scholarly journals Clinical and Multimodal Imaging Findings and Risk Factors for Ocular Involvement in a Presumed Waterborne Toxoplasmosis Outbreak, Brazil1

2020 ◽  
Vol 26 (12) ◽  
pp. 2922-2932
Author(s):  
Camilo Brandão-de-Resende ◽  
Helena Hollanda Santos ◽  
Angel Alessio Rojas Lagos ◽  
Camila Munayert Lara ◽  
Jacqueline Souza Dutra Arruda ◽  
...  
2019 ◽  
Vol 104 (6) ◽  
pp. 852-856 ◽  
Author(s):  
Ari Shinojima ◽  
Chadi Mehanna ◽  
Carlo Alessandro Lavia ◽  
Alain Gaudric ◽  
Ramin Tadayoni ◽  
...  

Background/AimsTo assess risk factors for serous retinal detachment (SRD) in the fellow eye of patients with central serous chorioretinopathy (CSC) based on clinical data and multimodal imaging findings, including baseline late-phase indocyanine green angiography (ICGA).MethodsConsecutive patients with unilateral CSC were retrospectively assessed. Inclusion criteria were the availability of late-phase ICGA and a spectral-domain optical coherence tomography (OCT) macular cube for both eyes at baseline and over 3 months. Subsequent OCT of fellow eyes was reviewed to detect the development of SRD during the follow-up. Baseline medical data and multimodal imaging findings were analysed using Kaplan-Meier survival curves (log-rank test).ResultsSixty-eight patients with unilateral CSC were included. An SRD was detected in 19% of fellow eyes during a mean follow-up of 25.8±18.7 months. Hyperfluorescent plaques on midphase ICGA, hypofluorescent foci on late-phase ICGA, retinal pigment epithelium changes on fundus autofluorescence and fluorescein angiography abnormalities were associated with the occurrence of SRD (log-rank test; p<0.001, p=0.02, p=0.002 and p=0.001, respectively).ConclusionThese results suggest that the fellow eyes with specific findings on multimodal imaging in patients with unilateral CSC should be carefully followed up for possible incidence of CSC.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Erhan Ergin ◽  
Nevin Oruç ◽  
Galip Ersöz ◽  
Oktay Tekeşin ◽  
Ömer Özütemiz

AbstractPost Endoscopic Retrograde Cholangiopancreatography (ERCP) pancreatitis is one of the most serious complications of ERCP. Our study aims to investigate the risk, predisposing factors and prognosis of pancreatitis after ERCP in elderly patients. Patients referred to the ERCP unit between April 2008 and 2012 and admitted to the hospital at least 1 day after the ERCP procedure were included to the study. Information including patient’s demographics, diagnosis, imaging findings, biochemical analysis, details of the ERCP procedure and complications were recorded. The severity of post ERCP pancreatitis (PEP) was determined by revised Atlanta Criteria as well as APACHE II and Ranson scores. A total of 2902 ERCP patients were evaluated and 988 were included to the study. Patients were divided into two groups as ≥ 65 years old (494 patients, 259 F, 235 M) and < 65 years old (494 patients, 274 F, 220 M). PEP was diagnosed in 4.3% of patients aged 65 years and older. The female gender was risk factors in elderly for PEP. The Sphincter Oddi Dysfunction (SOD) and Juxta papillary diverticula (JPD) were higher in elderly patients with PEP. Age did not increase the risk of PEP development. The most important post ERCP pancreatitis risk factor in the elderly is the female gender, while the risk is enhanced slightly by SOD and JPD.


Author(s):  
Jordan D. Deaner ◽  
Careen Y. Lowder ◽  
Francesco Pichi ◽  
Steven Gordon ◽  
Nabin Shrestha ◽  
...  

2017 ◽  
Vol 5 (4) ◽  
pp. e00236
Author(s):  
Hitoshi Kawasuji ◽  
Kensuke Suzuki ◽  
Hideaki Furuse ◽  
Takeshi Tsuda ◽  
Yasuaki Masaki ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Christopher G. Schwarz ◽  
David S. Knopman ◽  
Vijay K. Ramanan ◽  
Val J. Lowe ◽  
Heather J. Wiste ◽  
...  

We present the case of a cognitively unimpaired 77-year-old man with elevated, asymmetric, and longitudinally increasing Flortaucipir tau PET despite normal (visually negative) amyloid PET. His atypical tau PET signal persisted and globally increased in a follow-up scan five years later. Across eight years of observations, temporoparietal atrophy was observed consistent with tau PET patterns, but he retained the cognitively unimpaired classification. Altogether, his atypical tau PET signal is not explained by any known risk factors or alternative pathologies, and other imaging findings were not remarkable. He remains enrolled for further observation.


2021 ◽  
Vol 8 (12) ◽  
pp. 673-676
Author(s):  
Arzu İrvem ◽  
Abdurrahman Sarmış ◽  
Özlem Akgün Doğan ◽  
Jale Yıldız ◽  
Zafer Habib ◽  
...  

Objective: COVID-19 has been detected in Turkey since March 11, 2020. Istanbul has become an important center of the pandemic in Turkey. Various risk factors for COVID-19 infection, mortality, and morbidity are under investigation. Recent studies have suggested that certain blood groups are risk factors for the disease. The aim of this study is the evaluation the relationship between blood groups and the risk of contracting COVID-19 disease, clinical severity of the disease, and CT (computed tomography) imaging findings. Material and Methods: Age, gender, blood group data, clinical severity and CT images of 300 patients who were positive with RT PCR (Reverse transcription-polymerase chain reaction) and were followed up in the clinic were retrospectively scanned and recorded. The clinical severity of the disease and CT imaging findings were scored, and the data were evaluated statistically. Results: While the incidence of COVID-19 was high in the A blood group, it was low in the 0 blood group. Although there was no significant difference between blood types and clinical severity, the involvement in the B blood group was more severe on CT imaging. Conclusion: People with A blood group should pay more attention to protection and isolation. Investigating this difference and underlying pathogenic mechanisms can guide science with advanced studies.


2021 ◽  
Vol 52 (8) ◽  
pp. 444-446
Author(s):  
Dhariana Acón ◽  
Rehan M. Hussain ◽  
Ann V. Quan ◽  
Carlos Mendoza-Santiesteban ◽  
Audina M. Berrocal

2019 ◽  
Vol 8 (9) ◽  
pp. 1392 ◽  
Author(s):  
Pirani ◽  
Pelliccioni ◽  
De Turris ◽  
Rosati ◽  
Franceschi ◽  
...  

Background: Syphilis, tuberculosis and toxoplasmosis are major infectious diseases worldwide; all of them are multisystem pathologies and share a possible ocular involvement. In this context, a fundamental help for the definitive diagnosis is provided by the ophthalmologist, through clinical evaluation and with the aid of a multimodal imaging examination. Methods: We hereby describe selected cases who came to our attention and were visited in our eye clinic. In all clinics, the use of retinal and optic disc multimodal imaging during ophthalmological evaluation allowed to make a diagnosis of an infectious disease. Results: In our tertiary referral center more than 60 patients with syphilis, tuberculosis and toxoplasmosis have been evaluated in the last two years: In 60% of cases the ophthalmological evaluation was secondary to a previous diagnosis of an infectious disease, while in the remaining cases the ophthalmologist, with the help of a multimodal imaging examination and clinical evaluation, represented the physician who leads to the diagnosis. Conclusion: Our results confirm how in these life-threatening pathologies a prompt diagnosis is mandatory and may benefit from a multidisciplinary and multimodal imaging approach, especially during ophthalmological evaluation.


2020 ◽  
Vol 65 (No. 8) ◽  
pp. 364-370
Author(s):  
Y Lee ◽  
H Kim ◽  
J Ko ◽  
K Eom ◽  
J Kim

A 2-year-old Yorkshire Terrier was presented with haematuria and dysuria. On the ultrasonography, an irregularly shaped, cystic, intraluminal urinary bladder mass was identified at the left ureterovesical junction. The computed tomographic excretory urography and magnetic resonance imaging revealed a pouch-like cystic mass arising from the distal ureter embedded at the ureterovesical junction. The distal portion of the mass prolapsed into the proximal urethra and obstructed the urethral lumen. The multimodal imaging findings were consistent with a prolapsed ureterocele and were further confirmed with surgery and histopathology. After surgical removal of the mass, the clinical signs clearly improved. To the best of our knowledge, this is the first report of multimodal imaging characteristics and the outcome of a prolapsed ureterocele in a dog.


2018 ◽  
Vol 392 ◽  
pp. 22-27 ◽  
Author(s):  
Christian Roth ◽  
Andreas Ferbert ◽  
Monika Huegens-Penzel ◽  
Ralf Siekmann ◽  
Tobias Freilinger

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