RESUMEN
The reliability of micro-erythrocyte sedimentation rate (mESR) was studied for its value in the diagnosis of infections in 37 healthy newborns and in 37 with infections. The mESR values amount to 5.1 +/- 4.3 mm/h in healthy newborns. In newborns with infection, mESR values were found to be clearly higher, that is 22.7 +/- 9.9 mm/h. An important relationship between that of the mESR value and the hemoglobin (Hb) and packed cell volume (PCV) levels was revealed. For evaluation of the diagnostic value of the parameters of infection that have been studied, the Odds ratio was used. As with other similar inflammation indices, mESR should always be interpreted in combination with clinical findings in newborns with infections.
Asunto(s)
Infecciones Bacterianas/sangre , Hemoglobinas/análisis , Infecciones Bacterianas/diagnóstico , Sedimentación Sanguínea , Hematócrito , Humanos , Recién NacidoRESUMEN
The incidence of HIV-associated tuberculosis is increasing worldwide, especially in developing countries. HIV infected patients rapidly develop clinically significant disease, respond poorly to complete treatment and present with extrapulmonary tuberculosis. Although a relative increase of genital tuberculosis would be expected, this has not been reported. Probably, tuberculous systemic disease is diagnosed earlier, before genital tuberculosis occur. The present study is a report of case of a young African female patient, who was admitted with symptoms of acute pelvic inflammatory disease due to genital tuberculosis and proved to be HIV infected. The patient was managed by intravenous antibiotic administration, but since no clinical or laboratory improvement was achieved, a laparotomy and salpingooophorectomy was performed. Histopathology revealed tuberculosis and after that the patient proved to be HIV infected. Further investigation did not reveal pulmonary or other extragenital manifestation of tuberculosis. The only manifestation of HIV infection and genital tuberculosis was the symptoms of an acute pelvic inflammatory disease, which is extremely rare.
Asunto(s)
Infecciones por VIH/complicaciones , Tuberculosis de los Genitales Femeninos/complicaciones , Adulto , Antibacterianos/uso terapéutico , Trompas Uterinas/cirugía , Femenino , Humanos , Ovariectomía , Enfermedad Inflamatoria Pélvica/microbiología , Tuberculosis de los Genitales Femeninos/tratamiento farmacológico , Tuberculosis de los Genitales Femeninos/cirugíaRESUMEN
Due to the increased availability of infertility treatment, multiple pregnancies, with various resulting complications, have become more common. Two cases of triplet pregnancies with delayed delivery--interval ranged from 6 to 56 days--are reported. The first woman in the 23rd week of a triplet pregnancy came to the hospital because of premature rupture of membranes of one amniotic sac and had a miscarriage of one of the fetuses the same day. The second woman in the 26th week of a triplet pregnancy also came to the hospital because of bleeding and contractions and had vaginal delivery of the first triplet a few hours later. After confirming that the remaining two fetuses were in good condition, both patients were kept under observation with only antibiotic therapy for the first one and antibiotic and tocolysis for the second. Fifty-six days following admission to our hospital the first woman gave birth to twins while in her 32nd week. The second woman gave birth six days following admission (in her 27th week). The successful outcome of these cases demonstrates that non-intervening conservative methods could be a feasible alternative to invasive intervention. We hope that our cases will encourage more physicians to try out and report non-intervening methods so that enough information can be gathered to help make correct management decisions in the future.
Asunto(s)
Aborto Espontáneo , Rotura Prematura de Membranas Fetales/terapia , Resultado del Embarazo , Embarazo Múltiple , Adulto , Parto Obstétrico , Femenino , Humanos , Embarazo , TrillizosRESUMEN
Meigs' syndrome includes an ovarian tumor, usually fibroma, associated with hydrothorax and ascites. It is accepted that uterine tumors, like fibromas, can also be associated with ascites and hydrothorax, but this is extremely rare. The mechanism of formation of peritoneal and pleural effusion is not well documented. The most likely pathogenesis ascribes the fluid formation to the filtration of interstitial fluid in the peritoneal through the tumor capsule, and the diffusion to the pleural space through the diaphragm lymphatic vessels at the foramen of Bochdalek. Paraovarian fibromas are also extremely rare neoplasms, probably of paramesonephric origin. It has been hypothesised that they can develop by proliferation of connective tissue cells around the Wolfian remnants. In this article, probably for the first time, a case of paraovarian fibroma with ascites and hydrothorax is presented.
Asunto(s)
Ascitis/diagnóstico , Fibroma/diagnóstico , Hidrotórax/diagnóstico , Síndrome de Meigs/diagnóstico , Ligamento Ancho , Femenino , Neoplasias de los Genitales Femeninos/diagnóstico , Humanos , Persona de Mediana EdadRESUMEN
A very rare case of haematometra and extended vaginal haematoma in a 53-year-old woman after laser conization is reported. The patient presented with amenorrhea and complete urinary retention. The possible pathogenesis of this complication is discussed. Ultrasonography, combined with physical examination were very helpful in determining the diagnosis. Cervical dilation and protection of surrounding tissues from thermal damage is recommended during laser conization to avoid similar complications.