Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Adenocarcinoma Mucinoso/complicações , Adenocarcinoma Mucinoso/diagnóstico , Calcinose/patologia , Neoplasias Gastrointestinais/diagnóstico , Neoplasias Gastrointestinais/terapia , Gastroscopia , Diagnóstico Diferencial , Neoplasias GastrointestinaisAssuntos
Humanos , Feminino , Pessoa de Meia-Idade , Granuloma de Células Plasmáticas/complicações , Granuloma de Células Plasmáticas/diagnóstico , Complicações do Diabetes/diagnóstico , Biópsia , Imuno-Histoquímica , Granuloma de Células Plasmáticas/cirurgia , Granuloma de Células Plasmáticas , Regressão Neoplásica Espontânea/fisiopatologiaRESUMO
We present a 20-year-old man with oligosymptomatic Crohn's disease of the terminal ileum complicated by chronic renal insufficiency due to secondary amyloidosis. Definitive diagnosis of Crohn's disease was established 7 years after the onset of the renal disease as a result of symptoms of intestinal obstruction requiring surgery. The affected colonic segment was removed and histopathological examination of the surgical specimen confirmed the diagnosis of Crohn's disease without identifying intestinal amyloidosis. Despite the surgical intervention and the absence of recurrence of inflammatory bowel disease, renal insufficiency steadily progressed, and the patient required kidney transplantation. The patient's subsequent course was excellent and no recurrence of intestinal or renal disease was observed after 8 years of follow-up.
Assuntos
Amiloidose/complicações , Doença de Crohn/diagnóstico , Nefropatias/complicações , Falência Renal Crônica/etiologia , Transplante de Rim , Adulto , Doença de Crohn/complicações , Doença de Crohn/diagnóstico por imagem , Doença de Crohn/patologia , Doença de Crohn/cirurgia , Seguimentos , Humanos , Íleo/patologia , Falência Renal Crônica/cirurgia , Falência Renal Crônica/terapia , Masculino , Radiografia , Diálise Renal , Fatores de TempoRESUMO
The association of Streptococcus bovis bacteremia and endocarditis with colonic pathology, mainly neoplastic, is well known. Its relationship with liver disease without evidence of gastrointestinal disease has been rarely described. To analyze the association between S. bovis infection and liver disease, positive blood cultures for this microorganism in hospitalized patients in the Internal Medicine and Gastroenterology Departments from December 1993 until October 1995, have been reviewed. Three cases of S. bovis infection (one bacteremia, two endocarditis) were found. Alcoholic liver disease was diagnosed in all three patients, with associated hepatitis C virus in one of them. Colonic pathology was excluded by colonoscopy and/or barium enema. Other gastrointestinal disorders were excluded by means of gastroscopy, barium gastrointestinal study and abdominal ultrasonography. Antibiotic therapy was based in betalactamics, with associated aminoglycoside in two cases. One patient needed aortic and mitral valve replacement and another one needed orthotopic liver transplantation. No new gastrointestinal pathology emerged in the follow-up (5-23 months). Cases of S. bovis bacteremia and endocarditis should be screened not also for colonic pathology, but also for liver disease, particularly in alcoholics.