Subject(s)
Autoexperimentation/history , Cardiac Catheterization/history , Germany , History, 20th Century , Humans , India , PhilatelyABSTRACT
We report an elderly male who presented with history of chronic diarrhoea. The patient underwent colonoscopy and CT scan of the abdomen which strongly suggested tuberculosis; however histopathology showed presence of budding forms of Histoplasma capsulatum. The patient was started on oral itraconazole on which he improved remarkably. ©
Subject(s)
Abdomen/pathology , Antifungal Agents/therapeutic use , Diagnosis, Differential , Histoplasmosis/diagnosis , Histoplasmosis/drug therapy , Histoplasmosis/microbiology , Humans , Itraconazole/therapeutic use , Male , Middle Aged , Tuberculosis, Gastrointestinal/diagnosis , Tuberculosis, Gastrointestinal/pathologySubject(s)
Animals , Bothrops , Brazil , Famous Persons , History, 19th Century , Humans , Hypertension, Renal/drug therapy , Kidney , Philately , Uganda , Viper Venoms/historySubject(s)
Biochemistry/history , Canada , Diabetes Mellitus/history , History, 19th Century , History, 20th Century , Humans , Insulin/history , Nobel Prize , Ontario , Philately/historySubject(s)
Aspirin/history , Brazil , Colombia , Drug Industry/history , Germany , United Kingdom , History, 19th Century , History, 20th Century , Humans , Philately/history , Poland , United StatesSubject(s)
History, 19th Century , History, 20th Century , Humans , India , Italy , Nobel Prize , Parasitology/history , Philately , Sweden , Zoology/historySubject(s)
Republic of Belarus , History, 18th Century , Humans , Italy , Microbiology/history , Philately , Physiology/historySubject(s)
England , Famous Persons , History, 19th Century , History, 20th Century , Humans , Philately , Publishing/history , South Africa , Writing/historySubject(s)
France , History, 19th Century , History, 20th Century , Humans , Mali , Philately , Typhoid Fever/historySubject(s)
Delivery of Health Care , Humans , India , Internet , Japan , Philately , Switzerland , Telemedicine/trendsSubject(s)
Auscultation/history , Austria , History, 19th Century , History, 20th Century , Humans , Percussion/history , Philately/historySubject(s)
Czechoslovakia , History, 19th Century , Humans , Philately , Physiology/history , Purkinje Cells , Purkinje FibersSubject(s)
Canada , Expeditions/history , Famous Persons , United Kingdom , History, 18th Century , Humans , Naval Medicine/history , Philately , Scurvy/history , South AfricaABSTRACT
INTRODUCTION: Acute liver failure due to acute hepatitis E carries a high mortality. METHODS: Clinical and laboratory parameters of 42 pregnant women (median age 25.5 years) with acute liver failure due to acute hepatitis E were retrospectively analyzed. RESULTS: 22 women delivered, whereas pregnancy continued in 20 women. The maternal mortality in these two groups was similar (9/22 [41%] versus 14/20 [70%], p=0.056). However, in patients with grade I, II or III hepatic encephalopathy, delivery of fetus was associated with reduced mortality in those who delivered as against those who continued pregnancy (5/16 (31%) vs. 13/20 (65%), p=0.046). On multivariate analysis, higher grade of encephalopathy at admission was associated with risk of death (p=0.005). CONCLUSION: Mortality in pregnant women with acute liver failure with acute hepatitis E is high, especially in patients who present with higher grades of encephalopathy.