ABSTRACT
A 56-year-old Hispanic male with solo risk factor of uncontrolled diabetes mellitus presented with recurrent haemoptysis. Initial concern was for malignancy with postobstructive pneumonia; however, invasive testing and biopsy confirmed infectious mass of fungal aetiology requiring surgical resection followed by a prolonged course of anti-fungal therapy. Discussion centred on approach to, progression of and course of action in the management of pulmonary abscess due to mucormycosis.
Subject(s)
Diabetes Complications , Diabetes Mellitus , Lung Abscess/diagnostic imaging , Lung Diseases, Fungal/diagnostic imaging , Mucormycosis/diagnostic imaging , Antifungal Agents/therapeutic use , Humans , Lung Abscess/complications , Lung Abscess/pathology , Lung Abscess/therapy , Lung Diseases, Fungal/complications , Lung Diseases, Fungal/pathology , Lung Diseases, Fungal/therapy , Male , Middle Aged , Mucormycosis/complications , Mucormycosis/pathology , Mucormycosis/therapy , Pneumonectomy , Radiography, Thoracic , Surgical Flaps , Tomography, X-Ray Computed , Triazoles/therapeutic useSubject(s)
Electroencephalography , Polysomnography , Sleep/physiology , Adult , Diagnosis, Differential , Humans , Male , Periodicity , Seizures/diagnosis , Seizures/physiopathologyABSTRACT
Persistent left superior vena cava (PLSVC) and horseshoe kidney (HSK) are common congenital abnormalities; however presence of both in the same person is extremely rare. A patient with hepatitis C cirrhosis awaiting transplant presented with worsening liver dysfunction, diagnosed with acute renal failure secondary to hepatorenal syndrome, and required X-ray fluoroscopy guided tunneled venous catheter placement for hemodialysis. Review of imaging studies demonstrated coexistence of PLSVC and HSK. PLSVC in adulthood is usually incidental with the most common drainage pattern being without physiologic dysfunction. Isolated horseshoe kidney is still the most common of renal fusion anomalies; however etiology of coexistent PLSVC remains unknown.