RESUMO
BACKGROUND: Bacteremia rarely occurs in non-typhoid salmonella infections and the development of a brain abscess is exceptional. CASE REPORT: An immunocompetent patient developed severe Salmonella typhimurium bacteremia leading to septic shock and acute respiratory distress and acute renal failure. A brain abscess, which was not present on the initial brain tomodensitometry, developed and totally regressed after antibiotic therapy. DISCUSSION: We were unable to identify and factor favoring the development of salmonella bacteremia in this patient. There were no cerebral lesions on the initial brain tomodensitometry considered to be normal. To our knowledge, this is the first report of Salmonella typhimurium brain abscess in an immunocompetent subject.
Assuntos
Bacteriemia/complicações , Abscesso Encefálico/microbiologia , Imunocompetência , Infecções por Salmonella/complicações , Salmonella typhimurium , Injúria Renal Aguda/microbiologia , Antibacterianos/uso terapêutico , Abscesso Encefálico/diagnóstico por imagem , Abscesso Encefálico/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome do Desconforto Respiratório/microbiologia , Choque Séptico/microbiologia , Tomografia Computadorizada por Raios XAssuntos
Neoplasias Duodenais/diagnóstico , Leiomiossarcoma/diagnóstico , Adulto , Antineoplásicos/uso terapêutico , Artéria Celíaca/diagnóstico por imagem , Criança , Neoplasias Duodenais/patologia , Neoplasias Duodenais/terapia , Duodeno/cirurgia , Feminino , Humanos , Leiomiossarcoma/patologia , Leiomiossarcoma/terapia , Masculino , Artérias Mesentéricas/diagnóstico por imagem , Pessoa de Meia-Idade , RadiografiaRESUMO
The authors report 2 cases of HH and MCT in newborn of 1 1/2 and 5 months old who quickly develop a peptic stenosis despite a good medical treatment. Reviewing 51 cases of early surgical treatment (29 cases operated on before 2 months of age), they estimate legitimal an early surgical treatment for HH and MCT in newborn. They insist on the necessity to begin with a rigourous medical treatment, which cannot exceed one month if an oesophagitis persist (documented by a good and acurate endoscopic examination). This examination is the guide line for the surgical indication and is more acurate than the clinical and radiological informations. They point out the absence of mortality and the improvement of the results if the patients are operated on before 2 months old. In the literature ones can observe that the incidence of recurrence and peptic stenosis is decreased when the patients are operated on early.