scholarly journals Pneumonia Induced Childhood Erythema Multiforme Minor: A Case Report

2021 ◽  
Vol 9 (C) ◽  
pp. 163-166
Author(s):  
Putri Dahliana ◽  
Khairuddin Djawad ◽  
Farida Tabri
Keyword(s):  
Erythema Multiforme ◽  
Clinical Feature ◽  
Rare Occurrence ◽  
X Ray ◽  
Typical Clinical Feature ◽  
Mycoplasma Pneumonia ◽  
Adolescents And Adults ◽  
Chest X Ray ◽  
Simplex Virus

Erythema multiforme (EM) is an acute mucocutaneous syndrome mediated by hypersensitivity reactions. Symptoms are often mild and self-limiting but have a high recurrency rate. The disease is more prevalent in adolescents and adults, with incidence in childhood often precipitated by infection of herpes simplex virus type 1. However, EM induced by infection of Mycoplasma pneumonia is a rare occurrence. This paper reports a case of pneumonia induced EM in a 5-year-old child with a typical clinical feature supported by laboratory and chest X-ray features that were confirmed with histopathology. The patient showed significant clinical improvements after antibiotic therapy.

scholarly journals Pneumonia, an Unusual Initial Presentation of Neonatal Herpes Infection

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Franck Kouadio ◽  
Gil Klinger
Keyword(s):  
Antiviral Treatment ◽  
Clinical Feature ◽  
High Morbidity ◽  
Neonatal Herpes ◽  
System Disease ◽  
Life Threatening ◽  
Neonatal Herpes Simplex ◽  
Simplex Virus ◽  
Work Up

Neonatal herpes simplex virus (HSV) infection is a life-threatening infection with high morbidity and mortality rates. Neonatal herpes, most commonly due to HSV type 2, is a multi-system disease; however, initial pulmonary presentation is extremely unusual. We describe an infant presenting with progressive respiratory distress, which was the dominant clinical feature of HSV infection during the first days of life. Sepsis work-up and antibiotic treatment were immediately initiated; however, antiviral treatment was not given until the infant’s death. HSV type 1 was isolated in nasopharyngeal and endotracheal aspirates. HSV pneumonia should be considered in a newborn with respiratory deterioration not compatible with common neonatal respiratory diseases.

scholarly journals A Large Intrathoracic Mass in A Patient With Neurofibromatosis Type 1

2021 ◽  
Vol 7 (2) ◽  
pp. 107-112
Author(s):  
Babak Alijani ◽  
◽  
Mahsa Pakseresht Mogharab ◽  
Amin Naseri ◽  
◽  
...  
Keyword(s):  
Neurofibromatosis Type 1 ◽  
Neurofibromatosis Type ◽  
Cord Compression ◽  
Tumor Formation ◽  
Spinal Deformities ◽  
Dural Ectasia ◽  
X Ray ◽  
Dural Sac ◽  
Chest X Ray

Background and Importance: Dural ectasia is circumferential extension or dilatation of the dural sac, it is commonly associated with Neurofibromatosis type 1 (NF1). Because NF1 is associated with a high likelihood of tumor formation, it is critical to distinguish it from other posterior mediastinal cancers such as neurofibroma, neuroblastoma, and ganglioneuroma. Scoliosis is the most frequently observed feature in NF1 patients with spinal deformities. Moreover, there are several distinctive radiographic features, including dural ectasia, defective pedicles, and spondylolisthesis, which are relatively less common in these patients. Surgery may be performed for stabilization of the spine. Case Presentation: The present study reports on a 62-year-old female with neurofibromatosis type 1 who was referred for an unusual chest X-ray and chest Computed Tomography (CT) revealing a thoracic mass while she was hospitalized and under observation for dyspnea. The chest X-ray film showed homogenous opacity with a well-defined margin in the right apex. The chest CT showed an enlarged intervertebral foramen and defected vertebral arch around the mass and scoliosis. Although the pre-operative diagnosis was dumbbell type neurinoma, the tumor was found to be a protrusion of dura mater with spinal fluid out of the spinal canal. Part of the wall was excised, the residual opening was repaired, and surgical stabilization was performed. Conclusion: Retrospectively, magnetic resonance imaging showed the characteristics of thoracic dural ectasia and anterior meningocele, which, in an asymptomatic case, require regular radiographic follow-ups. Surgical intervention is an alternative for patients with spinal deformities or symptomatic patients due to the adverse effects of spinal cord compression and mediastinal structures.

Prospective Study of Thymic Carcinoids in Patients with Multiple Endocrine Neoplasia Type 1

2003 ◽  
Vol 88 (3) ◽  
pp. 1066-1081 ◽  
Author(s):  
Fathia Gibril ◽  
Yuan-Jia Chen ◽  
David S. Schrump ◽  
Alexander Vortmeyer ◽  
Zhengping Zhuang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Multiple Endocrine Neoplasia ◽  
Multiple Endocrine Neoplasia Type ◽  
Endocrine Tumors ◽  
X Ray ◽  
Endocrine Neoplasia ◽  
Pancreatic Endocrine Tumors ◽  
Chest X Ray

Little is known of the natural history of thymic carcinoids in multiple endocrine neoplasia type 1 (MEN1). This is important because in 1993 they were identified as a frequent cause of death, yet only small retrospective studies and case reports exist. We report results of a prospective study of 85 patients with MEN1 evaluated for pancreatic endocrine tumors and followed over a mean of 8 yr with serial chest computed tomography, magnetic resonance imaging (MRI), chest x-ray, and, since 1994, octreoscans [somatostatin receptor scintigraphy (SRS)]. Seven patients (8%) developed thymic carcinoids. Patients with and without carcinoids did not differ in clinical, laboratory, or MEN1 tumor features, except for male gender and the presence of a gastric carcinoid. All thymic tumors were hormonally inactive. Four thymic carcinoids lacked 11q loss of heterozygosity, although it was found in three pancreatic endocrine tumors. Computed tomography and/or MRI were more sensitive than SRS or chest x-ray in detecting tumors initially or with recurrence. All patients underwent resection of the thymic carcinoid, and in all patients followed more than 1 yr, the tumor recurred. Bone metastases developed in two patients and were detected early only on MRI, not SRS. This study provides information on early thymic carcinoids and allows modifications of existing guidelines to be recommended for their diagnosis, surveillance, and treatment.

scholarly journals Pulmonary Tuberculosis Screening in Patients with Diabetes Mellitus

2019 ◽  
Vol 26 (2) ◽  
pp. 159-168
Author(s):  
Adela-Gabriela Firănescu ◽  
Maria Moța
Keyword(s):  
Diabetes Mellitus ◽  
Pulmonary Tuberculosis ◽  
X Ray ◽  
Type 2 Dm ◽  
Chest X Ray ◽  
Latent Tb ◽  
Latent Tb Infection ◽  
Type 1 Dm

Abstract Background and aims: Diabetes mellitus (DM) is a risk factor for pulmonary tuberculosis (TB), increasing the risk of progression of latent tuberculosis infection (LTBI) to active TB threefold, threatening the TB control, especially in developing countries. The aim of this study was to assess active and latent TB infection frequency in patients with DM. Material and methods: There were enrolled in this study 503 adult DM patients. Active TB screening was performed through anamnestic data, clinical examination and chest X-ray and latent TB infection screening was evaluated using the tuberculin skin tests (TST). Results: A number of 63 (12.5%) patients had type 1 DM and 440 (87.5%) had type 2 DM. Personal history of TB was present in 21 (4.2%) subjects, 5 (8.1%) with type 1 DM and 16 (3.6%) with type 2 DM. The TST was positive in 258 (51.5%) patients and 54 (10.7%) presented cough for more than two weeks at the time of examination. The chest X-ray revealed suggestive lesions for active TB in 4 (1%) subjects and lesions of inactive TB in 90 (22.4%) subjects. Conclusions: TB screening must receive proper attention in patients with DM, being essential for diagnosis in those with nonspecific symptoms.

Role of herpes simplex virus type 1 (HSV-1) in the pathogenesis of peptic ulcer disease

2001 ◽  
Vol 120 (5) ◽  
pp. A136-A137
Author(s):  
K TSAMAKIDES ◽  
E PANOTOPOULOU ◽  
D DIMITROULOPOULOS ◽  
M CHRISTOPOULO ◽  
D XINOPOULOS ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Peptic Ulcer Disease ◽  
Virus Type ◽  
Herpes Simplex Virus Type ◽  
Ulcer Disease ◽  
Simplex Virus
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