RESUMO
Herein we describe two cases of Cystoisospora belli infection of the gallbladder in patients with chronic abdominal pain and review the published literature to date. C. belli is an intracellular protozoan parasite that typically infects the small bowel of immunocompromised hosts. Little is known of the significance of C. belli infection of the gallbladder at this point as only four cases have been reported as yet, only one of which occurred in an immunocompetent patient. It is often treatable with antibiotics, and the patient's immune status, including HIV testing, should be investigated. Neither of the patients at our institution was found to be immunocompromised, and HIV-1/2 antibody testing was non-reactive in both.
Assuntos
Colecistite Acalculosa/patologia , Coccidiose/patologia , Sarcocystidae/isolamento & purificação , Colecistite Acalculosa/cirurgia , Adolescente , Adulto , Colecistectomia , Coccidiose/cirurgia , Feminino , HumanosRESUMO
Olmesartan use has been associated with chronic diarrhoea and weight loss due to severe sprue-like enteropathy, yet this is still not well known among clinicians. We present the unique case of an 84-year-old Filipino woman diagnosed with olmesartan-induced sprue-like enteropathy after an extensive work up for chronic diarrhoea, and without improvement despite multiple empiric treatments for nearly 15â months. Withdrawal of olmesartan resulted in clinical and histological improvement. This case provides further evidence for olmesartan-induced sprue-like enteropathy, and emphasises the importance of its awareness and recognition among gastroenterologists and primary care physicians alike.
Assuntos
Doença Celíaca , Diarreia/etiologia , Imidazóis/efeitos adversos , Enteropatias/induzido quimicamente , Intestinos/patologia , Olmesartana Medoxomila/efeitos adversos , Tetrazóis/efeitos adversos , Idoso de 80 Anos ou mais , Atrofia , Doença Celíaca/patologia , Feminino , Humanos , Enteropatias/patologiaRESUMO
Malignant rhabdoid tumours in children are rare and aggressive neoplasms that occur most commonly in the kidney. Extra-renal malignant rhabdoid tumours are even rarer and have been reported in the central nervous system (atypical teratoid/rhabdoid tumour) and other sites including the liver. To date fewer than 40 cases have been reported in the literature. Here we present a case of a 7-month-old female infant with a primary malignant rhabdoid tumour of the liver and review this entity as it compares to other cases reported in the literature.