Intestinal Myiasis Caused by Parasarcophaga crassipalpis (Diptera: Sarcophagidae)

PEDIATRICS ◽  
1990 ◽  
Vol 85 (2) ◽  
pp. 215-217
Author(s):  
TSUNEZO SHIOTA ◽  
YUKIO YOSHIDA ◽  
SACHIYO HIRAI ◽  
SHOZO TORII

Intestinal myiasis occurs when fly eggs or larvae that were previously deposited in food are ingested and survive in the gastrointestinal tract. Some infested patients are asymptomatic; others have abdominal pain, vomiting, and diarrhea. Although babies and small children seem more susceptible to intestinal myiasis than adults, probably the age distribution can be explained by childhood activity, fearlessness of wormlike creatures, and experimentation.1,2 The signs and symptoms of intestinal myiasis can easily be confused with other intestinal disturbances. In this article, we describe the clinical course of intestinal myiasis in a 4-year-old boy with severe abdominal pain. CASE REPORT The patient was a 4-year-old previously healthy boy residing in Osaka City, Japan.

2010 ◽  
Vol 2 (2) ◽  
pp. 93-95
Author(s):  
Geraint J Rees ◽  
J Stephen Davies ◽  
David M Scott-Coombes

Abstract Pseudopheochromocytoma usually presents with the signs and symptoms suggestive of pheochromocytoma, yet investigations fail to show any evidence of the tumor. This case reports a man who presented with severe abdominal pain and hypertension without previous symptoms of anxiety, tremor or palpitations at the time of presentation. Initial 24 hours urinary metanephrines were raised which suggested a diagnosis of hemorrhage into a pheochromocytoma. Clinicians need to be aware of this scenario if unnecessary surgery is to be avoided.


2021 ◽  
Vol 11 (1) ◽  
pp. 69-75
Author(s):  
Artem A. Kozlov ◽  
Irina V. Shevchuk ◽  
Aleksei E. Zavialov ◽  
Anatoly N. Emelyanov

The study presents a case report of a generalized form of severe tetanus in an unvaccinated 11-year-old child. Pain and convulsive syndromes, respiratory failure, and damage to the gastrointestinal tract prevailed in the acute period. Antibiotic therapy, anti-tetanus serum, adequate pain relief, and anticonvulsant therapy were the leading treatments of the child. Moreover, the paper discusses literature data on the options for the clinical course and choice of treatment strategies. The lack of planned vaccination in children is unsafe.


PEDIATRICS ◽  
1975 ◽  
Vol 56 (1) ◽  
pp. 127-129
Author(s):  
Seymour Katz ◽  
Irwin Katzka ◽  
Keith Schneider ◽  
Mervin Silverberg

Recent advances in flexible fiberoptic endoscopy have permitted direct visualization of segments of the gastrointestinal tract hitherto considered inaccessible. Preoperative diagnoses of diseases of these areas are subject to the vagaries of roentgen interpretation. The following case report illustrates the value of the colonoscope in distinguishing intralumenal ileal neoplastic disease from an inflammatory process (e.g., ileitis, appendiceal abscess). CASE REPORT W. M., a 15-year-old white youth, was referred for eveluation of intermittent lower abdominal pain of six weeks' duration. Prior to his admission, he experienced cramping abdominal pain, fever, cough, emesis, and diarrhea. This gradually abated, leaving a residuum of recurrent abdominal pain which was relieved partially with fiexion of the right thigh.


Problems relating to the gastrointestinal system are frequently seen in emergency and urgent care settings. Gastrointestinal signs and symptoms may relate directing to a problem in the gastrointestinal tract or may be a feature of another disease process. For example, vomiting and abdominal pain are often seen in diabetic ketoacidosis. This chapter provides detailed guidance on how to assess a patient with abdominal pain and other gastrointestinal symptoms. Appropriate investigations are identified, with their suggested indications. The remainder of this chapter covers the nursing assessment, investigations, and initial management of a comprehensive list of gastrointestinal problems, including injuries to abdominal organs.


2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Luigi Sandonato ◽  
Calogero Cipolla ◽  
Giuseppa Graceffa ◽  
Tommaso V. Bartolotta ◽  
Sergio Li Petri ◽  
...  

2013 ◽  
Vol 6 (1) ◽  
Author(s):  
Masanori Shimodaira ◽  
Tomohiro Kitano ◽  
Minoru Kibata ◽  
Kumiko Shirahata

2019 ◽  
Vol 21 (4) ◽  
pp. 422
Author(s):  
Márcus Otávio Silva de Campos Menêses ◽  
Renata Margarida Etchebehere ◽  
Márcia Fernandes De Araújo ◽  
Ana Cristina Da Rocha Duque ◽  
Denise Bertulucci Rocha Rodrigues ◽  
...  

AbstractHemophagocytic lymphohistiocytosis (HLH) is a rare, usually fatal and underdiagnosed autoimmune-activated disease. The present study aimed to perform a macroscopic, histopathological and immunohistochemical evaluation for CD68 and CD57 in organs of autopsied adults with HLH. A total of 604 autopsy reports were analyzed, and all the patients that filled the diagnostic criteria for HLH (n = 2) were selected. These patients were 18 and 37 years old. Were evaluated both clinical and autopsy reports and performed histopathological and immunohistochemical analysis of the liver and spleen. Both patients filled the diagnostic criteria for HLH, as well as presented common signs and symptoms of this disease, such as chills, abdominal pain, diaphoresis, and jaundice. Hemophagocytosis was observed in the spleen, bone marrow, and lymph nodes of the two patients at autopsy. Immunostaining in the liver and spleen of both patients was mainly severe for CD68, and predominantly mild for CD57, indicating a decrease in NKC numbers and an increase in the number of macrophages, respectively. This was the first study to evaluate CD57 and CD68 in autopsies of adults with HLH. Thus, more studies are required, not only to better elucidate the pathogenetic mechanisms involved in the secondary HLH, but also to disseminate the results in the clinical environment, contributing to the early diagnosis and treatment with consequent reduction of mortality rate. Keywords: Autoimmune Diseases. Histiocytosis. Biomarkers. ResumoA Linfohistiocitose Hemofagocítica (HLH) é uma doença autoimune rara, geralmente fatal e subdiagnosticada. Este estudo tem como objetivo realizar avaliação macroscópica, histopatológica e imunohistoquímica para CD68 e CD57 em órgãos de pacientes adultos com HLH submetidos a autópsia. Um total de 604 laudos de autópsias foram analisados e todos os pacientes que preencheram os critérios diagnósticos para HLH (n = 2) foram selecionados. Esses pacientes tinham 18 e 37 anos de idade. Foram analisados tanto os prontuários quanto os laudos de autópsia, bem como foram realizadas análises histopatológicas e imunohistoquímicas do fígado e baço dos pacientes. Ambos preencheram os critérios diagnósticos para HLH e apresentarem sinais e sintomas comuns da doença, como calafrios, dor abdominal, sudorese e icterícia. A hemofagocitose foi observada no baço, medula óssea e linfonodos dos dois pacientes na autópsia. A imunohistoquímica do fígado e do baço de ambos os pacientes demonstrou imunomarcação acentuada para CD68 e predominantemente discreta para CD57, que indicam diminuição do número de NKC e aumento do número de macrófagos, respectivamente. Este foi o primeiro estudo a avaliar o CD57 e CD68 em autópsias de adultos com HLH. Assim, mais estudos são necessários, não apenas para melhor elucidar os mecanismos patogenéticos envolvidos na HLH secundária, mas também para disseminar os resultados no ambiente clínico, contribuindo para o diagnóstico e tratamento precoces com consequente redução da taxa de mortalidade. Palavras-chave: Doenças Autoimunes. Histiocitose. Biomarcadores.


2015 ◽  
Vol 8 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Hassan Vossoughinia ◽  
Ali Pourakbar ◽  
Samaneh Esfandiari ◽  
Masoud Sharifianrazavi

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