scholarly journals Syphilitic glomerulonephritis: case report and review of the literature

2015 ◽  
Vol 156 (1) ◽  
pp. 32-35
Author(s):  
Norbert Wikonkál ◽  
Patrícia Nagy ◽  
Béla Tóth ◽  
Márta Marschalkó ◽  
András Tislér ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Complete Resolution ◽  
Urine Analysis ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Protein Loss ◽  
Penicillin Therapy ◽  
History Of ◽  
Penicillin Treatment

The authors report the history of a patient with syphilitic glomerulonephritis, a rare complication of syphilis. The patient was admitted to the hospital with clinical symptoms of neurosyphilis. During his hospital stay urine analysis revealed an extremely high proteinuria, that had not been known before. Intravenous penicillin treatment improved the renal protein loss, but it took a total of six months until complete resolution was achieved. The serology that confirmed the syphilis, the concomitant nephrotic syndrome and the improvement after penicillin therapy met the criteria of syphilitic glomerulonephritis. This case prompted the authors to review the literature about this rare complication of syphilis that has a great clinical significance. Orv. Hetil., 2015, 156(1), 32–35.

scholarly journals Indications and outcomes of enterovesical and colovesical fistulas: systematic review of the literature and meta-analysis of prevalence

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stefano Granieri ◽  
Francesco Sessa ◽  
Alessandro Bonomi ◽  
Sissi Paleino ◽  
Federica Bruno ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Meta Analysis ◽  
Treatment Options ◽  
Palliative Surgery ◽  
Review Of The Literature ◽  
Colovesical Fistula ◽  
Level Of Evidence ◽  
Meta Analyses

Abstract Background Entero-colovesical fistula is a rare complication of various benign and malignant diseases. The diagnosis is prominently based on clinical symptoms; imaging studies are necessary not only to confirm the presence of the fistula, but more importantly to demonstrate the extent and the nature of the fistula. There is still a lack of consensus regarding the if, when and how to repair the fistula. The aim of the study is to review the different surgical treatment options, focus on surgical indications, and explore cumulative recurrence, morbidity, and mortality rates of entero-vesical and colo-vesical fistula patients. Methods A systematic review of the literature was conducted according to PRISMA guidelines. Random effects meta-analyses of proportions were developed to assess primary and secondary endpoints. I2 statistic and Cochran’s Q test were computed to assess inter-studies’ heterogeneity. Results Twenty-two studies were included in the analysis with a total of 861 patients. Meta-analyses of proportions pointed out 5, 22.2, and 4.9% rates for recurrence, complications, and mortality respectively. A single-stage procedure was performed in 75.5% of the cases, whereas a multi-stage operation in 15.5% of patients. Palliative surgery was performed in 6.2% of the cases. In 2.3% of the cases, the surgical procedure was not specified. Simple and advanced repair of the bladder was performed in 84.3% and 15.6% of the cases respectively. Conclusions Although burdened by a non-negligible rate of complications, surgical repair of entero-colovesical fistula leads to excellent results in terms of primary healing. Our review offers opportunities for significant further research in this field. Level of Evidence Level III according to ELIS (SR/MA with up to two negative criteria).

scholarly journals Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

2021 ◽  
pp. 1-3
Author(s):  
Paula Pilar Morales Cejas ◽  
Paula Pilar Morales Cejas ◽  
Yanire Sánchez Medina ◽  
Marta García Berrocal ◽  
Luis Francisco Gómez Perals
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Adult Case ◽  
Leptomeningeal Cyst ◽  
Case Presentation ◽  
Affected Area ◽  
Previous Trauma ◽  
History Of ◽  
Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

scholarly journals Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

2021 ◽  
Vol 2 ◽  
pp. 53-55
Author(s):  
Surajudeen Oyeleke Bello ◽  
Sandra Umejiaku ◽  
Taofik Oluwaseun Ogunkunle ◽  
Oyetundun Fausat Afolabi ◽  
Ahmed Ashuku Yakubu
Keyword(s):  
Case Report ◽  
Supportive Care ◽  
Subcutaneous Emphysema ◽  
Complete Resolution ◽  
Rare Complication ◽  
Childhood Pneumonia ◽  
Peripheral Hospital ◽  
The Face ◽  
History Of ◽  
Subcutaneous Tissues

Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

Intracranial epidural abscess of odontogenic origin

2011 ◽  
Vol 7 (3) ◽  
pp. 311-315 ◽  
Author(s):  
Okezie Obasi Kanu ◽  
Efosa Ukponmwan ◽  
Olufemi Bankole ◽  
John Olutola Olatosi ◽  
Sarajudeen Oladele Arigbabu
Keyword(s):  
Complete Resolution ◽  
Epidural Abscess ◽  
Review Of The Literature ◽  
Dental Infection ◽  
Middle Class Family ◽  
Brain Scan ◽  
Odontogenic Origin ◽  
History Of ◽  
Ct Brain ◽  
Intracranial Infections

Dental infection as a cause of epidural abscess is rare compared with other forms of intracranial suppurations. A 10-year-old boy was seen because of headaches and fever. There was no history of otitis media or sinusitis, but he had sought care for dental complaints. The patient was from an upper-middle-class family, was not immunocompromised, and had no other risk factor for a major infection. A CT brain scan confirmed a frontal epidural abscess. The patient underwent emergency surgery for evacuation of the epidural abscess, followed by antimicrobial therapy. His condition improved remarkably following surgery, with complete resolution of symptoms. He subsequently underwent extraction of 2 teeth following dental review. Dental infection as a cause of intracranial epidural abscess is rare, but should be considered when evaluating patients for intracranial infections. A review of the literature sheds light on the causal relationship and possible pathogenesis of this condition.

scholarly journals Bladder Injury during Caesarean Section, Surgical and Anaesthetic Management: A Case Report and Review of the Literature

2021 ◽  
Vol 6 (3) ◽  
pp. 167-169
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Urinary Bladder ◽  
Rare Complication ◽  
Previous History ◽  
Anaesthetic Management ◽  
Bladder Injury ◽  
Review Of The Literature ◽  
Emergency Caesarean ◽  
History Of

Urinary bladder injury is a rare complication during caesarean section but its incidence is increasing due to growing trend in caesarean deliveries. In this case report, we reported a 32 year old pregnant female with previous history of caesarean section who presented during labour. Emergency caesarean was done and the case was complicated with bladder injury intraoperatively. The injury was immediately identified and was repaired in two layers. This case highlights the anaesthetic and surgical management of inadvertent bladder injury during caesarean section. Keywords: Bladder injury, caesarean section, Emergency caesarean.

scholarly journals Serum immunoglobulin E levels in children with idiopathic nephrotic syndrome

2016 ◽  
Vol 45 (2) ◽  
pp. 55 ◽  
Author(s):  
Ninik Asmaningsih ◽  
Windhu Poernomo ◽  
M Sjaifullah Noer
Keyword(s):  
Nephrotic Syndrome ◽  
Immunoglobulin E ◽  
Idiopathic Nephrotic Syndrome ◽  
Steroid Resistance ◽  
Protein Loss ◽  
Immune Disorder ◽  
Prednisone Therapy ◽  
Serum Ige ◽  
Filtration Barrier ◽  
History Of

Background Children with idiopathic nephrotic syndrome (INS)have been known to have T-cell dysfunction and an impairment ofthe cytokine network that may alter glomerular permeability andthe glomerular filtration barrier. This disorder may contribute to thepresence of urinary protein loss in children with INS. The elevationof serum IgE levels has been noted in some cases, but its associa-tion with steroid-responsive nephrotic syndrome has not been fullyelucidated.Objective This study was done to investigate the association be-tween serum IgE levels prior to prednisone treatment in childrenwith INS and the outcome of treatment.Methods A prospective observational study has been conductedon 22 children with INS. Prednisone therapy was given with a doseof 60 mg/m 2 body surface area (BSA) for four weeks followed by asingle dose of 40 mg/m 2 BSA every other day for another fourweeks. This protocol was applied for steroid-responsive INS chil-dren. Children with steroid resistance were given oral cyclophos-phamide 2 mg/kg for eight weeks. IgE level measurements wereperformed prior to prednisone therapy and at remission. Data wereanalyzed using one-way ANOVA and multiple regression.Results Twenty-two children were enrolled in this study. High lev-els of serum IgE were found in 95.5% of children, with a mean of2002.5 (SD 2172.1) IU/ml. The serum IgE levels of INS childrenwith history of allergy were significantly higher than those of neph-rotic children without history of allergy (P<0.05). However, therewas no significant correlation between the serum IgE levels andthe outcome of treatment in children with INS.Conclusion The high serum IgE levels in children with INS seemto be associated with humoral immune disorder and did not haveany association with the outcome of therapy. Even though the se-rum IgE levels were significantly higher in INS children with historyof allergy, other factors that may influence serum IgE levels mustbe considered

scholarly journals Spontaneous Uterine Rupture Of Healthy Uterus : About A Case And Literature Review

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Uterine Rupture ◽  
Postpartum Haemorrhage ◽  
Rare Complication ◽  
Previous History ◽  
Clinical Signs ◽  
Review Of The Literature ◽  
Extreme Caution ◽  
Spontaneous Uterine Rupture ◽  
History Of ◽  
Scarred Uterus

Uterine rupture in a healthy uterus remains a rare complication of labour. However, given its seriousness in putting the life of the mother and the fetus at risk, it is important to think about it in the presence of any metrorrhagia during labour, even in a healthy uterus. It is more frequent in the case of a scarred uterus. We present a rare case of spontaneous uterine rupture in a healthy uterus in a 28 year old patient with no previous history of pathological history, diagnosed after six hours of delivery due to postpartum haemorrhage. Through this case and the review of the literature, we discuss the extreme caution that must be maintained even in the case of a non-scarring uterus, as well as the clinical signs of appeal, the risk factors, the diagnostic methodology and the therapeutic management of this rare but potentially serious entity.

Actinomycosis of the Larynx and Pharynx

1978 ◽  
Vol 86 (5) ◽  
pp. ORL-739-ORL-742 ◽  
Author(s):  
James H. Brandenburg ◽  
William W. Finch ◽  
Wayne R. Kirkham
Keyword(s):  
Medical Center ◽  
Cricoid Cartilage ◽  
The Body ◽  
Clinical Aspects ◽  
Review Of The Literature ◽  
University Of Wisconsin ◽  
Penicillin Therapy ◽  
History Of ◽  
Laryngeal Stridor

This paper presents a case report of a 67-year-old man who was seen in the Otolaryngology Clinic, University of Wisconsin Medical Center with a seven-month history of dyspnea and laryngeal stridor. On examination there were several slightly tender firm submucosal nodules in the soft palate and left tonsilar area and a 1.5-cm polypoid subglottic mass arising from the body of the cricoid cartilage. Because of the marked airway obstruction, a tracheotomy was necessary. The laryngeal polypoid mass was removed and biopsies were obtained from the submucosal nodular masses of the palate. Microscopic examination of the tissue revealed the lesions to be caseating granulomas, and actinomycosis was identified on the cultures. The patient received long-term penicillin therapy and has remained asymptomatic. A discussion of the biologic and clinical aspects of actinomycosis is included. A review of the literature revealed only one other description of endolaryngeal actinomycosis.

Sacral epidural noncommunicating arachnoid cyst

2007 ◽  
Vol 6 (5) ◽  
pp. 473-478 ◽  
Author(s):  
Nikolaos Sakellaridis ◽  
Demetrius Panagopoulos ◽  
Helen Mahera
Keyword(s):  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Clinical Presentation ◽  
Cauda Equina ◽  
Type I ◽  
Review Of The Literature ◽  
Postoperative Course ◽  
Lesion Type ◽  
History Of ◽  
Spinal Epidural

✓ The authors examine the natural history of a spinal epidural arachnoid cyst and present their experience with its treatment in a 25-year-old man who presented with progressive cauda equina syndrome. Neuroimaging revealed two neighboring sacral epidural cysts. The cysts were completely removed via a sacral S1–4 laminectomy; no communication with the subarachnoid space could be found. The patient's postoperative course was uneventful. He experienced progressive improvement and, finally, complete resolution of symptoms and no recurrence of the cyst. Nabors Type I sacral epidural arachnoid cysts are rare; in some cases their origins and the mechanism by which they cause deterioration in the patients' clinical condition are debatable. Findings in the present case support the idea that some of these cysts are noncommunicating but progressive in their clinical presentation. This lesion type is also known to occur intracranially. A brief review of the literature is provided.

Percutaneous embolization of renal arteriovenous fistula

VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 207-210 ◽  
Author(s):  
Sendi ◽  
Toia ◽  
Nussbaumer
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Abdominal Discomfort ◽  
Renal Arteriovenous Fistula ◽  
Percutaneous Embolization ◽  
Arterial Access ◽  
Number Of Publications ◽  
Occluding Balloon

Acquired renal arteriovenous fistula is a rare complication following a nephrectomy and its diagnosis may be made many years after the intervention. The closure of the fistula is advisable in most cases, since it represents a risk for heart failure and rupture of the vessel. There are an increasing number of publications describing different techniques of occlusion. The case of a 70-year-old woman with abdominal discomfort due to a large renal arteriovenous fistula, 45 years after nephrectomy, is presented and current literature is reviewed. Percutaneous embolization was performed by placing an occluding balloon through the draining vein followed by the release of nine coils through arterial access. One day after successful occlusion of the fistula, clinical symptoms disappeared.

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