ABSTRACT
Epigastric hernia is a common condition, mostly asymptomatic although sometimes their unusual clinical presentation still represents a diagnostic dilemma for clinician. The theory of extra tension in the epigastric region by the diaphragm is the most likely theory of epigastric hernia formation. A detailed history and clinical examination in our thin, elderly male patient who presented with abdominal pain and constipation of 5 days of evolution was crucial in establishing a diagnosis. Noninvasive radiologic modalities such as ultrasonographic studies in the case of our patient can reliably confirm the diagnosis of epigastric hernia.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Mesentery , Panniculitis, Peritoneal , Aged , Asymptomatic Diseases , Biopsy , Diagnosis, Differential , Disease Management , Female , Humans , Male , Mesentery/diagnostic imaging , Mesentery/pathology , Panniculitis, Peritoneal/diagnosis , Panniculitis, Peritoneal/etiology , Panniculitis, Peritoneal/physiopathology , Symptom Assessment/methods , Tomography, X-Ray Computed/methodsABSTRACT
BACKGROUND AND OBJECTIVE: The number of infused CD34+cells (CD34+i) has been associated with absolute lymphocyte count (ALC) and the outcome undergoing autologous hematopoietic stem cell transplantation (HSCT) in patients with hematologic malignancies. The study's aim was to analyze the relationship between CD34+i, ALC and prognosis in this patients. PATIENTS AND METHOD: Medical records of 163 patients receiving HSCT between 2005 and 2012 were reviewed. RESULTS: We found significant and inversely proportional relationship between the CD34+i and the days required to reach ALC≥500/µl according to the regression line: days=-0.981×number of CD34+i+18.09. CONCLUSIONS: We have obtained a predictive model of lymphocyte recovery based recovery of CD34+i.
Subject(s)
Arthritis, Infectious/diagnosis , Discitis/diagnosis , Escherichia coli Infections/diagnosis , Knee Joint/microbiology , Multiple Myeloma/complications , Aged, 80 and over , Arthritis, Infectious/etiology , Catheter-Related Infections/complications , Diagnosis, Differential , Discitis/etiology , Escherichia coli Infections/complications , Female , Humans , Immunocompromised Host , Nephrolithiasis/therapy , Urinary Catheterization/adverse effects , Urinary Tract Infections/complicationsSubject(s)
Hypereosinophilic Syndrome/diagnosis , Lymphohistiocytosis, Hemophagocytic/diagnosis , Lymphoma, Extranodal NK-T-Cell/diagnosis , Adolescent , Adult , Diagnosis, Differential , Female , Humans , Hypereosinophilic Syndrome/complications , Lymphohistiocytosis, Hemophagocytic/complications , Lymphoma, Extranodal NK-T-Cell/complications , Nose NeoplasmsSubject(s)
Humans , Female , Aged, 80 and over , Arthritis, Infectious/complications , Arthritis, Infectious/diagnosis , Multiple Myeloma/complications , Multiple Myeloma/diagnosis , Discitis/complications , Discitis/diagnosis , Dexamethasone/therapeutic use , Arthritis, Infectious/physiopathology , Arthritis, Infectious , Knee/pathology , KneeABSTRACT
Eighteen clinical isolates of Trichomonas vaginalis were obtained from women who attended health centers of the Government of Madrid. A total of 1,848 vaginal specimens recovered during the gynaecological examination were seeded in culture tubes containing liquid Diamond medium. Pathogenicity to mice was determined after intraperitoneal inoculation of mice by quantification of mortality and gross damage to abdominal organs. As could be expected, a broad variability was obtained, being some of the isolates more virulent than the reference strain. Regarding to metronidazole susceptibility, none resistant isolate was found but different degrees of susceptibility were determined.
Subject(s)
Trichomonas Infections/parasitology , Trichomonas vaginalis/pathogenicity , Animals , Antitrichomonal Agents/pharmacology , Female , Humans , Metronidazole/pharmacology , Mice , Parasitic Sensitivity Tests , Trichomonas Infections/drug therapy , Trichomonas vaginalis/drug effects , VirulenceABSTRACT
Eighteen clinical isolates of Trichomonas vaginalis were obtained from women who attended health centers of the Goverment of Madrid. A total of 1,848 vaginal specimens recovered during the gynaecological examination were seeded in culture tubes containing liquid Diamond medium. Pathogenicity to mice was determined after intraperitoneal inoculation of mice by quantification of mortality and gross damage to abdominal organs. As could be expected, a broad variability was obtained, being some of the isolates more virulent than the reference strain. Regarding to metronidazole susceptibility, none resistant isolate was found but different degrees of susceptibility were determined