Esophageal ulcer and alendronate

OBJECTIVE: To describe a case of esophageal ulcer associated with the use of alendronate. CASE REPORT: This is the fifth case ever described in the literature according to our bibliographic review. In our patient, the association between the drug and the esophageal lesions was masked by the presence of a hiatal hernia, potentially a cause of the esophageal lesion. The persistence of the lesions despite high doses of anti-reflux therapy called attention to the possibility of the relationship. The esophageal lesion healed soon after suspension of alendronate. DISCUSSION: The authors present a review of the literature and point to the need for diagnostic investigation, to suspend such a drug from patients who experience dyspeptic symptoms while using it.

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Crohn's disease presenting with an isolated esophageal ulcer: A case report and review of the literature

Gastroenterology ◽

10.1016/s0016-5085(98)81035-4 ◽

1998 ◽

Vol 114 ◽

pp. A254

Author(s):

S. Patel ◽

R.H. Riddell ◽

K. Croitoru

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Esophageal Ulcer ◽

Review Of The Literature

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Contribution Of Night Eating Syndrome To The Evolution Of Anorexia Nervosa – Case Report

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1543 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S426-S426

Author(s):

F. Coutinho ◽

I. Brandão

Keyword(s):

Anorexia Nervosa ◽

Eating Disorder ◽

Case Report ◽

Sleep Disturbances ◽

Review Of The Literature ◽

Night Eating Syndrome ◽

Eating Pattern ◽

Night Eating ◽

Competing Interest ◽

The Relationship

IntroductionNight Eating Syndrome (NES) was described in 1955 in a subset of patients resistant to weight loss. It is characterized by morning anorexia, evening hyperfagia and sleep disturbances. It is also more prevalent among patients with another eating disorder (ED), particularly binge-eating disorder (BED) or bulimia nervosa (BN).ObjectiveReview of the literature about the relationship between NES and another EDs and to present a case report of a patient with a long-standing purgative anorexia nervosa (AN-BP) and comorbid NES.Methodsreview of the literature using the database Medline through Pubmed, with the keywords: “night eating syndrome” and “eating disorder”.ResultsNES is highly prevalent among patients with EDs, with an estimated prevalence of about 5–44%. However, most of the existent literature explores the relationship between NES and BED or BN, and it is not consensual if NES is a subtype of another ED. There is still scarce evidence about NES and AN comorbidity.ConclusionIn this case report, we present a patient with a history of AN-BP, in which the recovery of lost weight and the increase of body mass index (BMI) occurred simultaneously with a period of worsening NES symptoms, which leads the authors to question if the psychopathology of NES has contributed to the recovery of BMI at the expense of maintaining a dysfunctional eating pattern.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Aneurysm and Neurocysticercosis: Casual or Causal Relationship? Case Report and Review of the Literature

Case Reports in Medicine ◽

10.1155/2011/782496 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Svetlana Agapejev ◽

João Luiz Parra-Marinello ◽

Rodrigo Bazan ◽

Anete Kinumi Ueda ◽

Marco Antonio Zanini

Keyword(s):

Case Report ◽

Subarachnoid Haemorrhage ◽

Arterial Hypertension ◽

Middle Cerebral Artery ◽

Cerebral Aneurysm ◽

Causal Relationship ◽

Review Of The Literature ◽

Bifurcation Aneurysm ◽

The Relationship ◽

Casual Relationship

Four cases of suggestive inflammatory aneurysms in patients with neurocysticercosis have been described. We report a case of a 49-year-old woman who presented with subarachnoid haemorrhage from a right middle cerebral artery bifurcation aneurysm and had a casual relationship with neurocysticercosis. At surgery, a viable cysticercus without signs of inflammation or thickened leptomeninges was found in the distal position of the aneurysm. Postoperatively, the patient received albendazole and dextrochlorpheniramine. In the subsequent three years, the patient was asymptomatic and took drugs to prevent convulsion and arterial hypertension. The relationship between NCC and the presence of cerebral aneurysm is discussed.

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Renal Failure Due to Sulfadiazine Induced Calculi: Case Report and Literature Review

Acta Urológica Portuguesa ◽

10.24915/aup.36.1-2.93 ◽

2019 ◽

Vol 36 (1-2) ◽

pp. 30-32

Author(s):

Alexandre Augusto Monteiro Sato ◽

Leda A. Daud Lotaif ◽

Mario Henrique Elias de Mattos ◽

Antonio Corrêa Lopes Neto

Keyword(s):

Renal Failure ◽

Case Report ◽

Renal Colic ◽

Renal Calculi ◽

Review Of The Literature ◽

Diagnostic Investigation ◽

Urinary Lithiasis ◽

Double J Stent ◽

Prevalent Disease ◽

Acute Toxoplasmosis

Introduction: Renal calculi is a prevalent disease and has some causes described. The drug calculi origin are rare, accounting for around 1% to 2% of cases. The crystals of sulfadiazine are formed in 20% to 45% of cases, but between 0.4% and 4.5% are associated with renal failure. We present a case report and a review of the literature on diagnosis and treatment of this entity, given its rarity and specificity. Case Report: A 48-year-old male, diabetic, during treatment for acute toxoplasmosis with sulfadiazine initiated renal colic associated with renal failure. The hypothesis of drug calculation was considered, because during the diagnostic investigation of toxoplasmosis, imaging studies were performed and presented without renal calculi. Initially he was treated conservatively with hyperhydration and alpha-blocker, but since he did not present improvement in the exams, he underwent ureterolithotripsy and double j stent. Conclusion: We present a report of urinary lithiasis of pharmacological origin associated with renal insufficiency and a review of the literature.

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