Subject(s)
Acute Kidney Injury/chemically induced , Acyclovir/adverse effects , Antiviral Agents/adverse effects , Encephalitis, Varicella Zoster/drug therapy , Acute Kidney Injury/diagnosis , Aged , Birefringence , Chemical Precipitation , Deprescriptions , Encephalitis, Varicella Zoster/cerebrospinal fluid , Humans , Male , Polymerase Chain Reaction , UrinalysisABSTRACT
Our case report describes a previously healthy 34-year-old male who develops a descending mediastinitis as a complication of an Epstein-Barr virus (EBV) infection. The mediastinitis was suspected to have developed by a breakthrough of a peritonsillar abscess through the space between the alar and prevertebral space.
Subject(s)
Epstein-Barr Virus Infections/complications , Epstein-Barr Virus Infections/diagnosis , Herpesvirus 4, Human/isolation & purification , Mediastinitis/diagnosis , Mediastinitis/pathology , Peritonsillar Abscess/complications , Adult , Epstein-Barr Virus Infections/pathology , Humans , Male , Peritonsillar Abscess/pathology , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
Polycystic liver disease is a congenital disorder with an autosomal dominant pattern of inheritance. There are two variants. In one, liver cysts occur as an extra-renal phenomenon in autosomal dominant polycystic kidney disease. In the other, the disease is not associated with renal pathology. The cysts have to reach a certain diameter before becoming clinically manifest and therefore are generally only detected many years after birth. Polycystic liver disease causes symptoms in 20% of the patients. These symptoms are the consequence of the weight and size of the liver or of complications such as abscess formation, obstructive jaundice or the Budd-Chiari syndrome. Most symptoms can be treated at least temporarily by fenestration of the larger cysts and resection of parts of the liver, which are affected by large groups of small cysts. A permanent cure of the disease is only obtained by liver transplantation.