Asunto(s)
Infecciones Bacterianas , Discitis , Infecciones Bacterianas/diagnóstico , Infecciones Bacterianas/tratamiento farmacológico , Infecciones Bacterianas/fisiopatología , Diagnóstico Diferencial , Discitis/diagnóstico , Discitis/tratamiento farmacológico , Discitis/etiología , Discitis/fisiopatología , Humanos , PronósticoAsunto(s)
Osteítis Deformante/complicaciones , Compresión de la Médula Espinal/etiología , Enfermedades de la Columna Vertebral/complicaciones , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Estudios Retrospectivos , Enfermedades de la Columna Vertebral/diagnóstico por imagenAsunto(s)
Neoplasias Óseas/secundario , Osteítis Deformante/diagnóstico , Neoplasias de la Próstata/diagnóstico , Adenocarcinoma/secundario , Anciano , Neoplasias Óseas/complicaciones , Neoplasias Óseas/diagnóstico , Fibrosarcoma/secundario , Humanos , Masculino , Osteítis Deformante/complicaciones , Neoplasias de la Próstata/complicacionesAsunto(s)
Desplazamiento del Disco Intervertebral/diagnóstico por imagen , Adulto , Femenino , Humanos , Desplazamiento del Disco Intervertebral/diagnóstico , Desplazamiento del Disco Intervertebral/cirugía , Masculino , Persona de Mediana Edad , Mielografía , Vértebras Torácicas , Tomografía Computarizada por Rayos XAsunto(s)
Artritis Infecciosa/microbiología , Infecciones por Parvoviridae , Adulto , Femenino , HumanosRESUMEN
The authors report three observations of osseous and/or articular actinomycosis. Osseous localizations, always in contact with abscessed foci of the soft tissues, included the spine and one or several limbs. In one case there was an arthritis of the knee. Culture and typing of the responsible germ: Actinomyces meyeri, were obtained from infectious foci in the three cases. The authors insist on the rare occurrence, at the moment, of osteo-articular actinomycoses outside the maxillo-facial area. Actinomyces meyeri has exceptionally been implicated. The prognosis of osteo-arthritis is similar to that of other localizations. It is usually favorable due to the great sensitivity of the germs to antibiotics, especially penicillin.
Asunto(s)
Actinomicosis , Artritis Infecciosa/microbiología , Osteítis/microbiología , Absceso/microbiología , Actinomicosis/tratamiento farmacológico , Adulto , Antibacterianos/uso terapéutico , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Corea/inducido químicamente , Dimercaprol/análogos & derivados , Oro/efectos adversos , Mioclonía/inducido químicamente , Compuestos Organometálicos , Polirradiculoneuropatía/inducido químicamente , Artritis Reumatoide/complicaciones , Artritis Reumatoide/tratamiento farmacológico , Dimercaprol/efectos adversos , Femenino , Humanos , Pierna , Persona de Mediana Edad , Compuestos Orgánicos de Oro , Propanoles , Compuestos de Sulfhidrilo , SíndromeRESUMEN
A man aged 54 years presented multiple symptoms (acroparesthesia, familial deafness, cardiomyopathy, diarrhea, adenopathy with infiltration of frothy macrophages, pancytopenia with a dense marrow, chronic meningitis, renal failure) associated with intermittent fever, with feverish attacks and a temperature of 40 degrees C, and with a severe biologic febrile syndrome. Fabry's disease was diagnosed only after 3 years of fruitless explorations. The reasons for this delay are analysed and it is suggested than Fabry's disease be added to the list of conditions responsible for fever or for a persistent inflammatory syndrome.
Asunto(s)
Enfermedad de Fabry/complicaciones , Fiebre de Origen Desconocido/etiología , Inflamación/etiología , Diarrea/etiología , Humanos , Masculino , Meningitis/etiología , Persona de Mediana Edad , Prednisona/uso terapéuticoRESUMEN
An association of a familial bisalbuminemia and a benign M component (IgG Kappa) in a healthy woman is described. Any connection between the two abnormalities is unlikely. However this rare association should be known for a better understanding of the striking features of its electrophoretic pattern.
Asunto(s)
Albúmina Sérica/genética , Anciano , Electroforesis de las Proteínas Sanguíneas , Electroforesis en Acetato de Celulosa , Femenino , Variación Genética , Humanos , Inmunoglobulina G/análisis , MutaciónAsunto(s)
Hormonas/uso terapéutico , Neoplasias de la Próstata/tratamiento farmacológico , Aminoglutetimida/uso terapéutico , Antagonistas de Andrógenos/uso terapéutico , Animales , Antineoplásicos/uso terapéutico , Terapia Combinada , Resistencia a Medicamentos , Hormona Liberadora de Gonadotropina/análogos & derivados , Hormona Liberadora de Gonadotropina/uso terapéutico , Humanos , Cetoconazol/uso terapéutico , Masculino , Metástasis de la Neoplasia , Neoplasias de la Próstata/cirugía , Neoplasias de la Próstata/terapia , Factores de TiempoRESUMEN
Signs of ankylosing spondylitis were sought in 11 patients suffering from Behcet's syndrome and followed up in different departments of the Clermont-Ferrand teaching hospital group. Three patients, described in detail, had definite ankylosing spondylitis and 2 had phenotype B27. This prevalence would be greater than that predicted on the basis of data in the literature. This combination is rare but it is felt to be legitimate to seek the other disease when one of these two conditions is diagnosed.
Asunto(s)
Síndrome de Behçet/complicaciones , Espondilitis Anquilosante/complicaciones , Adulto , Síndrome de Behçet/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Espondilitis Anquilosante/diagnósticoRESUMEN
The diagnostic evaluation of the sicca complex in rheumatology depends, on the one hand, upon performing tests and, on the other hand, upon the specific clinical presentations which lead to these tests. The frequency with which the clinical problem is encountered should be taken into account as well as the probability of whether or not the patient does indeed have the sicca complex, and the necessity of making a precise diagnosis. A labial biopsy should be performed when it is necessary to confirm the diagnosis. Schirmer's test is useful to evaluate the ocular component of the sicca complex, which is the only component requiring therapy. In other cases, one examination can follow another in sequence such as salivary nucleotide scanning followed by biopsy and histological examination.