Atypical Presentation of Neurobrucellosis as Infection of Ventriculoperitoneal Shunt

Author(s):  
Raul-Ciprian Covrig ◽  
Jasmina Petridou ◽  
Ulrich J. Knappe

AbstractBrucellosis is a frequent zoonosis in some regions of the world and may cause various symptoms. Neurobrucellosis is a rare but serious complication of the infection. Our case report describes the course of neurobrucellosis in a patient who had received a ventriculoperitoneal shunt in his native country 13 years prior to diagnosis of brucellosis. He initially presented to us with symptoms of peritonitis, which misled us to perform abdominal surgery first. After the diagnosis of neurobrucellosis was confirmed and appropriate antibiotics were initiated, the symptoms soon disappeared. Although the ventriculoperitoneal shunt was subsequently removed, the patient did not develop a symptomatic hydrocephalus further on. This case displays the challenges in diagnosing an infection that occurred sporadically in Europe and may be missed by currently applied routine microbiological workup. Considering the political context, with increasing relocation from endemic areas to European countries, it is to be expected that the cases of brucellosis and neurobrucellosis will rise. Brucellosis should be considered and adequate investigations should be performed.

2015 ◽  
Vol 9 (1) ◽  
pp. 114-119
Author(s):  
Aakash Mugalur ◽  
Sunil M Shahane ◽  
Ashwin Samant ◽  
Aditya C Pathak ◽  
Rajeev Reddy

Despite the eradication of smallpox from the world in 1980 the osteo-articular sequelae of smallpox are still occasionally noticed in previously endemic areas. The sequelae of osteomyelitis variolosa may raise a diagnostic challenge to the untrained eyes of the surgeon. We present a case of “osteomyelitis variolosa” in a 70 years old patient. The patient had bilateral dislocation of the elbow joint with multidirectional instability. There was distortion of the articular surfaces and ankylosis of the bilateral proximal radio-ulnar joint. Hypoplasia of the right ulna with short fourth and fifth metacarpals of the left hand and hypoplasia of right fourth metacarpal with cortical thickening was noted radiologically. The patient had minimal disability of his elbows despite the striking radiological abnormality and was functionally independent.


2012 ◽  
pp. 73-88
Author(s):  
Zofia Slonska ◽  
Wlodzimierz Piatkowski

There is no doubt that the specificity of the country political context of the early 1950s contributed to the delay of the Polish medical sociology development. In 1951 as a result of the political decision, practicing sociology as an official scientific discipline, was prohibited. Its resurgence came after 1956. The growing domestic and international position of the Polish sociology enabled to initiate not only the activity of the general sociology but also the activity of its subdisciplines, including the medical sociology. The process of institutionalization of medical sociology in Poland has started since the beginning of 1960s. Its founder was a prominent medical sociologist Magdalena Sokolowska. Taking into account the existence of the strong connections of the Polish medical sociology both with medicine and the general sociology we can speak about its double identity. That feature of it decided about its specificity in European countries. Magdalena Sokolowska named it "intellectual hybrid". The subject of the article is the process of institutionalization and transformation of the Polish medical sociology since the beginning in the early 1960s until nowadays, in the international context.


1990 ◽  
Vol 80 (3) ◽  
pp. 145-150
Author(s):  
KM Pyatak-Hugar ◽  
RW Mendicino ◽  
TS Scott ◽  
DW Hugar

Although cutaneous larva migrans is more commonly seen in the southeastern US and tropical regions of the world, patients with such parasitic involvement may present in other non-endemic areas for various reasons, particularly travelers returning from tropical vacations. Awareness of the clinical presentation and symptomatology of cutaneous larva migrans is important for all physicians, including those practicing in northern climates, for prompt recognition and effective treatment of the disease. Furthermore, cutaneous larva migrans should be of particular interest to podiatrists, because the infestation commonly involves the feet, and a patient may initially present for treatment of secondary manifestations, ie, dermatitis, pruritus, or infection, as in this case report.


2017 ◽  
Author(s):  
Alexander Wuttke

This chapter investigates the amount of variability in individual turnout decisions over time and its dependence on the changing characteristics of political parties as one feature of the political context. Electoral participation in the German federal elections from 1994 to 2013 was characterized by inertia for most eligible voters. However, one reason for dynamics in turnout behavior is changes in individual alienation with regard to the political parties. When voters develop a more favorable view of the political parties than in the previous election in terms of the parties’ generalized evaluation or perceived competence, then they are motivated to switch from abstention to voting (and vice versa). But the political parties’ capacity to raise turnout rates is rather narrow compared to the influence of other determinants, such as the perceived duty to vote.Wuttke, Alexander (2017). "When the world around you is changing: Investigating the Influence of Alienation and Indifference on Voter Turnout", in: Schoen, Harald; Roßteutscher, Sigrid; Schmitt-Beck, Rüdiger; Weßels, Bernhard; Wolf, Christof (eds.): "Voters and Voting in Context", Oxford University Press, pp. pp. 146–166.


2021 ◽  
Author(s):  
Harald Bauder ◽  
Enrico del Castello ◽  
Eva Hellreich ◽  
Myer Siemiatycki ◽  
Erica Wright ◽  
...  

[Para. 1 of Introduction]: Migration is shaping societies around the world. It has long defined settler countries, such as Canada; it is affecting communities of departure and return, ranging from the Azores to Zimbabwe; and it is increasingly impacting countries that have traditionally not considered themselves as major immigrant destinations, like many European countries. Meanwhile, individual migrants and their families experience departure, migration, and arrival differently than the communities shaped by them. From both societal and individual perspectives, we can ask whether migration accomplishes what it promises to achieve. Does migration contribute to the economic, social, and cultural well-being of societies? Do migrants and their families find a pathway to security, achieve social and economic upward mobility, and gain opportunities to participate in the political and cultural life of their arrival communities? The Promise of Migration addresses these questions through a critical lens.


FILOGI ◽  
2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Kałasznik Marcelina

In 2015–2016, a large number of refugees sought refuge in European countries due to the political situation in the Near East and Africa. A drastic increase in number of refugees caused the issue to polarize citizens across Europe. Germany can be assigned a special position in terms of the number of refugees accepted. With the help of the concept of the discursive picture of the world, the article tries to reconstruct the image of Germany based on the analysis of press articles. Online editions of the magazine “Die Zeit” from 2015 are analyzed for this purpose. The question is how this way of presenting Germany is profiled in the media and how it is linguistically structured in the media-mediated refugee debate.


Author(s):  
Nussberger Angelika

This concluding chapter explores how far the European Court of Human Rights (ECtHR) and the Commission have influenced politics in the forty-seven Member States, created common standards in Europe, and set a model for other parts of the world. The assessment of political success or failure of the Convention model will depend on the expectancies. Undoubtedly, the Court’s jurisprudence reflects the new political tensions and provides answers. Three factors, however, cannot but reduce the direct impact of the Court’s advocacy for ‘bona fide democracy’. First, the Court can only decide on cases brought before it. Second, the Court can only play a subsidiary role. Third, the whole Convention system is dependent on the good will of the Member States. If they do not execute politically important judgments that do not ‘please’ them, the Court's means in forcing them are rather restricted. Despite all these difficulties, whenever it could and within the framework provided by the Convention, the Court has identified the relevant violations and assessed them within the political context. Ultimately, the Court is a ‘European’ court and can speak only for its European Member States. Nevertheless, its voice is not only heard in Europe, but also beyond its borders. This is especially true when the challenges it has to deal with are universal, such as terrorism, migration, and military conflicts.


2013 ◽  
Vol 12 (1-2) ◽  
pp. 283-297 ◽  
Author(s):  
Darren O’Byrne

AbstractNatural disasters, such as the Japanese earthquake and tsunami of March 2011, have not only tested the fragility of the world capitalist system, but have asked questions of the ‘cosmopolitan ideal’ that underpins the discourse on global civil society prevalent in much literature on globalization. In this article I consider why the global response to such tragedies is markedly different to the more muted response to more overtly political tragedies, such as atrocities committed by states, and suggests that what it demonstrates is not a full cosmopolitanismper se, but a ‘selective cosmopolitanism’ grounded in a ‘de-politicization of feeling’. As a result, the political context of these natural disasters is often ignored and this calls for a repositioning of such disasters within a human rights framework and for an analysis of them informed by a critical globalization studies.


2021 ◽  
Author(s):  
Martina Pasqualetto ◽  
Fabio Perocco

In Italy, over the last years in the world of social struggles asylum seekers have been in the spotlight several times, having led several episodes of mobilisations and protests. They emerged as political subjects, with their own claims and situations; parallel to the issue of reception, they expressed themselves in the public space as asylum seekers, with campaigns, pickets, and marches, with which the respect for their rights and dignity is advocated. This study analyses the causes, forms and repercussions of the struggles of asylum seekers in the last decade. After the analysis of the experience of immigrants’ struggles over the last three decades, the article examines the social roots and the features of the struggles of asylum seekers between 2011 to 2019, and considers their meaning in the political context.


Sign in / Sign up

Export Citation Format

Share Document