RESUMEN
"Hand-foot" syndrome is a well-documented, dermatologic reaction after several chemotherapeutic agents with wild spectrum of symptoms. To the best of our knowledge, palmar-plantar erythrodysesthesia syndrome--presented as irreversible cytotoxic side effect induced by gemcitabine alone--has not been reported so far. We present a case of a patient with a history of peripheral sensory neuropathy who developed a painless finger necrosis caused by gemcitabine used in the second-line therapy for progressive ovary cancer.
Asunto(s)
Antimetabolitos Antineoplásicos/efectos adversos , Desoxicitidina/análogos & derivados , Falanges de los Dedos de la Mano/patología , Dermatosis del Pie/inducido químicamente , Dermatosis de la Mano/inducido químicamente , Anciano , Antimetabolitos Antineoplásicos/administración & dosificación , Desoxicitidina/administración & dosificación , Desoxicitidina/efectos adversos , Femenino , Dermatosis del Pie/prevención & control , Dermatosis de la Mano/prevención & control , Humanos , Necrosis/inducido químicamente , Neoplasias Ováricas/tratamiento farmacológico , Síndrome , GemcitabinaRESUMEN
A rare case of a 22-year old patient with obstetric urethrovaginal fistula, resulting in urinary incontinence, has been reported in the following report The emphasis is put on a number of medical and social consequences related to the formation of the fistula. Authors have presented the diagnostic difficulties. The aim of the report is to draw attention to the probable complications following prolonged labour and the necessity of appropriate treatment.
Asunto(s)
Trastornos Puerperales/cirugía , Colgajos Quirúrgicos , Enfermedades Uretrales/cirugía , Fístula Urinaria/cirugía , Fístula Vaginal/cirugía , Adulto , Diagnóstico Diferencial , Femenino , Humanos , Periodo Posparto , Trastornos Puerperales/diagnóstico , Enfermedades Raras , Resultado del Tratamiento , Enfermedades Uretrales/diagnóstico , Fístula Urinaria/diagnóstico , Fístula Vaginal/diagnósticoRESUMEN
A case of actinomycosis presenting as tubo-ovarian abscess, misdiagnosed as ovarian malignancy in 54-year old woman with IUD is reported. Author presents the diagnostic problems due to uncommon location, no reliable clinical manifestation and nonspecific CT imaging findings, based on current literature. Knowledge of the characteristic features may help one consider the possibility of actinomycetic infection in the differential diagnosis, in patients with a previous history of predisposing factors and treat them appropriately.