scholarly journals A Rare Case of Primary Pulmonary Amoebiasis without Gastrointestinal Involvement: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 134
Author(s):  
Arie Gradiyanto Nugroho ◽  
Edijono Edijono
Keyword(s):  
Entamoeba Histolytica ◽  
Pulmonary Infection ◽  
Economic Status ◽  
Sputum Sample ◽  
Gastrointestinal Symptoms ◽  
Lung Abscess ◽  
Chief Complaint ◽  
Common Site ◽  
Gastrointestinal Involvement ◽  
The Right

Introduction: The main pathogen of amoebiasis is Entamoeba histolytica which is very common in tropical and developing countries, where sanitation, hygiene, and low socio-economic status are major problems. The most common site of infection is the intestinal mucosa. For extraintestinal amoebiasis, the most common sites are the liver, followed by the lungs and brain.Case: A 15-year-old male was presented to the ER with chief complaint of breathlessness for the last 10 days, accompanied by productive coughing with dark brown sputum and pain on lower right chest. The patient had fever while the disease progressed. Gastrointestinal symptoms were denied. Physical examination showed lowered breathing sound on the right lung, dullness on lower right chest, and usage of accessory breathing muscles. USG found heteroechoic lesion of 8x7cm in size suspicious of lung abscess, later on confirmed as Entamoeba histolytica found in sputum sample, while abdominal USG showed no abnormality. The patient was admitted for antibiotic therapy and consultation to cardiothoracic surgeon.Discussion: One of the rarest routes of amoebiasis is primary deposition of cysts to the lungs through aspiration. Pulmonary amoebiasis often causes abscess formation, produces brown-colored sputum called “anchovy sauce”. It is notable that we found one of the rarest cases of amoebiasis infection, where there is a pulmonary infection without any intestinal involvement.Conclusion: Whilst infection of primary pulmonary amoebiasis is very rare, it is still an important etiology to put on the differential diagnosis of pulmonary abscess. Therefore, sputum examination or biopsy is required even when there are no gastrointestinal disturbances.

Bronchial atresia of the right lower lobe

2005 ◽  
Vol 46 (5) ◽  
pp. 480-483 ◽  
Author(s):  
A. Murat ◽  
H. Ozdemir ◽  
H. Yildirim ◽  
A. Kursad Poyraz ◽  
H. Artas
Keyword(s):  
Pulmonary Infection ◽  
Lower Lobe ◽  
Lung Parenchyma ◽  
Posterior Segment ◽  
Shortness Of Breath ◽  
Common Site ◽  
Rare Congenital Anomaly ◽  
History Of ◽  
The Right ◽  
Bronchial Atresia

Bronchial atresia (BA) is a rare congenital anomaly that is found incidentally in approximately 50% of cases. It predominantly affects young men and generally produces no symptoms. The other 50% of cases have pulmonary symptoms such as fever, cough, or shortness of breath due to recurrent pulmonary infection or overinflation of the involved lung parenchyma. The most common site is the left upper lobe, particularly of the apical-posterior segment. The right lower and middle lobes are affected in only 8% of cases. The radiographic features may be highly suggestive of the diagnosis. The mucus-filled bronchus is seen as a rounded, branching opacity emanating from the hilum and is surrounded by an area of increased hyper-translucency. We report an unusual presentation of BA in a 43-year-old woman with a history of recurrent pulmonary infection and dyspnea. The patient was found to have BA in all the basal segments of the lower lobe of the right lung.

scholarly journals Metastatic Melanoma Presenting as Intussusception in an 80-Year-Old Man: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Sarah Alghamdi ◽  
Yumna Omarzai
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Metastatic Melanoma ◽  
Clinical Presentation ◽  
Gastrointestinal Symptoms ◽  
Common Site ◽  
Neoplastic Process ◽  
History Of ◽  
Uncommon Neoplasm

Malignant melanoma of the gastrointestinal tract is an uncommon neoplasm that could be primary or metastatic. Small intestine represents the most common site for the metastatic melanoma; however, it could be found anywhere in the gastrointestinal tract. Intussusception is a rare cause of intestinal obstruction in adults compared to children. In 90% of the cases, the underlying cause can be found, and in 65% of the cases, intussusception is caused by the neoplastic process. The majority of the neoplasms are benign, and about 15% are malignant. Metastatic melanoma is one of the most common metastatic malignancies to the gastrointestinal tract; however, the premortem diagnosis is rarely made. Here, we report an uncommon clinical presentation of metastatic melanoma causing intussusception in an 80-year-old man. This diagnosis should be considered in a differential diagnosis in any patient who presents with gastrointestinal symptoms and a history of melanoma.

Nordic retirement contracts and the economic situation of widows

2006 ◽  
Vol 21 (3) ◽  
pp. 383-418 ◽  
Author(s):  
BEATRICE MORING
Keyword(s):  
Quality Of Life ◽  
Eighteenth Century ◽  
Economic Status ◽  
Economic Situation ◽  
Standard Of Living ◽  
The Family ◽  
Early Eighteenth Century ◽  
The Right

The aim of this article is to explore the economic status and the quality of life of widows in the Nordic past, based on the evidence contained in retirement contracts. Analysis of these contracts also shows the ways in which, and when, land and the authority invested in the headship of the household were transferred between generations in the Nordic countryside. After the early eighteenth century, retirement contracts became more detailed but these should be viewed not as a sign of tension between the retirees and their successors but as a family insurance strategy designed to protect the interests of younger siblings of the heir and his or her old parents, particularly if there was a danger of the property being acquired by a non-relative. Both the retirement contracts made by couples and those made by a widow alone generally guaranteed them an adequate standard of living in retirement. Widows were assured of an adequately heated room of their own, more generous provision of food than was available to many families, clothing and the right to continue to work, for example at spinning and milking, but to be excused heavy labour. However, when the land was to be retained by the family, in many cases there was no intention of establishing a separate household.

scholarly journals Solitary Plasmacytoma in the Mandible Resembling an Odontogenic Cyst/Tumor

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatemeh Rezaei ◽  
Hesamedin Nazari ◽  
Babak Izadi
Keyword(s):  
Multiple Myeloma ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Final Diagnosis ◽  
Chief Complaint ◽  
Solitary Plasmacytoma ◽  
Oral Medicine ◽  
Bony Lesion ◽  
The Right ◽  
Rule Out

A 46-year-old male patient referred to Department of Oral Medicine, with the primary chief complaint of a painless swelling in the right side of mandibular. A panoramic radiograph revealed a well-defined, multilocular radiolucent bony lesion with thin and straight septa in the right side of mandible extending from distal of canine to mesial of third molar. Histological examination showed a solid proliferation of atypical plasmacytoid cells, which was indicative of plasmacytoma. A systemic workup for the final diagnosis was performed to rule out multiple myeloma.

A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case

2018 ◽  
Vol 29 (2) ◽  
pp. 244-246 ◽  
Author(s):  
Taliha Oner ◽  
Oktay Korun ◽  
Ahmet Celebi
Keyword(s):  
Hydatid Cyst ◽  
Cardiac Involvement ◽  
The Body ◽  
Hydatid Cysts ◽  
Common Site ◽  
Right Ventricular Free Wall ◽  
Rare Presentation ◽  
Paediatric Case ◽  
Involvement Rate ◽  
The Right

AbstractCardiac hydatid cysts are a rare presentation of hydatid cyst disease in the body, with a reported cardiac involvement rate of <2%. The left ventricle is the most common site of cardiac involvement. Here, we report a patient with a hydatid cyst that ruptured into the pericardium after producing an aneurysm on the right ventricular free wall, appearing as fibrinated fluid and a solid mass lesion in the pericardium. Our aim in this case report was to emphasise that the possibility of a hydatid cyst should not be overlooked in the differential diagnosis of pericardial tumours.

scholarly journals Pulmonary abscess as a complication of COVID-19 associated pneumonia: a clinical case

2022 ◽  
Vol 99 (12) ◽  
pp. 7-12
Author(s):  
T. I. Kalenchits ◽  
S. L. Kabak ◽  
S. V. Primak ◽  
N. M. Shirinaliev
Keyword(s):  
Clinical Laboratory ◽  
Lower Lobe ◽  
Pleural Empyema ◽  
Lung Abscess ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Pulmonary Abscess ◽  
Causative Factors ◽  
The Right ◽  
Test Result

The article describes a case of polysegmental destructive viral-bacterial pneumonia complicated with acute pulmonary abscess, pleural empyema, and pneumopleurofibrosis in a 50-year-old female patient infected with the SARS-CoV-2 virus. The first clinical, laboratory and radiological signs of purulent-necrotic inflammation appeared only 20 days after receiving a positive RT-PCR test result with a nasopharyngeal swab. A month later, an emerging abscess in the lower lobe of the right lung was diagnosed. Subsequently, it spontaneously drained into the pleural cavity.Coagulopathy with the formation of microthrombi in small pulmonary vessels is one of the causative factors of lung abscess in patients infected with the SARS-CoV-2 virus.

scholarly journals Digestive involvement in COVID-19: what we have learned in the past 12 months

2021 ◽  
Author(s):  
Vladimir Posmag ◽  
Liliana David ◽  
Dan L. Dumitrascu
Keyword(s):  
Observational Studies ◽  
Digestive System ◽  
Literature Search ◽  
Gastrointestinal Symptoms ◽  
Clinical Findings ◽  
Treatment Schedule ◽  
Gastrointestinal Involvement ◽  
Comprehensive Review ◽  
The Past ◽  
The Relationship

Background and aim. The year 2020 will remain in the medical history as the year of COVID-19 pandemic. Although COVID-19 is considered mainly a respiratory disease, it is well known now that SARS-CoV-2 can affect major organs including the digestive system. This is a comprehensive review on gastrointestinal involvement in the SARS-CoV-2 infection, also the digestive damage due to COVID-19. Methods. A literature search was undertaken in main databases of medical publications following the search items digestive or gastrointestinal or gastric or enteral and SARS-CoV-2 or COVID-19.  Data on gastrointestinal symptoms and alterations in this viral condition were collected and presented. Only observational studies were included. Results. In this review we discuss the recent information on the relationship between COVID-19 and the digestive system. The putative underlying pathogenic mechanisms of COVID-19 as well as the clinical findings in relation to gastrointestinal changes are presented. Conclusions. SARS-CoV-2 virus can affect any part of the digestive system. Patients with chronic diseases are at greatest risk of adverse out-comes. There is a considerable risk for drug-drug interactions in patients who require a large treatment schedule.

scholarly journals Epidermoid Cyst Arising in the Submandibular Region

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Masanori Kudoh ◽  
Hiroyuki Harada ◽  
Ken Omura ◽  
Yoshimasa Ishii
Keyword(s):  
Epidermoid Cyst ◽  
Squamous Epithelium ◽  
Chief Complaint ◽  
Surrounding Tissue ◽  
Soft Mass ◽  
Submandibular Region ◽  
Surgical Specimen ◽  
Floor Of The Mouth ◽  
Stratified Squamous Epithelium ◽  
The Right

Dermoid and epidermoid cysts in the oral cavity frequently develop in the midline or sublingual region of the floor of the mouth. Here, we report a rare case of an epidermoid cyst in the submandibular region. The patient was a 69-year-old man with a chief complaint of a mass in the right submandibular region. A mobile, elastic, relatively soft mass without tenderness was palpable in this region. The skin covering the mass was normal. MRI showed a cystic lesion measuring 3.5 × 3.0 cm under the platysma in the right submandibular region. Cystectomy was performed under general anesthesia. There was no adhesion to surrounding tissue and the right submandibular gland was preserved. The surgical specimen was cystic and contained soybean cord-like materials. Histopathologically, the cyst wall was lined by stratified squamous epithelium with no skin appendage, suggesting an epidermoid cyst. The postoperative course was uneventful and without recurrence after 28 months.

Early striatal hypertrophy in first-episode psychosis within 3 weeks of initiating antipsychotic drug treatment

2008 ◽  
Vol 39 (5) ◽  
pp. 793-800 ◽  
Author(s):  
S. E. Chua ◽  
Y. Deng ◽  
E. Y. H. Chen ◽  
C. W. Law ◽  
C. P. Y. Chiu ◽  
...  
Keyword(s):  
Antipsychotic Medication ◽  
Grey Matter ◽  
Economic Status ◽  
Region Of Interest ◽  
Brain Morphology ◽  
Group Differences ◽  
First Episode ◽  
Antipsychotic Treatment ◽  
Caudate Nuclei ◽  
The Right

BackgroundWe and others have reported that patients experiencing their first episode of psychosis already have significant structural brain abnormalities. Antipsychotics seem to reverse subcortical volume deficits after months of treatment. However, the early impact of medication on brain morphology is not known.MethodForty-eight individuals in their first episode of psychosis underwent magnetic resonance imaging (MRI) brain scanning. Twenty-six were antipsychotic naive and 22 were newly treated with antipsychotic medication for a median period of 3 weeks. In each group, 80% of subjects received a diagnosis of schizophrenia. The two groups were balanced for age, sex, handedness, ethnicity, height, years of education, paternal socio-economic status (SES) and Positive and Negative Syndrome Scale (PANSS) score. Group differences in whole-brain grey matter were compared voxel by voxel, using Brain Activation and Morphological Mapping (BAMM) software. We also conducted testing of group differences with region-of-interest (ROI) measurements of the caudate nucleus.ResultsRelative to the untreated group, those receiving antipsychotic medication for 3–4 weeks had significantly greater grey-matter volumes in the bilateral caudate and cingulate gyri, extending to the left medial frontal gyrus. ROI analysis confirmed that, in treated patients, the right and left caudate nuclei were significantly larger by 10% (p<0.039, two-tailed) and 9% (p<0.048, two-tailed) respectively.ConclusionsEarly striatal grey-matter enlargement may occur within the first 3–4 weeks of antipsychotic treatment. Possible reasons for putative striatal hypertrophy and its implications are discussed.

Lung Abscess Secondary to Esophageal Foreign Body

1978 ◽  
Vol 87 (4) ◽  
pp. 568-570 ◽  
Author(s):  
B. C. Okafor
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
External Pressure ◽  
Lung Abscess ◽  
Esophageal Foreign Body ◽  
Esophageal Lumen ◽  
Long Period ◽  
The Right

The case reported here is one in which a foreign body in the esophagus resulted in a right lung abscess. Interest here centers on the unusual nature of the foreign body and the extraordinarily long period it was allowed to remain in the esophageal lumen even though it was producing symptoms throughout this period. The various factors involved are discussed, also the somewhat peculiar fact that the lung abscess was on the right, resulting from external pressure on the right main bronchus.

Sign in / Sign up

Export Citation Format

Share Document