Asunto(s)
Hemocromatosis/diagnóstico , Hepatopatías/diagnóstico , Siderosis/diagnóstico , Adulto , Humanos , MasculinoRESUMEN
No disponible
Asunto(s)
Adulto , Masculino , Humanos , Rifampin , Nefritis Intersticial , Antibióticos Antituberculosos , Anemia Hemolítica Autoinmune , Enfermedad de Hodgkin , Enfermedades Linfáticas , CodoRESUMEN
No disponible
Asunto(s)
Adulto , Masculino , Humanos , Enterococcus faecalis , Siderosis , Infecciones por Bacterias Grampositivas , Hepatopatías , Endocarditis Bacteriana , Hemocromatosis , Defectos del Tabique Interventricular , HemocromatosisAsunto(s)
Mieloma Múltiple/diagnóstico , Plasmacitoma/diagnóstico , Neoplasias de la Tiroides/diagnóstico , Anciano , Anciano de 80 o más Años , Biopsia con Aguja , Diagnóstico Diferencial , Femenino , Fracturas Espontáneas/diagnóstico , Humanos , Glándula Tiroides/diagnóstico por imagen , Glándula Tiroides/patología , Fracturas de la Tibia/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
OBJECTIVE: To report a case of erythrocytosis in a patient with a hydronephrotic horseshoe kidney and normal erythropoietin values. METHODS/RESULTS: A hydronephrotic horseshoe kidney was discovered during evaluation to determine the etiology of the erythrocytosis in a 23-year-old male with normal erythropietin values. Blood parameters returned to normal following heminephrectomy. The hydronephrosis had been caused by stenois of the pyeloureteric junction. CONCLUSIONS: Although erythropoietin values may be normal, hydronephrosis can cause secondary erythrocytosis.
Asunto(s)
Hidronefrosis/etiología , Enfermedades Renales Quísticas/complicaciones , Riñón/anomalías , Policitemia/etiología , Adulto , Diagnóstico Diferencial , Eritropoyetina/sangre , Humanos , Hidronefrosis/diagnóstico por imagen , Hidronefrosis/cirugía , Riñón/diagnóstico por imagen , Riñón/cirugía , Enfermedades Renales Quísticas/diagnóstico por imagen , Enfermedades Renales Quísticas/cirugía , Masculino , Policitemia/diagnóstico , Policitemia Vera/diagnóstico , Tomografía Computarizada por Rayos XAsunto(s)
Anemia Hemolítica/etiología , Proteínas del Citoesqueleto , Eliptocitosis Hereditaria/complicaciones , Neuropéptidos , Talasemia beta/complicaciones , Adulto , Eliptocitosis Hereditaria/genética , Femenino , Globinas/genética , Glicoforinas/genética , Heterocigoto , Humanos , Masculino , Proteínas de la Membrana/genética , Espectrina/genética , Talasemia beta/genéticaRESUMEN
OBJECTIVE: To report a case of hematoma of the psoas muscle, an uncommon hemorrhagic complication of carcinoma of the prostate. METHODS/RESULTS: Hematoma of the iliac psoas was caused by disseminated intravascular coagulation arising from multiple bony metastases of a prostatic cancer. The hematoma was successfully managed conservatively. CONCLUSIONS: Hematoma of the psoas muscle is generally secondary to a coagulopathy. Conservative treatment generally achieves good results.
Asunto(s)
Hematoma/patología , Neoplasias de la Próstata/complicaciones , Músculos Psoas/patología , Hematoma/etiología , Humanos , Masculino , Persona de Mediana EdadRESUMEN
We present a 79-yr-old white woman admitted to the hospital with diffuse myalgias and muscle weakness associated with eosinophilia. Examination of a muscle biopsy section revealed eosinophilic myositis with vasculitis. This association is infrequent and we describe the first case report with symmetrical polyneuropathy. The treatment with prednisone (60 mg/day) led to a complete clinical-pathological recovery of the disease. We review the differential diagnosis and the aetiopathogenic mechanism.
Asunto(s)
Eosinofilia/complicaciones , Miositis/complicaciones , Enfermedades del Sistema Nervioso Periférico/complicaciones , Vasculitis/complicaciones , Anciano , Antiinflamatorios/uso terapéutico , Diagnóstico Diferencial , Eosinofilia/tratamiento farmacológico , Eosinofilia/patología , Femenino , Humanos , Músculo Esquelético/patología , Miositis/tratamiento farmacológico , Miositis/patología , Enfermedades del Sistema Nervioso Periférico/tratamiento farmacológico , Enfermedades del Sistema Nervioso Periférico/patología , Prednisolona/uso terapéutico , Vasculitis/tratamiento farmacológico , Vasculitis/patologíaRESUMEN
BACKGROUND: Fungal infections are nowadays more common in clinical practice. The most frequently isolated fungi are Candida and Cryptococcus. Infection due to Rhodotorula mucilaginosa is very uncommon. We describe here our experience with R. mucilaginosa fungemia, with emphasis on total parenteral nutrition related episodes. METHOD: A retrospective review identified 3 patients with R. mucilaginosa, and predisposing conditions, clinical features, treatment used and outcome were analyzed. The case definition includes the repeated isolation of R. mucilaginosa in several blood-cultures and/or the isolation of R. mucilaginosa in one single blood culture together with its isolation in any other site. RESULTS: Three patients were identified. In all of them there are some defects in immune response (skin anergy in two, immunosuppressive therapy in the remaining patient), had an iv line placed, under antibiotic therapy and total parenteral nutrition. All factors could have been related to the development of R. mucilaginosa infection. CONCLUSION: Although its pathogenic role is controversial, in two or our patients R. mucilaginosa infections correlates well with clinical signs and symptoms of invasive infections (fever, hemodynamic changes). The treatment is still not clear.