RESUMEN
Endocarditis is a recognised complication ofhemodialysis. This is generally only thought of in terms of infective vegetations. We present a case of right-sided NBTE in a patient with an indwelling venous catheter who also had advanced pelvic malignancy. The unusual side of this patient's endocarditic lesions implicates a role for the venous catheter in determining the site of non-bacterial thrombus formation. It is also a reminder that endocarditis is always a risk when using central venous catheters, even after appropriate sterile precautions have been taken.
Asunto(s)
Cateterismo Venoso Central/efectos adversos , Endocarditis/etiología , Neoplasias Primarias Múltiples/genética , Neoplasias Pélvicas/complicaciones , Diálisis Renal , Neoplasias de las Glándulas Sebáceas/complicaciones , Trombosis/etiología , Adulto , Catéteres de Permanencia , Endocarditis/diagnóstico , Femenino , Humanos , Fallo Renal Crónico/complicaciones , Fallo Renal Crónico/terapia , Neoplasias Pélvicas/genética , Neoplasias de las Glándulas Sebáceas/genética , SíndromeRESUMEN
Amoebic infection in two male homosexuals is described. The possibility that this infection was acquired through homosexual practices and the implications to clinical and diagnostic services is discussed.
Asunto(s)
Disentería Amebiana/transmisión , Homosexualidad , Adulto , Disentería Amebiana/patología , Humanos , Masculino , Recto/patologíaRESUMEN
We report a case of oligodendroglioma of the fourth ventricle complicated by disseminated intracranial and spinal oligodendrogliomatosis. This is further evidence that primary oligodendrogliomas arising in close proximity to the cerebrospinal pathway have a predilection for spontaneous dissemination. This condition should be considered in the differential diagnosis of hydrocephalus and myelopathy.
Asunto(s)
Neoplasias Encefálicas/secundario , Neoplasias del Ventrículo Cerebral/patología , Oligodendroglioma/secundario , Neoplasias de la Médula Espinal/secundario , Adolescente , Encéfalo/patología , Neoplasias Encefálicas/patología , Ventrículos Cerebrales/patología , Humanos , Masculino , Oligodendroglioma/patología , Médula Espinal/patología , Neoplasias de la Médula Espinal/patologíaRESUMEN
Simultaneous Tru-cut biopsies and fine needle aspirations (FNAs) performed over a 2-year period on patients following renal transplantation were assessed by independent pathologists. When there was histological evidence of rejection, FNAs also demonstrated cellular features of rejection in 83% of cases, and this increased to 92% with repeated sampling. The presence of monocytes and histiocytes in FNAs correlated with vascular features of rejection on biopsy and failure to reverse the rejection process with steroids.