Assuntos
Carcinoma de Células Escamosas/complicações , Transtornos de Deglutição/etiologia , Neoplasias Esofágicas/complicações , Granuloma Piogênico/complicações , Idoso , Biópsia , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/cirurgia , Transtornos de Deglutição/diagnóstico , Neoplasias Esofágicas/diagnóstico , Neoplasias Esofágicas/cirurgia , Carcinoma de Células Escamosas do Esôfago , Esofagectomia/métodos , Esofagoscopia , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/cirurgia , Humanos , Masculino , Radioterapia Adjuvante , Indução de Remissão , Fatores de Tempo , Resultado do TratamentoRESUMO
Pseudomembranous colitis is mainly caused by antibiotics and Clostridium difficile infection. But conditions such as gastrointestinal surgery, antacid medication, anti-neoplastic agent or immunosuppressive agent which influences the normal flora of colon can induce colitis without the administration of any antibiotics. We experienced a 13 year-old male who was taking low-dose methotrexate for juvenile rheumatoid arthritis complained diarrhea and abdominal pain for 3 weeks. Sigmoidoscopic findings revealed diffuse patch yellowish pseudomembranes on the rectum. Histologic finding was compatible to pseudomembranous colitis. His symptom was improved after stop taking methotrexate and the administration of metronidazole. If a patient treated with immunosuppressive agents or antineoplastic agents complains diarrhea, fever or abdominal pain and has not improved with conservative care, pseudomembranous colitis should be taken into account as a differential diagnosis and prompt treatment is required for better prognosis.
Assuntos
Antirreumáticos/efeitos adversos , Artrite Juvenil/tratamento farmacológico , Enterocolite Pseudomembranosa/diagnóstico , Metotrexato/efeitos adversos , Dor Abdominal/etiologia , Adolescente , Anti-Infecciosos/uso terapêutico , Antirreumáticos/uso terapêutico , Diagnóstico Diferencial , Diarreia/etiologia , Enterocolite Pseudomembranosa/tratamento farmacológico , Enterocolite Pseudomembranosa/patologia , Humanos , Masculino , Metotrexato/uso terapêutico , Metronidazol/uso terapêutico , Sigmoidoscopia , Tomografia Computadorizada por Raios XRESUMO
Percutaneous coronary intervention with stenting is widely used for ischemic heart disease. Because stent loss, which occurs rarely during the procedure, might have dire consequences, such as bleeding, stent embolism, acute myocardial infarction, emergency coronary artery bypass graft, and death, appropriate treatment is needed as soon as stent loss occurs. We report three cases of stent loss which were successfully treated with three different non-surgical methods.