Assuntos
Hemocromatose/diagnóstico , Hepatopatias/diagnóstico , Siderose/diagnóstico , Adulto , Humanos , MasculinoRESUMO
No disponible
Assuntos
Adulto , Masculino , Humanos , Rifampina , Nefrite Intersticial , Antibióticos Antituberculose , Anemia Hemolítica Autoimune , Doença de Hodgkin , Doenças Linfáticas , CotoveloRESUMO
No disponible
Assuntos
Adulto , Masculino , Humanos , Enterococcus faecalis , Siderose , Infecções por Bactérias Gram-Positivas , Hepatopatias , Endocardite Bacteriana , Hemocromatose , Comunicação Interventricular , HemocromatoseAssuntos
Mieloma Múltiplo/diagnóstico , Plasmocitoma/diagnóstico , Neoplasias da Glândula Tireoide/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha , Diagnóstico Diferencial , Feminino , Fraturas Espontâneas/diagnóstico , Humanos , Glândula Tireoide/diagnóstico por imagem , Glândula Tireoide/patologia , Fraturas da Tíbia/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
OBJECTIVE: To report a case of erythrocytosis in a patient with a hydronephrotic horseshoe kidney and normal erythropoietin values. METHODS/RESULTS: A hydronephrotic horseshoe kidney was discovered during evaluation to determine the etiology of the erythrocytosis in a 23-year-old male with normal erythropietin values. Blood parameters returned to normal following heminephrectomy. The hydronephrosis had been caused by stenois of the pyeloureteric junction. CONCLUSIONS: Although erythropoietin values may be normal, hydronephrosis can cause secondary erythrocytosis.
Assuntos
Hidronefrose/etiologia , Doenças Renais Císticas/complicações , Rim/anormalidades , Policitemia/etiologia , Adulto , Diagnóstico Diferencial , Eritropoetina/sangue , Humanos , Hidronefrose/diagnóstico por imagem , Hidronefrose/cirurgia , Rim/diagnóstico por imagem , Rim/cirurgia , Doenças Renais Císticas/diagnóstico por imagem , Doenças Renais Císticas/cirurgia , Masculino , Policitemia/diagnóstico , Policitemia Vera/diagnóstico , Tomografia Computadorizada por Raios XAssuntos
Anemia Hemolítica/etiologia , Proteínas do Citoesqueleto , Eliptocitose Hereditária/complicações , Neuropeptídeos , Talassemia beta/complicações , Adulto , Eliptocitose Hereditária/genética , Feminino , Globinas/genética , Glicoforinas/genética , Heterozigoto , Humanos , Masculino , Proteínas de Membrana/genética , Espectrina/genética , Talassemia beta/genéticaRESUMO
OBJECTIVE: To report a case of hematoma of the psoas muscle, an uncommon hemorrhagic complication of carcinoma of the prostate. METHODS/RESULTS: Hematoma of the iliac psoas was caused by disseminated intravascular coagulation arising from multiple bony metastases of a prostatic cancer. The hematoma was successfully managed conservatively. CONCLUSIONS: Hematoma of the psoas muscle is generally secondary to a coagulopathy. Conservative treatment generally achieves good results.
Assuntos
Hematoma/patologia , Neoplasias da Próstata/complicações , Músculos Psoas/patologia , Hematoma/etiologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
We present a 79-yr-old white woman admitted to the hospital with diffuse myalgias and muscle weakness associated with eosinophilia. Examination of a muscle biopsy section revealed eosinophilic myositis with vasculitis. This association is infrequent and we describe the first case report with symmetrical polyneuropathy. The treatment with prednisone (60 mg/day) led to a complete clinical-pathological recovery of the disease. We review the differential diagnosis and the aetiopathogenic mechanism.
Assuntos
Eosinofilia/complicações , Miosite/complicações , Doenças do Sistema Nervoso Periférico/complicações , Vasculite/complicações , Idoso , Anti-Inflamatórios/uso terapêutico , Diagnóstico Diferencial , Eosinofilia/tratamento farmacológico , Eosinofilia/patologia , Feminino , Humanos , Músculo Esquelético/patologia , Miosite/tratamento farmacológico , Miosite/patologia , Doenças do Sistema Nervoso Periférico/tratamento farmacológico , Doenças do Sistema Nervoso Periférico/patologia , Prednisolona/uso terapêutico , Vasculite/tratamento farmacológico , Vasculite/patologiaRESUMO
BACKGROUND: Fungal infections are nowadays more common in clinical practice. The most frequently isolated fungi are Candida and Cryptococcus. Infection due to Rhodotorula mucilaginosa is very uncommon. We describe here our experience with R. mucilaginosa fungemia, with emphasis on total parenteral nutrition related episodes. METHOD: A retrospective review identified 3 patients with R. mucilaginosa, and predisposing conditions, clinical features, treatment used and outcome were analyzed. The case definition includes the repeated isolation of R. mucilaginosa in several blood-cultures and/or the isolation of R. mucilaginosa in one single blood culture together with its isolation in any other site. RESULTS: Three patients were identified. In all of them there are some defects in immune response (skin anergy in two, immunosuppressive therapy in the remaining patient), had an iv line placed, under antibiotic therapy and total parenteral nutrition. All factors could have been related to the development of R. mucilaginosa infection. CONCLUSION: Although its pathogenic role is controversial, in two or our patients R. mucilaginosa infections correlates well with clinical signs and symptoms of invasive infections (fever, hemodynamic changes). The treatment is still not clear.