RESUMEN
Patients who have either hyperthyroidism or hypothyroidism can present with cardiovascular complications. These manifestations of thyroid disease-congestive heart failure, atrial tachyarrhythmias, atrioventricular conduction disorders, and mitral valve dysfunction-are well known to the clinician. Pericardial effusion is considered a complication of hypothyroidism; as an expression of thyrotoxicosis, it is extremely rare.Herein, we present the case of a 76-year-old woman who had pericardial effusion associated with thyrotoxicosis. She was treated with high-dose beta-blockers, methimazole, diuretics, and short-term steroids. She recovered completely, which precluded the need for pericardiocentesis. We suggest that thyrotoxicosis be considered in the differential diagnosis of pericardial effusion.
Asunto(s)
Derrame Pericárdico/etiología , Tirotoxicosis/complicaciones , Antagonistas Adrenérgicos beta/uso terapéutico , Anciano , Antiinflamatorios/uso terapéutico , Antitiroideos/uso terapéutico , Diuréticos/uso terapéutico , Femenino , Furosemida/uso terapéutico , Glucocorticoides/uso terapéutico , Humanos , Metimazol/uso terapéutico , Derrame Pericárdico/tratamiento farmacológico , Prednisona/uso terapéutico , Tirotoxicosis/tratamiento farmacológicoAsunto(s)
Parálisis Periódica Hipopotasémica/etiología , Tirotoxicosis/complicaciones , Adulto , Humanos , Parálisis Periódica Hipopotasémica/sangre , Parálisis Periódica Hipopotasémica/tratamiento farmacológico , Inyecciones Intravenosas , Masculino , Potasio/sangre , Cloruro de Potasio/administración & dosificación , Cloruro de Potasio/uso terapéutico , Tirotoxicosis/sangre , Tiroxina/sangreAsunto(s)
Angina Inestable/etiología , Angina Inestable/terapia , Enfermedades Hematológicas/complicaciones , Plasmaféresis/métodos , Anciano , Angina Inestable/sangre , Viscosidad Sanguínea , Medicina de Emergencia/métodos , Enfermedades Hematológicas/sangre , Humanos , Masculino , Síndrome de Sjögren/complicaciones , Síndrome de Sjögren/diagnóstico , Síndrome de Sjögren/inmunología , Síndrome , Resultado del TratamientoRESUMEN
Eikinella corrodens normally forms part of the flora of the oral cavity and mucous membranes of the respiratory tract. It is usually associated with dental, head and neck infections (Cohen, Powderly, 2004, Infectious Diseases) and is considered to be an unusual cause of orthopaedic infections. We recently treated a diabetic patient with E. corrodens osteomyelitis of the fifth metatarsophalangeal joint, a phenomenon which has been reported in only three cases previously (Konugres et al., 1987, E. corrodens as a cause of osteomyelitis in the feet of the diabetic patients. Report of three cases). We recommend including E. corrodens in the spectrum of causative pathogens in diabetic foot infections.
Asunto(s)
Pie Diabético/complicaciones , Eikenella corrodens , Infecciones por Bacterias Gramnegativas/diagnóstico , Osteomielitis/diagnóstico , Infecciones por Bacterias Gramnegativas/terapia , Humanos , Masculino , Articulación Metatarsofalángica , Persona de Mediana Edad , Osteomielitis/terapiaRESUMEN
Listeria monocytogenes, an uncommon foodborne pathogen, is increasingly recognized as a cause of life-threatening disease. A marked increase in reported cases of listeriosis during 1998 motivated a retrospective nationwide survey of the infection in Israel. From 1995 to 1999, 161 cases were identified; 70 (43%) were perinatal infections, with a fetal mortality rate of 45%. Most (74%) of the 91 nonperinatal infections involved immunocompromised patients with malignancies, chronic liver disease, chronic renal failure, or diabetes mellitus. The common clinical syndromes in these patients were primary bacteremia (47%) and meningitis (28%). The crude case-fatality rate in this group was 38%, with a higher death rate in immunocompromised patients.