Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 8 de 8
Filtrar
Mais filtros











Base de dados
Intervalo de ano de publicação
1.
Plast Reconstr Surg Glob Open ; 2(6): e175, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25289368

RESUMO

SUMMARY: Postoperative pyoderma gangrenosum is a rare neutrophilic dermatosis that may be confused for necrotizing fasciitis. The inflammatory response is triggered by the trauma of surgery and thus must be managed nonsurgically. Clinical and pathological findings in the 2 diseases can be identical, leading to misdiagnosis and massive surgical defects from the ensuing surgery. This report documents a severe case of postsurgical pyoderma following an elective rotator cuff repair presenting with myositis and myonecrosis. The patient was initially treated as having an infection, which resulted in multiple aggressive surgical debridements. Despite this, the patient continued to deteriorate and was in a critical and hemodynamically unstable condition. Following administration of high-dose intravenous corticosteroids, the patient made a dramatic recovery and went on to have internal fixation of the shoulder and closure of the wound with a combination of a free flap and a rotational flap. Extensive myositis, as seen in this case, has not been previously reported in postoperative pyoderma gangrenosum variants. Clinicians should be aware that the presence of myositis and myonecrosis should not preclude this diagnosis.

2.
Nephrology (Carlton) ; 19 Suppl 1: 14-7, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24460607

RESUMO

Mycobacterium haemophilum is a rare isolate of non-tuberculous Mycobacterium which has been reported to affect immunocompromised patients. We report a case of a 32-year-old renal transplant patient with M. haemophilum infection initially involving his left sinus which was treated with appropriate antimicrobial therapy for thirteen months. Two weeks after cessation of antibiotics the infection rapidly recurred in his skin and soft tissues of his hands and feet. This case highlights the difficult diagnostic and therapeutic implications of atypical infections in transplant patients. To our knowledge this is the first reported case of relapsed M. haemophilum infection in a renal transplant recipient.


Assuntos
Transplante de Rim , Infecções por Mycobacterium , Mycobacterium haemophilum , Complicações Pós-Operatórias/microbiologia , Adulto , Humanos , Masculino , Infecções por Mycobacterium/diagnóstico , Infecções por Mycobacterium/tratamento farmacológico , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/tratamento farmacológico , Recidiva
4.
Med J Aust ; 192(8): 474-5, 2010 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-20402615

RESUMO

An Eritrean-born man observed over an extended period had upper gastrointestinal symptoms, fever, hepatosplenomegaly and pancytopenia in the setting of advanced HIV infection and poor adherence to antiretroviral therapy. Despite thorough investigation, it was not until a repeat gastroscopic examination and gastric biopsy were performed 18 months after initial presentation that Leishmania infection was diagnosed. The species was identified by polymerase chain reaction assay as L. donovani. Physicians managing HIV-infected patients from regions where Leishmania is endemic should consider visceral leishmaniasis, even in patients who have not lived in a Leishmania-endemic region for many years.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Leishmania infantum/isolamento & purificação , Leishmaniose Visceral/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Adulto , Antirretrovirais/uso terapêutico , Antiprotozoários/uso terapêutico , Humanos , Leishmaniose Visceral/tratamento farmacológico , Masculino , Cooperação do Paciente
6.
Emerg Infect Dis ; 15(1): 63-5, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19116053

RESUMO

Wild poliovirus-associated paralytic poliomyelitis has not been reported in Australia since 1977. We report type 1 wild poliovirus infection in a man who had traveled from Pakistan to Australia in 2007. Poliomyelitis should be considered for patients with acute flaccid paralysis or unexplained fever who have been to poliomyelitis-endemic countries.


Assuntos
Poliomielite/diagnóstico por imagem , Poliomielite/virologia , Poliovirus/isolamento & purificação , Viagem , Adulto , Austrália , Fezes/virologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Paquistão , Poliomielite/patologia , Poliovirus/classificação , Poliovirus/genética , Radiografia , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA