RESUMEN
Spinal cord compression due to extramedullary hematopoiesis (EMH) is a rare complication of thalassemia and generally presents as paraparesis with sensory impairment. Complete paraplegia is extremely rare in EMH due to thalassemia although it is known to occur in polycythemia vera and sickle cell anemia. Treatment options mostly include surgery and/or radiotherapy. Whereas cases presenting with paraparesis have been treated with either surgery or radiotherapy with equal frequency and efficacy, almost all reported cases with paraplegia have been treated with surgery with or without radiation therapy. We hereby report a case of thalassemia intermedia with paraplegia treated successfully with radiotherapy.
Asunto(s)
Radioisótopos de Cobalto/uso terapéutico , Hematopoyesis Extramedular , Paraplejía/etiología , Teleterapia por Radioisótopo , Compresión de la Médula Espinal/radioterapia , Talasemia beta/complicaciones , Adulto , Transfusión Sanguínea , Calcio/uso terapéutico , Contraindicaciones , Descompresión Quirúrgica , Difosfonatos/uso terapéutico , Espacio Epidural , Ácido Fólico/uso terapéutico , Fracturas Espontáneas/etiología , Humanos , Imidazoles/uso terapéutico , Masculino , Osteoporosis/complicaciones , Osteoporosis/tratamiento farmacológico , Compresión de la Médula Espinal/complicaciones , Ácido Zoledrónico , Talasemia beta/fisiopatología , Talasemia beta/terapiaRESUMEN
Hydatid disease is a parasitic infection that most commonly involves the liver. Imaging plays a vital role in the diagnosis of this disease. Rupture of the cyst can give rise to a wide spectrum of complications. We describe a case of hepatic hydatid cyst with rupture into the biliary tree, right pleural cavity and dissemination into the peritoneal cavity, with associated splenic hydatid cysts. MRI may be a useful non-invasive diagnostic tool in such disseminated cases to define the complete extent of the disease.
Asunto(s)
Enfermedades de los Conductos Biliares/complicaciones , Equinococosis Hepática/complicaciones , Equinococosis/diagnóstico , Enfermedades de los Conductos Biliares/diagnóstico , Equinococosis Hepática/diagnóstico , Femenino , Humanos , Persona de Mediana Edad , Enfermedades Peritoneales/diagnóstico , Enfermedades Pleurales/complicaciones , Enfermedades Pleurales/diagnóstico , Enfermedades del Bazo/complicaciones , Enfermedades del Bazo/diagnósticoRESUMEN
Proton pump inhibitors (PPIs) have been known to cause bradycardia. We evaluated the effect of three PPIs, i.e. omeprazole, rabeprazole and pantoprazole on the heart rate of frog. The in situ frog heart preparation was set up. Heart rate and amplitude of contraction were studied following administration of different doses of the three PPIs. Statistical analysis was done by using Graphpad statistical software system. After 1 mg of omeprazole and rabeprazole, and 2 mg pantoprazole, the heart rate was similar as compared to baseline (p >0.05). After 2 mg of omeprazole and rabeprazole, and 4 mg pantoprazole, the reduction in heart rate was significant (p <0.05). In addition, pantoprazole caused negative ionotropic effect. The three PPIs showed a dose-dependent negative chronotropic effect in the frog heart prepration.
Asunto(s)
Frecuencia Cardíaca/efectos de los fármacos , Corazón/efectos de los fármacos , Inhibidores de la Bomba de Protones/farmacología , 2-Piridinilmetilsulfinilbencimidazoles/farmacología , Animales , Anuros , Relación Dosis-Respuesta a Droga , Omeprazol/farmacología , Pantoprazol , RabeprazolRESUMEN
Fibrous dysplasia of the spine is uncommon, especially in monostotic form. Isolated vertebral involvement in polyostotic form is very rare. We report a case of polyostotic fibrous dysplasia with lesions localized to dorso-lumbar spine in a 45-year-old rheumatoid arthritis patient. No associated appendicular lesions, cutaneous manifestations or endocrinopathies were seen. The extreme rarity of this type of lesion can pose a diagnostic dilemma, and biopsy is required for diagnosis. The association with rheumatoid arthritis in our case seems to be a chance occurrence.