RESUMEN
Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semi-solid object may lodge in the larynx, trachea or other breathing airways. If the object is large enough to cause nearly complete obstruction of the airway, asphyxia may rapidly cause death. We report a 19-year old man admitted with right lower lobe pneumonia who spontaneously expelled a foreign body, one day after admission and glucocorticoids administration. Glucocorticoids should be considered in foreign body aspiration management because improvement of the inflammatory reaction may facilitate expontaneous expulsion or foreign body extraction
Asunto(s)
Antiinflamatorios/uso terapéutico , Cuerpos Extraños/tratamiento farmacológico , Metilprednisolona/uso terapéutico , Neumonía por Aspiración/tratamiento farmacológico , Acetaminofén/administración & dosificación , Acetaminofén/uso terapéutico , Analgésicos/uso terapéutico , Antibacterianos/uso terapéutico , Antiinflamatorios/administración & dosificación , Azitromicina/administración & dosificación , Azitromicina/uso terapéutico , Broncodilatadores/administración & dosificación , Broncodilatadores/uso terapéutico , Ceftriaxona/administración & dosificación , Ceftriaxona/uso terapéutico , Tos/etiología , Quimioterapia Combinada , Disnea/etiología , Fluoroquinolonas/administración & dosificación , Fluoroquinolonas/uso terapéutico , Cuerpos Extraños/diagnóstico por imagen , Humanos , Levalbuterol/administración & dosificación , Levalbuterol/uso terapéutico , Masculino , Metilprednisolona/administración & dosificación , Moxifloxacino , Juego e Implementos de Juego , Neumonía por Aspiración/etiología , Ranitidina/administración & dosificación , Ranitidina/uso terapéutico , Tomografía Computarizada por Rayos X , Adulto JovenRESUMEN
Amyloidosis is a process were an abnormal protein deposits in tissues. This deposit accumulates and may eventually cause a variety of nonspecific symptoms. Primary amyloidosis refers to amyloidosis caused by an underlying plasma cell disorder. Protein electrophoresis showing a monoclonal band is suggestive of the disease but in order to make the diagnosis, the presence of amyloid deposition on tissues must be shown by biopsy. We present a woman in whom primary amyloid is manifested as a rectal stricture. She came to the gastroenterology clinics complaining of hematochezia, weight loss, decreased appetite and abdominal pain. Her only sign of organ damage was mild to moderate proteinuria (80mg per day). The patient also had an unusual retroperitoneal infiltration with encasement of the abdominal aorta.
Asunto(s)
Amiloidosis/complicaciones , Enfermedades del Recto/etiología , Amiloidosis/diagnóstico , Constricción Patológica , Femenino , Humanos , Amiloidosis de Cadenas Ligeras de las Inmunoglobulinas , Persona de Mediana EdadRESUMEN
Leptospirosis is a rare and potentially fatal infection that requires a high index of suspicion for timely diagnosis and treatment. Diagnosis of leptospirosis can be particularly difficult in context of coexistent viral hepatitis. We present a case of Weil's syndrome, in which a concurrent resolving Hepatitis A virus infection was concomitantly diagnosed. Assessment of epidemiologic risk factors and serial serology testing were key in making this diagnosis. The immunologic consequence of the coexistence of these two infections is also discussed. It is likely that hepatitis A infection predisposed our patient's leptospirosis infection to progress to Weil's syndrome.