RESUMO
Cat-scratch disease (CSD) rarely presents as vertebral osteomyelitis. We describe a case with paresis of the arm with total recovery after antibiotic and neurosurgical therapy. We reviewed 20 other cases of CSD vertebral osteomyelitis in the literature. This diagnosis should be considered in patients with systemic symptoms, back pain, and cat contact. The prognosis is generally good.
Assuntos
Bartonella henselae , Doença da Arranhadura de Gato/complicações , Osteomielite/microbiologia , Paresia/etiologia , Espondilite/microbiologia , Doença da Arranhadura de Gato/diagnóstico , Doença da Arranhadura de Gato/tratamento farmacológico , Doença da Arranhadura de Gato/cirurgia , Criança , Feminino , Humanos , Masculino , Osteomielite/complicações , Espondilite/complicaçõesRESUMO
A 12-year-old boy developed pancreatitis, complicated by a pancreatic pseudocyst, as an adverse reaction to valproic acid (VPA) treatment for epilepsy. Pancreatitis subsided within three weeks after discontinuation of VPA. The pancreatic pseudocyst was managed without surgery and resolved spontaneously in four weeks. Valproic acid was concluded to be the most probable cause, since no other explanation was found. According to the literature VPA is a rare but known cause of pancreatitis. A computer-assisted literature search revealed seven previously reported cases of VPA-induced pancreatitis complicated by a pancreatic pseudocyst. Six of these patients were under 20 years of age. Four patients were treated conservatively; three needed cystostomy or external drainage. All patients recovered. Patients using VPA, especially children, presenting with acute abdominal pain should be suspected of valproic acid-induced pancreatitis. If VPA induced pancreatitis is complicated by a pseudocyst, conservative treatment should be the first line of treatment.
Assuntos
Anticonvulsivantes/efeitos adversos , Pseudocisto Pancreático/complicações , Pancreatite/induzido quimicamente , Ácido Valproico/efeitos adversos , Doença Aguda , Criança , Epilepsia/tratamento farmacológico , Humanos , MasculinoAssuntos
Proteína gp41 do Envelope de HIV/uso terapêutico , Infecções por HIV/prevenção & controle , HIV-1/efeitos dos fármacos , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Fragmentos de Peptídeos/uso terapêutico , Piridinas/uso terapêutico , Pironas/uso terapêutico , Adulto , Terapia Antirretroviral de Alta Atividade/métodos , Farmacorresistência Viral Múltipla , Enfuvirtida , Feminino , Humanos , Gravidez , Complicações Infecciosas na Gravidez/tratamento farmacológico , SulfonamidasRESUMO
A 4-day old neonate presented with a midline swelling located on the back of its head. The two most likely causes of the swelling were cephalohematoma, which is self-limiting and carries a benign prognosis, and encephalocele, often associated with central nervous system malformations. Evaluation with magnetic resonance imaging (MRI) revealed a subperiosteal blood collection with intact underlying structures, establishing the diagnosis of a cephalohematoma. This is the first report to show the value of MRI in distinguishing between an occipital cephalohematoma and an encephalocele.
Assuntos
Encefalocele/diagnóstico , Hematoma/diagnóstico , Imageamento por Ressonância Magnética , Couro Cabeludo/patologia , Diagnóstico Diferencial , Feminino , Humanos , Recém-Nascido , Couro Cabeludo/irrigação sanguíneaRESUMO
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