal nodular densities in 6 cases and pleural effusion in one case, displacement of the trachea in 6 cases. We found CTscan to be useful in delineating the lymphadenopathies and parenchymal changes. In 2 cases lymphadenopathies and in 2 cases alveolar condensation were discovered on CTscan as plain film was normal. In all cases lymphadenopathies were present in CTscan, often in right side and in all cases, lymphadenopathies were hypodense with peripheral enhancement. In conclusion, the association of right paratracheal nodes with displacement of trachea and alveolar consolidation is common in tuberculosis in infants. These findings when seen on chest radiographs must lead to perform a CTscan and suggest the diagnosis.