Assuntos
Neoplasias dos Ductos Biliares , Ductos Biliares Intra-Hepáticos , Colangiocarcinoma , Radiografia Abdominal , Tomografia Computadorizada por Raios X , Adulto , Neoplasias dos Ductos Biliares/diagnóstico , Neoplasias dos Ductos Biliares/diagnóstico por imagem , Neoplasias dos Ductos Biliares/patologia , Ductos Biliares Intra-Hepáticos/diagnóstico por imagem , Ductos Biliares Intra-Hepáticos/patologia , Biópsia por Agulha Fina , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/diagnóstico por imagem , Colangiocarcinoma/patologia , Humanos , Imuno-Histoquímica , MasculinoRESUMO
Ascitic and pleural fluids infection by Listeria monocytogenes is uncommon. The association of spontaneous bacterial peritonitis and empyema caused by this microorganism has been seldom reported. A 61 year-old male with an alcoholic cirrhosis and an upper right ¡obectomy for a lung cáncer, consulted because of an exacerbation of dyspnea, abdominal pain and fever. Listeria monocytogenes was isolated from ascitic and pleural fluids and from blood cultures. He was successfully treated with ampicillin and a chest tube for drainage.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Líquido Ascítico/microbiologia , Empiema Pleural/microbiologia , Listeriose/diagnóstico , Peritonite/microbiologia , Derrame Pleural/microbiologia , Empiema Pleural/diagnóstico , Peritonite/diagnósticoRESUMO
Fournier's gangrene is a form of necrotizing fasciitis of the perineal region that frequently affects immunocompromised patients. In most cases the point of entry of the infecting microorganisms goes undetected. A case of necrotizing fasciitis was diagnosed in a 77-year-old male with diabetes mellitus following an injection of botulinum toxin in the anal sphincter to treat an anal fissure.
Assuntos
Antidiscinéticos/administração & dosagem , Toxinas Botulínicas/administração & dosagem , Fasciite Necrosante/etiologia , Gangrena de Fournier/etiologia , Idoso , Antidiscinéticos/uso terapêutico , Bacteroides fragilis , Toxinas Botulínicas/uso terapêutico , Desbridamento , Fasciite Necrosante/diagnóstico por imagem , Fasciite Necrosante/microbiologia , Fissura Anal/tratamento farmacológico , Humanos , Injeções/efeitos adversos , Masculino , RadiografiaAssuntos
Tumores do Estroma Gastrointestinal , Idoso de 80 Anos ou mais , Biópsia por Agulha , Tumores do Estroma Gastrointestinal/diagnóstico , Tumores do Estroma Gastrointestinal/diagnóstico por imagem , Tumores do Estroma Gastrointestinal/patologia , Humanos , Imuno-Histoquímica , Masculino , Radiografia Abdominal , Tomografia Computadorizada por Raios XRESUMO
Ascitic and pleural fluids infection by Listeria monocytogenes is uncommon. The association of spontaneous bacterial peritonitis and empyema caused by this microorganism has been seldom reported. A 61-year-old male with an alcoholic cirrhosis and an upper right lobectomy for a lung cancer, consulted because of an exacerbation of dyspnea, abdominal pain and fever. Listeria-monocytogenes was isolated from ascitic and pleural fluids and from blood cultures. He was successfully treated with ampicillin and a chest tube for drainage.
Assuntos
Líquido Ascítico/microbiologia , Empiema Pleural/microbiologia , Listeriose/diagnóstico , Peritonite/microbiologia , Derrame Pleural/microbiologia , Empiema Pleural/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Peritonite/diagnósticoAssuntos
Músculos do Pescoço/patologia , Músculos Peitorais/patologia , Piomiosite/patologia , Antibacterianos/uso terapêutico , Cloxacilina/uso terapêutico , Humanos , Imunocompetência , Masculino , Pessoa de Meia-Idade , Piomiosite/tratamento farmacológico , Articulação do Ombro/diagnóstico por imagem , Articulação do Ombro/patologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Wegener's granulomatosis is a systemic necrotizing vasculitis that affects medium size and small vessels. Neurological involvement occurs in 22% to 54% of patients, mainly in the form of mononeuritis multiplex. Central nervous system involvement is reported in only 2% to 8% of the cases. We report a 42-year-old male who presented with headache, diplopia, third and sixth cranial nerve palsies and left eye amaurosis associated to mass located in the Meckel cavum and diffuse meningeal involvement. A biopsy of the mass disclosed a chronic granulomatous necrotizing inflammation with Langhans giant cells. A chest CAT scan showed three cavitated lung nodules and ANCA antibodies were positive in a titer of 1:80. Treatment with steroid and cyclophosphamide was started and cranial nerve palsies resolved and the number and size of lung nodules decreased. The patient was lost from follow up.
Assuntos
Granulomatose com Poliangiite/complicações , Meningite Asséptica/etiologia , Adulto , Doenças dos Nervos Cranianos/etiologia , Humanos , MasculinoRESUMO
Wegener's granulomatosis is a systemic necrotizing vasculitis that affects medium size and small vessels. Neurological involvement occurs in 22 percent to 54 percent of patients, mainly in the form of mononeuritis multiplex. Central nervous system involvement is reported in only 2 percent to 8 percent of the cases. We report a 42-year-old male who presented with headache, diplopia, third and sixth cranial nerve palsies and íeft eye amaurosis associated to mass located in the íeft Meckel cavum and diffuse meningeal involvement. A biopsy of the mass disclosed a chronic granulomatous necrotizing inflammation with Langhans giant cells. A chest CAT scan showed three cavitated lung nodules and ANCA antibodies were positive in a titer of 1:80. Treatment with steroid and cyclophosphamide was started and cranial nerve palsies resolved and the number and size of lung nodules decreased. The patient was lost from follow up.
