RESUMEN
Familial hypokalaemic periodic paralysis is an autosomal dominant muscle disease which has been linked to point mutations in the skeletal muscle L-type calcium channel alpha 1 subunit (alpha 1 s). It consists of muscular weakness episodes due to hypokalaemia caused by intracellular shifting of potassium. We describe the case of a young man of Kurdish origin, with a history of Graves' disease, who was admitted to the emergency room with hypotonic tetraplegia associated with severe hypokalaemia.
Asunto(s)
Enfermedad de Graves/complicaciones , Parálisis Periódica Hipopotasémica/complicaciones , Adulto , Antitiroideos/uso terapéutico , Carbimazol/uso terapéutico , Urgencias Médicas , Enfermedad de Graves/diagnóstico , Enfermedad de Graves/tratamiento farmacológico , Humanos , Masculino , Cuadriplejía/etiología , Suiza , Turquía/etnologíaRESUMEN
The paper points the etiological, pathogenetical and anatomo-pathological aspects of children's urolithiasis. A special attention was made a clinical symptomatology and a diagnosis scheme.
Asunto(s)
Cálculos Renales/etiología , Cálculos Urinarios/etiología , Algoritmos , Niño , Humanos , Riñón/patología , Cálculos Renales/diagnóstico , Cálculos Renales/patología , Cálculos Urinarios/diagnóstico , Cálculos Urinarios/patologíaRESUMEN
The present paper concerns the problem of nifedipine poisoning at a 2-year- [correction of 1-year-] and 4-month-old boy, developed after ingestion of 15 tablets with 150 mg active substance. The medical care was represented by: a) gastric lavage with evacuation of stomach content and b) repeated administration of calcium with permanent monitoring of cardiac rhythm, electrocardiography and blood pressure. The evolution was very good with total disappearance of clinical signs in first 6 hours after admission.
Asunto(s)
Nifedipino/envenenamiento , Preescolar , Urgencias Médicas , Humanos , Lactante , Masculino , Intoxicación/diagnóstico , Intoxicación/terapia , ComprimidosRESUMEN
On the basis of the present knowledge in the nephrotic syndrome with minimum glomerular lesions, the paper reviews the paradoxes of the disease: the glomeruli with normal histologic structure in optic microscopy, but with the highest proteinuria in the whole human pathology; absence of some clear arguments concerning the existence of the immunologic disorders, but the best medication is corticotherapy and immunodepressive drugs; the high incidence of the allergic background against which the nephrotic syndrome appears, but with or without a limited effect of the antiallergic medication. The above-mentioned elements may be interesting research fields in the future.
Asunto(s)
Nefrosis Lipoidea/diagnóstico , Niño , Humanos , Glomérulos Renales/patología , Nefrosis Lipoidea/patología , Proteinuria/diagnóstico , Proteinuria/patologíaRESUMEN
The paper reports on a case of chronic pyelonephritis with bacillus Proteus, generated by an intravesical foreign body (sewing needle). The needle was extracted with surgical cystoscope. After removing the foreign body, nalidixic acid was administered. The immediate evolution of the case was good.
Asunto(s)
Cuerpos Extraños/complicaciones , Pielonefritis/etiología , Vejiga Urinaria , Niño , Enfermedad Crónica , Terapia Combinada , Cistoscopía , Femenino , Cuerpos Extraños/diagnóstico , Cuerpos Extraños/terapia , Humanos , Ácido Nalidíxico/administración & dosificación , Agujas , Infecciones por Proteus/diagnóstico , Infecciones por Proteus/tratamiento farmacológico , Infecciones por Proteus/etiología , Pielonefritis/diagnóstico , Pielonefritis/tratamiento farmacológicoRESUMEN
The paper surveys the most recent findings in three fields of the urinary infections: --pathogenesis with emphasis on the role of bacterium, the host and the bacterium-phagocytic system; --bacteriological diagnosis and the establishment of the infection site: --treatment.
Asunto(s)
Infecciones Bacterianas/etiología , Infecciones Urinarias/etiología , Bacterias/aislamiento & purificación , Bacterias/patogenicidad , Adhesión Bacteriana , Infecciones Bacterianas/diagnóstico , Infecciones Bacterianas/microbiología , Infecciones Bacterianas/terapia , Bacteriuria/microbiología , Niño , Humanos , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/microbiología , Infecciones Urinarias/terapiaRESUMEN
The authors described the clinical, biologic and histologic particularities of two cases of congenital nephrotic syndrome, Finnish type. Clinically, the hydropic syndrome was represented by anasarca: biologically by marked proteinuria, hypoproteinemia with dysproteinemia and hyperlipemia with dyslipemia. Histologically both cases presented microcystic dilatation of the proximal tubuli contorti. The evolution was unfavorable and ended in death.