Assuntos
Psoríase/etiologia , Escarlatina/complicações , Doença Aguda , Criança , Feminino , Humanos , Psoríase/patologiaRESUMO
From 1981 to 1991, 37,666 human, animal, food and environmental samples were cultured for Yersinia pseudotuberculosis using direct plating methods and/or cold enhancement techniques. Despite an intensive surveillance and adequate culture methods, Y. pseudotuberculosis was isolated from stools of 0.05% (5/9,720) of patients with acute enteritis, and alimentary tracts of 0.1% (10/6,849) of apparently healthy animals. No Y. pseudotuberculosis strains were recovered from stools of 4,726 health controls nor from the appendices (656), mesenteric lymph nodes (84), and stools (421) of 656 patients operated for suspected appendicitis. Of the 10,842 food and 4,368 environmental samples, none yielded positive cultures for Y. pseudotuberculosis.
Assuntos
Infecções por Yersinia pseudotuberculosis/microbiologia , Yersinia pseudotuberculosis/isolamento & purificação , Animais , Apendicite/microbiologia , Microbiologia Ambiental , Fezes/microbiologia , Microbiologia de Alimentos , Gastroenterite/microbiologia , Humanos , Itália/epidemiologia , Técnicas Microbiológicas , Infecções por Yersinia pseudotuberculosis/epidemiologiaRESUMO
A 29-year-old woman had intermittent left shoulder pain during a 4-month period following a motor vehicle accident. Sudden development of a pleuritic component was noted. An elevated left hemidiaphragm of the chest radiograph prompted an ultrasound examination of the abdomen, which revealed a 15-cm complex mass in the left upper quadrant. At surgery, a tumor mass attached to the splenic artery, stomach, and diaphragm was removed. Pathologic studies revealed an encapsulated adrenal hematoma. This case represents an unusual cause of persistent shoulder pain due to diaphragmatic irritation by an adrenal hematoma.