Necrotizing Fasciitis of the Thigh as Unusual Colonoscopic Polypectomy Complication: Review of the Literature with Case Presentation.

Necrotizing fasciitis (NF) is an infection characterized by necrosis of the superficial muscle fascia and surrounding soft tissues. It usually occurs following skin breaches from penetrating traumas or high-degree burns. Less frequently, it could be related to major abdominal surgery. However, no cases of thigh NF after minor abdominal procedures have ever been reported. A previously healthy 59-year-old male patient underwent a colonoscopic polypectomy. After the procedure, the patient developed an increasing right groin pain. The CT scan showed a gas collection in the right retroperitoneum space and in the right thigh soft tissues. Thus, a right colon perforation was hypothesized, and the patient was moved to the nearest surgery department and underwent a right hemicolectomy procedure. During surgery, the right thigh was also incised and drained, with gas and pus leakage. Nevertheless, the right lower limb continued to swell, and signs of systemic infection appeared. Afterward, clinical conditions continued to worsen despite the drainage of the thigh and antibiotic therapy, and the patient died of septic shock after just two days. This case shows that, although rare, lower limb NF should be considered among the causes of early post-operative local painful symptoms.

Sex determination through the evaluation of sella turcica measurements using head CT scan.

The estimation of age and sex is mandatory in forensic identification of unknown skeletal remains and it could be reached analyzing different bones' features. The morphometric evaluation of Sella turcica is less described in literature. Many studies have been published in this field for age estimation but none of them based on head CT scan measurement. Previous studies were carried out for age estimation on different populations, but any study has been carried out on the Italian population. Furthermore, no studies were carried out with CT scan technology for the correlation between sex and Sella turcica. Thanks to CT scan technology it has been possible to measure sella turcica's dimensions in an easier way than previous methods, to detect more accurate parameters and even introduce a new one. In this study, the sample was composed of 115 adults, 53 males, and 62 females. Five different measurements of the sellae turcicae were taken. The purpose of this study was to find new elements for sex assessment with the evaluation of sella turcica measurements, improving previous studies, analyzing an Italian European sample. In this study, results of the statistical analysis showed correlation between sex and sella turcica's parameter "Length of Sella Turcica" for which grater values are related to male gender. In conclusion, the Authors consider this unexpected result useful for sex determination in association with other parameters.

Anticuerpos anti cisticercos (Taenia Solium) en niños con síndrome convulsivo

Con el propósito de conocer la frecuencia de neurocisticercosis como causa de síndrome convulsivo en niños, se estudiaron 50 niños que consultaron al hospital de Coatepeque por síndrome convulsivo. A todos los niños se les investigó la presencia de anticuerpos anticisticerco en el LCR. De los 50 niños estudiados, 7(14 por ciento ) fueron positivos. Estos datos demuestran la importancia de la neurocisticercosis como causa de convulsiones en niños, lo que debe alertar a los clínicos, ya que en la actualidad esta infección parasitaria es susceptible de tratamiento médico

Diagnóstico inmunológico de neurocisticercosis / Immunological diagnostic of neurocysticercosis

Se investigaron anticuerpos anti Cysticercus cellulosae en el LCR de 68 pacientes con sospecha clínica de neurocisticercosis y en 27 controles. Se encontraron anticuerpos anti CC en 32 (47%) pacientes y en controles (7.4%). Estos datos demuestran la alta frecuencia de cisticercosis cerebral en Guatemala y la utilidad del método ELISA en el diagnóstico de esta enfermedad

Neumonia neumococcica

Las infecciones causadas por Streptococcus Pneumoniase siguen siendo la causa bacteriana más frecuente de neumocócica comprende el 50% de todas las neumonías y un 80 a 90% de las neumonías de origen bacteriano (9, 15). Tomando en cuenta que en nuestro medio los problemas respiratorios (entre ellos las neumonías) son causa frecuente de morbimortalidad, se realizó la presente investigación del Depto. de Pediatria del Hospital Roosevelt durante los meses de julio a octubre de 1985, obteniendo de 50 niños comprendidos entre las edades de 0-12 años y de ambos sexos, muestras de sangre para determinar bacteriológicamente por medio de hemocultivo y contrainmunoelectroforesis en suero (CIE) el antígeno neumocócico la frecuencia de neumonías causadas por Streptococcus Pneumoniae, además establecer el grupo etario y sexo más frecuente afectados, determinar el hallazgo radiológico de presentación más frecuente en la neumonía neumocócica, comparar la efectividad de la contrainmunoelectroforesis y el homocultivo para la determinación del neumococo y finalmente introducir el método de CIE como ayuda diagnóstica facil y rápida