RESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Conferências de Saúde/organização & administração , Astenia/complicações , Astenia/tratamento farmacológico , Exantema/complicações , Derrame Pleural/complicações , Ferro/uso terapêutico , Síndromes de Malabsorção/complicações , Síndromes de Malabsorção/diagnóstico , Linfoma/complicações , Doença de Whipple/complicações , Radiografia Torácica/métodos , Gastroscopia/instrumentação , Redução de Peso , Gastroscopia/métodos , Doença de Whipple/diagnóstico , Colonoscopia/métodos , Intestino Delgado/patologia , Intestino Delgado , Pericardite Constritiva/complicações , Pericardite Constritiva/diagnósticoRESUMO
Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key to a timely diagnosis is to have a high index of suspicion. We present a rare case of a 36-year-old human immunodeficiency virus negative male patient, who was on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra reactions with steroids in the past. The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had features of malnutrition and had a rapid downhill course following admission. A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure, adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone secretion was established on a postmortem examination.
Assuntos
Sepse/etiologia , Sepse/patologia , Strongyloides stercoralis/isolamento & purificação , Estrongiloidíase/diagnóstico , Estrongiloidíase/patologia , Dor Abdominal/etiologia , Adulto , Animais , Humanos , Hipoglicemia/etiologia , Hiponatremia/etiologia , Hanseníase Virchowiana/complicações , Hanseníase Virchowiana/tratamento farmacológico , Masculino , Estrongiloidíase/complicações , Vômito/etiologia , Redução de PesoRESUMO
La lepra o enfermedad de Hansen es una enfermedad infecto contagiosa producida por el bacilo Mycobacterium leprae. Presenta dos tipos principales: la lepra tuberculoide, que produce grandes manchas hiperestésicas posteriormente anestésicas, y la lepra lepromatosa, que origina grandes nódulos en la piel. El tratamiento, hoy en día, varía entre seis meses y dos años, y se basa en la administración de sulfonas. Presentamos caso de masculino de 25 años de edad ingresado en el servicio de Medicina Interna del Hospital Sor Juana Inés de la Cruz con el diagnóstico de lepra lepromatosa confirmado posterior a reporte de biopsia de piel.
Assuntos
Humanos , Masculino , Adulto , Anemia Hipocrômica/diagnóstico , Febre/diagnóstico , Halitose/diagnóstico , Hanseníase/diagnóstico , Hanseníase/etiologia , Hanseníase/patologia , Mycobacterium/patogenicidade , Vasculite/diagnóstico , Vasculite/imunologia , Redução de Peso , Biópsia/métodos , Epistaxe/diagnóstico , Eritema Multiforme/diagnósticoRESUMO
There have been many methods proposed to induce molting. Some worked very well in practice, but others were detrimental to the health and welfare of the hens. The most effective methods use some level of feed restriction and daylength manipulation to reduce body weight (Hansen, 1966; Ruszler, 1974, 1984, 1996; Swanson and Bell, 1974; Brake and Carey, 1983). Weight reduction is necessary for rest and rejuvenation of body tissues. Other methods evaluated incorporated dietary imbalances using either zinc, iodine, or sodium. Pharmaceuticals have been used but have not been cost effective. In recent years there have been those who question whether molting techniques are humane. Therefore, interest has been heightened in alternate methods to induce molting. Research reported to date has been inadequate to accurately determine which methods of induced molting are the least stressful, if they in fact, cause any more stress than that experienced by the hen during a natural molt. The three or four most highly refined methods being used commercially are not generally detrimental to the health and welfare of today's laying hen, provided that they are managed in accordance with proper husbandry practices.