ABSTRACT
Presentamos un caso clínico de un varón con una tumoración retroperitoneal, de hallazgo casual en el contexto de una salmonelosis, cuyos estudios radiológicos de imagen pusieron de manifiesto la masa retroperitoneal, aunque no se realizó punción-biopsia. El tratamiento fue quirúrgico, pudiendo resecarle totalmente, aunque se sacrificó el nervio periférico afectado (nervio femoral). El diagnóstico histológico fue de benignidad y la evolución ha sido favorable. (AU)
Subject(s)
Aged , Male , Humans , Neurilemmoma/surgery , Neurilemmoma/diagnosis , Urography/methods , Tomography, Emission-Computed/methods , Retroperitoneal Neoplasms/surgery , Retroperitoneal Neoplasms/diagnosis , Abdominal Pain/complications , Abdominal Pain/diagnosis , Fever/complications , Vipoma/complications , Hepatomegaly/complications , Abdomen/surgery , Abdomen/pathology , AbdomenABSTRACT
A 58-y-old man with chronic obstructive pulmonary disease (COPD) was admitted for treatment of an acute exacerbation of his illness. The patient's condition initially improved after therapy with oxygen, bronchodilators, antibiotic and methylprednisolone (40 mg every 8 h) was started. Soon afterwards, however, the patient's clinical status deteriorated and he died on the fifth hospital day. Post-mortem examination revealed unsuspected, isolated fungal myocarditis. The fungus was later identified as Aspergillus by indirect immunofluorescence. To our knowledge, this is the first case of fatal Aspergillus myocarditis related to short-term (< 1 week) steroid therapy in a COPD patient. We believe that this case provides further evidence to support the possibility of life-threatening infections in COPD patients who receive even a short course of corticosteroid treatment.