RESUMO
Despite the large number of organ transplants performed yearly, to date there have been no reports of candidal splenic abscess. We describe here the first case of candidal splenic abscess in a renal transplant recipient treated successfully by splenectomy and amphotericin B. Despite a lengthy illness, the patient recovered with preservation of renal function.
Assuntos
Abscesso/etiologia , Candidíase/etiologia , Transplante de Rim , Esplenopatias/etiologia , Abscesso/patologia , Abscesso/cirurgia , Anfotericina B/uso terapêutico , Candidíase/patologia , Candidíase/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Esplenopatias/patologia , Esplenopatias/cirurgiaRESUMO
PIP: A study of 420 cases of vacuum aspiration abortions in a central Missouri family planning clinic found 33 postabortal complications, 14 of which occurred over 10 weeks; 12 under 7. Most patients were white nulliparous females under 30. 41.5% of complications were incomplete abortions, only one of which occurred between 7 1/2-9 1/2 weeks, 4 times more at less than 7 weeks, 11 times more for women over 10 weeks. 25% were cervical lacerations, which occurred less frequently at advanced stages of gestation, 21.2% were postabortal hemorrhage, occurring most frequently over 10 weeks. The optimum time for less risk of postabortal complications is 7 1/2-9 1/2 weeks gestation. 18% complications, 7% incomplete abortions occurred at 7 1/2-9 1/2 weeks. During early pregnancy the progesterone block influences uterine motility and may be a survival mechanism for the fetus. The corpus luteum of pregnancy secretes large amounts of progesterone for the first 60 days and lesser quantities for the next 30 days.^ieng
