scholarly journals One Disease, Two Approaches. Acute Post-Streptococcal Glomerulonephritis – A Case Report of Two Young Patients

2021 ◽  
Vol 8 (8) ◽  
pp. 492-497
Author(s):  
Tudor Lungu ◽  
Kinga Krisztina Nagy
Keyword(s):  
Case Report ◽  
Young Patients ◽  
Treatment Method ◽  
Developed Countries ◽  
Skin Infections ◽  
Immune Mediated ◽  
Maximum Benefit ◽  
Post Streptococcal Glomerulonephritis ◽  
The Developed Countries ◽  
The Right

Objective: Acute post-streptococcal glomerulonephritis (APSGN) is the most studied immune-mediated glomerulonephritis, being caused by streptococcal infections such as pharyngotonsillitis or skin infections (impetigo, erysipelas). Globally it is the main form of glomerular suffering among pediatric patients, especially between the ages of 3 and 15, but in the developed countries, the incidence of this condition has decreased significantly in the last decades. The majority of the medical literature indicates that the treatment in such a disease is symptomatic (the major goal being controlling of the edema and hypertension) associated with antibiotics for streptococcal infection. Due to some situations where antibiotic treatment cannot be administered, this case report hypothesized that homeopathy is a possible alternative treatment method for conventional therapy. We presented two cases diagnosed with APSGN: a nine-year-old boy treated homeopathically at home and a three-year-old girl treated conventionally during hospitalization. Analyzing the two cases, we observed that the patients were cured regardless of the therapeutic method approached. This aspect has an advantage in situations where there are limitations in the administration of allopathic treatment. According to homeopathic understanding, the success rate is higher when there are clear homeopathic symptoms for choosing the right remedy. Many more cases and much more research is needed to conclude that classical homeopathy can be a treatment option for this pathology. In conclusion, it is important to find a personalized therapy (allopathy or homeopathy) for each patient that will bring the maximum benefit, depending on the particularity of the case

Kardiochirurgische Eingriffe bei schweren Blutungsdiathesen

2012 ◽  
Vol 32 (S 01) ◽  
pp. S83-S86 ◽  
Author(s):  
R. Schobess ◽  
A. Siegemund ◽  
C. J. Correia ◽  
J. Oppermann ◽  
J. Banusch ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiovascular Diseases ◽  
Bleeding Risk ◽  
Coagulation Factors ◽  
Developed Countries ◽  
Severe Bleeding ◽  
Bleeding Diathesis ◽  
Concomitant Therapy ◽  
Kardiochirurgische Eingriffe ◽  
The Developed Countries

SummaryCardiovascular diseases are the most common disorder in the developed countries. Invasive cardiological and cardiosurgical techniques are known therapies.Yet, patients with severe hereditary haemorrhagical diseases (haemophilia, rare deficiencies of coagulation factors) have an increased bleeding risk by the use of anticoagulants. Therefore, the treatment of these patients requires a concomitant therapy.This article shows eight patients with a severe bleeding diathesis and cardiosurgical interventions in the years 2006 to 2011. This case report shall demonstrate that an adequate therapy can be accomplished with the help of a good cooperation between haemostaseologists and colleagues of the cardioinvasive/ cardiosurgical disciplines.

scholarly journals Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
María Fernanda Ochoa-Ariza ◽  
Jorge Luis Trejos-Caballero ◽  
Cristian Mauricio Parra-Gelves ◽  
Marly Esperanza Camargo-Lozada ◽  
Marlon Adrián Laguado-Nieto
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Subcutaneous Emphysema ◽  
Respiratory Symptoms ◽  
Laboratory Tests ◽  
Young Patients ◽  
Clinical Suspicion ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs.Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution.Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis.Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.

scholarly journals For Whom the Bells Toll

2016 ◽  
Vol 41 (2) ◽  
pp. 134-151 ◽  
Author(s):  
Rachel S. Franklin ◽  
Eveline S. van Leeuwen
Keyword(s):  
Presidential Address ◽  
Science Research ◽  
Developed Countries ◽  
Regional Science ◽  
Population Loss ◽  
Right Hand ◽  
P 16 ◽  
The Developed Countries ◽  
The Right ◽  
Regional Science Association

In his presidential address to the Regional Science Association over thirty years ago, William Alonso presented the case for “Five Bell Shapes in Development” and argued that “the developed countries will enter fully in to the realm of the right-hand tail of these curves” (p. 16) and that this transition might result in several surprises. He proposed, therefore, that we should study the right tail of these “curves” as well as interactions among them. Much of what Alonso suggested has come to pass, although his prognostications were not always exact. And although he touched on several issues of relevance to regional scientists, the discipline has been slow to move away from a growth-centered paradigm. The strength of regional science—the capacity to consider economic, demographic, and geographical aspects of an issue simultaneously—has yet to be focused on some of the “right-hand” challenges that have arisen, population loss, for example. In this article, we provide a review of regional science research within the context of Alonso’s five bells and hypothesize how Alonso’s propositions might differ in today’s world. We then focus more specifically on one particular area: population loss. Using these examples allows us to highlight how regional science might contribute to the conceptualization of “right-hand tail” development challenges, especially where theory, issues of spatial scale, and interregional dependencies are concerned.

scholarly journals Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Hamad Almakinzy ◽  
Bandar Idress ◽  
Hamad Almakinzy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Inflammatory Markers ◽  
Iliac Fossa ◽  
Young Patients ◽  
Acute Onset ◽  
First Case ◽  
Laparoscopy Surgery ◽  
The Right

Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

scholarly journals Aspects of the Feminist Movement in the Albanian Monarchy (1928-1939)

2014 ◽  
Vol 1 (1) ◽  
pp. 285
Author(s):  
Esilda Luku
Keyword(s):  
Civil Rights ◽  
Economic Status ◽  
Developed Countries ◽  
Social Progress ◽  
Feminist Movement ◽  
Women's Participation ◽  
The Social ◽  
The Developed Countries ◽  
The Right ◽  
Queen Mother

This paper aims to analyze the characteristics of the Albanian feminist movement during the Monarchy and its impact on improving the social and economic status of the women. in the late 1920s, women's societies operating in different cities were suspended by the Albanian government due to the economic crises, the social and cultural backwardness and mainly because of the efforts to centralize the political power, putting under control the women's organizations, too. The monarchical government supported only the establishment of "Albanian Women" society in Tirana, under the patronage of Queen Mother and headed by Princess Sanie Zogu. It spread its activity among many Albanian cities and in diaspora and published a magazine periodically. The intention of the feminist movement in Albania was the education of girls and women, aimed at raising their cultural level, to overcome the old patriarchal mentality. The "Albanian Women" society contributed to the organization of courses against illiteracy for the emancipation of women which was closely related to the construction of a modern state. Secondly, the women's participation in the economic activity, such as old industries and handicrafts, would improve the female economic conditions and above all her position in family and society. The activity of "Albanian Women" society was helped by the governmental policies to increase the educational level of women, establishing Female Institutes, which played an important role in social progress and economic growth. Also the improvement of the legislation guaranteed women the civil rights, but unfortunately they didn't win the right to vote, as women in the developed countries. However, the Albanian feminist movement, despite the difficulties and its limitations, marked a significant effort concerning the national organization of women dedicated to their empowerment in community.

scholarly journals Bilateral giant renal angiomyolipoma associated with hepatic lipoma in a patient with tuberous sclerosis

2003 ◽  
Vol 58 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Edison Daniel Schneider-Monteiro ◽  
Antonio Marmo Lucon ◽  
André Avarese de Figueiredo ◽  
Aldo Junqueira Rodrigues Junior ◽  
Sami Arap
Keyword(s):  
Growth Rate ◽  
Renal Function ◽  
Case Report ◽  
Tuberous Sclerosis ◽  
Treatment Method ◽  
Renal Angiomyolipoma ◽  
Post Operative Period ◽  
Nephron Sparing ◽  
The Right ◽  
Risk Of Hemorrhage

OBJECTIVE: To report a case of bilateral giant renal angiomyolipoma associated with tuberous sclerosis, with successful treatment, and to review the literature concerning angiomyolipoma treatment. CASE REPORT: Patient with tuberous sclerosis and angiomyolipoma diagnosed by ultrasonography during her pregnancy. At that time, the angiomyolipoma on the right side was 9 cm in diameter. Conservative management was selected during her pregnancy. The patient returned 7 years later, with a 24.7 x 19.2 x 10.7 cm tumor on the right side and another of 13 x 11.5 x 6.5 cm on the left side, in addition to multiple small angiomyolipomas. A nephron-sparing surgery with tumoral enucleation was performed on the right side, and after 3 months, the tumor on the left side was removed. Renal function in the post-operative period was preserved, and contrast medium progression was uniform and adequate in both kidneys. CONCLUSION: We conclude that an angiomyolipoma larger than 4 cm should be removed surgically, since they have a greater growth rate and pose a risk of hemorrhage. Resection of smaller tumors is safe and has decreased morbidity. Tumoral enucleation is an effective treatment method that preserves kidney function.

scholarly journals The features of psycho-vegetative disorders and their role in the pathogenesis of gastroesophageal reflux disease with obesity

2015 ◽  
Vol 14 (2) ◽  
pp. 142-145
Author(s):  
Alex Oparin ◽  
Daria Korniienko ◽  
Anatoliy Oparin ◽  
Nataly Lavrova ◽  
Julia Dvoyashkina ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Vegetative State ◽  
Medical Science ◽  
Young Patients ◽  
Developed Countries ◽  
Esophageal Wall ◽  
Significant Difference ◽  
The Developed Countries

Background: Gastroesophageal reflux disease (GERD) is a disease of the XXI century, affecting the population in the developed countries. There is a clear tendency to increasing of gastroesophageal reflux disease among people of young age.Aim: The aim of the study is to determine the characteristics and role of psychosomatic and vegetative state disorders in the pathogenesis of GERD with concomitant obesity.Materials and methods: 50 young patients with GERD were examined during the study. Depending on the presence or absence of concomitant obesity, two groups were formed. They underwent pH-metery, ultrasonic scanning. State of psycho-somatic, vegetative statuses and quality of life we determined by the questionnaires of Beck, Spielberg, Sheehan, Wayne.Results: During the ultrasound examination we determined the esophageal opening diameter, the thickness of esophageal wall, the esophagus width in the lower one third of the esophagus differed significantly in 2 groups of patients (p<0.05). In the group of the GERD patients with concomitant obesity the sharp increase of depression level was found, comparing with both the standard and the second group (p<0.05). It wasn’t found the significant difference amount other figures of vegetative and psychosomatic statuses in 2 groups of patients (p>0.05). The patients with GERD of both groups had significantly higher level of motor-evacuation and psycho-vegetative disorders comparing with healthy people (p<0.05).Conclusion: GERD patients have pronounced motor-evacuation disorders and significantly greater manifestations of psycho-vegetative disorders which were more pronounced in gastroesophageal reflux disease patients with concomitant obesity.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.142-145

scholarly journals Significance of the combined tests application in serum and liquor of patients with suspected neurosyphilis

2007 ◽  
Vol 64 (4) ◽  
pp. 271-274
Author(s):  
Mihailo Mirkovic ◽  
Vilma Jovicic ◽  
Ivana Basta ◽  
Ivan Marjanovic ◽  
Dragana Lavrnic
Keyword(s):  
Case Report ◽  
Treponema Pallidum ◽  
Developed Countries ◽  
Differential Diagnostics ◽  
Psychotic Symptoms ◽  
Clinical Image ◽  
Western Blot Method ◽  
Normal Number ◽  
Tabes Dorsalis ◽  
The Developed Countries

Background. Tertiary syphilis develops in 8-40% of untreated patients. It is most commonly manifested in the form of neurosyphilis, which can be asymptomatic taking the form of tabes dorsalis or progressive paralyze. Nowadays, in the developed countries, progressive paralyze is a rather rare disease, although the incidence of this disease has been rising within the last decades. Case report. We reported a 74-year-old male with the clinical image of dementia showing psychotic symptoms. On cytobiochemical examination of cerebrospinal liquor, hyperproteinorhacmia of 0.70 g/l with the normal number of cells was revealed. Computed tomography of the brain showed the marked cortical cerebral and cerebellar reduction changes with multiple ischemic lesions. Within a routine examination of patients with demention, we performed serologic reactions to syphilis out of which the Veneral Disease Researc Laboratory (VDRL) test in serum and liquor was unreactive, while the Treponema pallidum hemagglutination (TPNA) test in serum and liquor was positive. Positivity in serum and liquor was additionally confirmed by the Western blot method and fluoroscent treponema antibody (FTA) test. The treatment with benzathine fenylpenicilline 2.4 g once weekly resulted in significant improving the psychotic symptoms of the disease even after two weeks. Conclusion. This case report showed that within the differential diagnostics in patients with demention or psychotic disorder it is obligatory to consider syphilis of the nervous system, as well as to apply a combination of various tests which, besides the typical liquor findings, significantly improve the accuracy of diagnosis. Such approach is especially important regarding the fact that neurosyphilis can remain clinically quite asymptomatic for a long period, which could lead to late therapy, while, on the contrary, an adequate and timely treatment can contribute to a significant recovery of any patients.

scholarly journals Acute post-streptococcal glomerulonephritis – immune-mediated acute kidney injury – case report and literature review

2021 ◽  
Author(s):  
Piotr Skrzypczyk ◽  
Anna Ofiara ◽  
Anna Zacharzewska ◽  
Małgorzata Pańczyk-Tomaszewska
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Literature Review ◽  
Kidney Injury ◽  
Immune Mediated ◽  
Post Streptococcal Glomerulonephritis

scholarly journals Extensive gunshot wound to the face: a case report

2021 ◽  
Author(s):  
Tales Gabriel de Souza Cerioni ◽  
Rafael Jorge Ruman ◽  
Willian Jamil Hassanieh ◽  
Gustavo Rodrigues Manrique ◽  
Wladimir Gushiken de Campos ◽  
...  
Keyword(s):  
Case Report ◽  
Gunshot Wound ◽  
Plate Fixation ◽  
Developed Countries ◽  
Male Victim ◽  
Underdeveloped Countries ◽  
The Face ◽  
The Right ◽  
Mandibular Branch

Facial fractures caused by gunshots are a major challenge for oral and maxillofacial surgeons. Underdeveloped countries present a higher rate of homicides committed by gunshots than developed countries. This case report presents a 25 year-old male victim of a gunshot wound to the mandible, evolving into a complex fracture. The fracture was treated using rigid internal fixation. After 18 months of follow-up, the patient presents good facial appearance and masticatory activity. The gunshot caused the permanent paralysis of the right mandibular branch of the facial nerve. We managed to preserve the involved teeth and mandibular integrity, with complete bone healing. Despite the late infection following plate fixation, healing occurred without further complications, indicating that blood supply was maintained.

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