RESUMO
We report the case of a patient who presented with a thrombus of the aortic arch complicated with splenic, renal and peroneal artery embolisms, associated with transient lupus anticoagulant, during a Mycoplasma pneumoniae infection. The outcome was good under antibiotic and anticoagulant treatment. We also review the medical literature on M. pneumoniae-related thromboses.
Assuntos
Doenças da Aorta/complicações , Mycoplasma pneumoniae/isolamento & purificação , Pneumonia por Mycoplasma/complicações , Tromboembolia/complicações , Tromboembolia/diagnóstico , Adulto , Antibacterianos/uso terapêutico , Anticoagulantes/uso terapêutico , Doenças da Aorta/microbiologia , Ecocardiografia Transesofagiana , Humanos , Rim/patologia , Masculino , Períneo/patologia , Pneumonia por Mycoplasma/microbiologia , Baço/patologia , Tromboembolia/patologia , Resultado do TratamentoRESUMO
The neurofibromatosis type 1 (NF1) or Von Recklinghausen's disease is a genetic disorder. The café-au-lait spots and neurofibromas are the most common manifestations. Respiratory symptoms are rare in this disease, described as neurofibromas, infiltrative lesions, cysts, bubbles or emphysema. Pulmonary hypertension is rarely reported. It is due to the plexiform lesions in pulmonary arterioles or to parenchymal lung lesions reducing the vascular bed. We report a case of idiopathic precapillary pulmonary hypertension in a young patient with Von Recklinghausen's disease.
Assuntos
Anticoagulantes/uso terapêutico , Antagonistas dos Receptores de Endotelina/uso terapêutico , Hipertensão Pulmonar/tratamento farmacológico , Hipertensão Pulmonar/genética , Neurofibromatose 1/complicações , Inibidores de Fosfodiesterase/uso terapêutico , Adulto , Anti-Hipertensivos/uso terapêutico , Quimioterapia Combinada , Epoprostenol/uso terapêutico , Feminino , Humanos , Hipertensão Pulmonar/diagnóstico , Derrame Pericárdico/genética , Falha de Tratamento , Resultado do TratamentoAssuntos
Equinococose/diagnóstico , Cisto Mediastínico/diagnóstico , Adulto , Albendazol/uso terapêutico , Terapia Combinada , Diagnóstico Diferencial , Equinococose/tratamento farmacológico , Equinococose/cirurgia , Humanos , Masculino , Cisto Mediastínico/tratamento farmacológico , Cisto Mediastínico/patologia , Cisto Mediastínico/cirurgia , Radiografia TorácicaRESUMO
We report a case of an acute pancreatitis complicated by myocardial infarction with normal coronary arteries on angiography. This observation presents a double interest. First, it illustrates unusual forms of coronary disease represented by the non-atherosclerotic infarction. On the other hand, it shows that the multiple visceral damage associated with acute pancreatitis can include myocardial infarction which complications aggravate prognosis.