Case of hydatid cyst with localization in the liver gate and the development of acute acalculous cholecystitis

Annotation. Among all internal organs, the liver is the organ that is most commonly affected by echinococcosis, and in more than half of the cases its right lobe is affected. Active migration of the population caused the spread of pathology beyond the endemic regions. In particular, more than 100 cases of echinococcosis among people are registered in Ukraine every year. The purpose of this study is to analyze a clinical case that demonstrates an echinococcal impression of the liver with interesting localization of the cyst near the liver gate, with compression of the cystic duct and the development of acute acalculous cholecystitis. When the patient was hospitalized, there was no expected eosinophilia in the blood test, but it appeared on 14 day of albendazole chemotherapy. In serological testing of the blood by ELISA, the determination of IgG for Echinococcus granulosus was doubtful. However, radiological findings clearly indicated signs of parasitic cyst genesis. Following all the principles of aparasitism, the patient underwent closed echinococectomy, microscopy of the native material confirmed the presence of numerous scolexes in cystic fluid.

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Septicemia caused by Micrococcus luteus. Example of a clinical case

Bukovinian Medical Herald ◽

10.24061/2413-0737.xxv.2.98.2021.25 ◽

2021 ◽

Vol 25 (2(98)) ◽

pp. 154-157

Author(s):

S. Fedorenko ◽

I. Pestushko ◽

N. Prykuda ◽

A. Zadorozhnyi

Keyword(s):

Infectious Diseases ◽

Human Skin ◽

Clinical Case ◽

Micrococcus Luteus ◽

The Body ◽

Disease Development ◽

Internal Organs ◽

Normal Microflora ◽

Inpatient Department

Micrococcus luteus is a representative of normal microflora of the human skin, which is commonly localized on open surfaces of the body. Dissemination of the agent with disease development is possible if intactness of the skin is impaired. Aim of the paper – to present a clinical case of septicemia caused by Micrococcus luteus.Results. A clinical case of septicemia, caused by Micrococcus luteus, in a 39-year-old patient treated in an inpatient department of Infectious Diseases Communal Clinical Hospital in Lviv. Conclusion. A presented clinical case demonstrates a severe course of septicemia caused by Micrococcus luteus with involvement of internal organs in the process, in particular, accompaniment of community-acquired left-sided pneumonia, exudative pleurisy, pericarditis, and meningitis. Although antibacterial therapy was prescribed to this patient on admission to an inpatient department, the result in treatment could be achieved only after thorough additional examination of the patient, conduction of proper bacteriological tests and determination of sensitivity of the agent to antibacterial medicines.

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A CLINICAL CASE OF PRIMARY HYPERPARATHYROIDISM OF THE OSTEO-VISCERAL FORM

"Medical & pharmaceutical journal "Pulse" ◽

10.26787/nydha-2686-6838-2020-22-12-155-161 ◽

2020 ◽

pp. 155-161

Author(s):

Poselyugina O.B. ◽

Kulish A.S. ◽

Vasiliev D.F.

Keyword(s):

Primary Hyperparathyroidism ◽

Clinical Case ◽

Early Stage ◽

Diagnostic Errors ◽

Epidemiological Studies ◽

Medical Documentation ◽

Screening Methods ◽

Internal Organs ◽

Blood Calcium ◽

Slow Development

Introduction. Primary hyperparathyroidism is an endocrine disease resulting from a primary pathology of the parathyroid gland, characterized by increased secretion of parathyroid hormone and increased blood calcium levels. Among the endocrine diseases, primary hyperparathyroidism is the third most common after diabetes mellitus and thyroid disease. In Russia, according to epidemiological studies, primary hyperparathyroidism is found in 1% of the population, women suffer 2-3 times more often than men do, and the average age of diagnosis is 54-59 years. In the absence of a timely diagnosis, primary hyperparathyroidism causes systemic damage to internal organs: renal impairment, nephrolithiasis, esophageal affection, cardiovascular and nervous system involvement, and it leads to a violation of bone tissue integrity. The aim is to demonstrate a clinical case of a patient with primary hyperparathyroidism and to analyze the stages of diagnosis of the disease and treatment. Material and methods. The review of medical literature on the problem of diagnostics and treatment of primary hyperparathyroidism was performed, as well as an analysis of the patient’s medical documentation with this pathology. Results and discussion. A variant of complicated course of primary hyperparathyroidism of bone and visceral form is considered. About 15 years passed from the moment of appearance of the first symptoms of the disease to the development of complications of renal and bone system. Despite the slow development of the disease and availability of screening methods, hyperparathyroidism was detected at the stage of complications. This article provides a detailed analysis of the primary hyperparathyroidism history, as well as analyzes the possibilities of diagnosis, treatment and prevention of this pathology. The efficacy of the therapy has been assessed, and ways of correction have been outlined. The analysis of the reasons that made it difficult to diagnose this pathology at an early stage, before the development of serious complications of internal organs, has been carried out. Conclusions: It can be assumed that the presented clinical case will increase the awareness of physicians, especially therapists, about the primary manifestations of this pathology and the peculiarities of its detection and routing the patient, which will allow avoiding many diagnostic errors.

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Acute Acalculous Cholecystitis Due to a Primary Epstein Barr Virus Infection in a Pediatric Patient

Pediatric Reports ◽

10.3390/pediatric13010011 ◽

2021 ◽

Vol 13 (1) ◽

pp. 86-90

Author(s):

Carlos Leganés Villanueva ◽

Ilaria Goruppi ◽

Nuria Brun Lozano ◽

Federica Bianchi ◽

María Quinteiro González ◽

...

Keyword(s):

Infectious Mononucleosis ◽

Epstein Barr Virus ◽

Acalculous Cholecystitis ◽

Acute Acalculous Cholecystitis ◽

Epstein Barr Virus Infection ◽

Barr Virus ◽

Acute Complications ◽

Epstein Barr ◽

Barr Virus Infection ◽

Human Viruses

Epstein–Barr virus (EBV) is estimated to infect more than 98% of adults worldwide and is one of the most common human viruses. Acute acalculous cholecystitis (AAC) of the gallbladder is an atypical complication of infectious mononucleosis caused by EBV. Conservative management has been described in the context of AAC caused by EBV. A surgical approach must be considered in the case of acute complications such as perforation or gallbladder gangrene. We present the case of a 10-year-old female patient with AAC due to infectious mononucleosis syndrome caused by primary EBV infection.

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