RESUMO
In this paper we describe a case in which acute renal colic was associated with elimination of multiple hyphal masses of Aspergillus flavus. Also, we reviewed the literature on similar cases and we found a similar pattern characterized by a marked male predominance, association with at least one underlying medical condition that predisposes to fungal infection, the presence of local symptoms resembling acute ureteral colic, and the absence of systemic manifestations. Moreover, our data suggest that Aspergillus balls must be suspected when a diabetic and intravenous drug user presents with acute renal colic and that non-obstructive renal aspergillosis may be initially treated with itraconazole.
Assuntos
Aspergilose/complicações , Aspergillus flavus , Cólica/complicações , Doenças Ureterais/complicações , Adulto , Antifúngicos/uso terapêutico , Aspergilose/tratamento farmacológico , Aspergilose/urina , Cólica/tratamento farmacológico , Cólica/urina , Complicações do Diabetes , Suscetibilidade a Doenças , Humanos , Itraconazol/uso terapêutico , Masculino , Abuso de Substâncias por Via Intravenosa/complicações , Doenças Ureterais/tratamento farmacológico , Doenças Ureterais/urinaRESUMO
The inputs of ten trace elements (As, Cd, Cu, Cr, Hg, Mo, Ni, Pb, Se, Zn) to French agricultural soils have been assessed. The six main sources considered were: pesticides, mineral fertilizers, animal manure, liming materials, sludge and composts and atmospheric deposition. Data were collected to compute inputs at both national and regional (departmental) scales. The inventory methodology is based on two principles: data are traceable and easy to update. At a national scale, the inventory showed that trace elements inputs can be ranked: Znâ«Cuâ«Cr>Pb>Ni>As=Mo>Se>Cd>Hg. Animal manure, mineral fertilizers and pesticides are the predominant sources of TEs. These results are globally in agreement with literature data though atmospheric deposition is shown to be lower than in more industrial countries such as China and United Kingdom where similar surveys were conducted. The inputs of trace elements vary strongly between regions in relation with agricultural activities. This inventory (and the related database) provides basis for developing and monitoring policies to control and reduce trace elements contamination of agricultural soils at both national and regional (departmental) scales.