scholarly journals Spleen rupture due to brucellosis

2021 ◽  
Vol 37 (1) ◽  
pp. 73-75
Author(s):  
Orhan Yağmurkaya ◽  
Serhat Oğuz ◽  
Eyüp Kahya ◽  
Hüseyin Aksoy ◽  
Doğan Albayrak ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Abdominal Pain ◽  
Infectious Diseases ◽  
Postoperative Period ◽  
Clinical Condition ◽  
Bacterial Species ◽  
Zoonotic Infection ◽  
Multiple Systems ◽  
Spleen Rupture ◽  
Ruptured Spleen

Brucellosis is a common zoonotic infection worldwide; it is caused by infection with the bacterial species Brucella and leads to severe diseases in humans and animals. In Turkey, this bacterial species has not been completely eradicated and is commonly found in animals (such as goats or sheep). Brucellosis can lead to various symptoms, affect multiple systems, and cause splenomegaly in the case of spleen involvement. In contrast to traumatic spleen ruptures, spontaneous spleen ruptures are rare and most commonly occur because of infectious causes. A 52-year-old man was treated at our infectious diseases clinic for Brucella endocarditis. Due to sudden abdominal pain, nausea, vomiting, and vertigo, the patient was evaluated by our team of doctors at the same clinic. The patient had widespread sensitivity in the abdominal region, as well as defense and rebound symptoms. Emergency abdominal tomography revealed a ruptured spleen and widespread hemorrhagic fluid in the abdomen. Exploration revealed multiple ruptures in the spleen capsule. The patient underwent splenectomy and did not experience any complications during the postoperative period. Spontaneous spleen rupture is a rare clinical condition that should be considered in patients who are hospitalized at internal medicine clinics for infectious, hematogenic, and metabolic causes, as well as in those who have sudden abdominal pain and hypovolemia.

Internal Medicine in World War II. Volume 3. Infectious Diseases and General Medicine.

1968 ◽  
Author(s):  
Leonard D. Heaton ◽  
Robert S. Anderson ◽  
W. P. Havens ◽  
Jr
Keyword(s):  
Internal Medicine ◽  
World War Ii ◽  
Infectious Diseases ◽  
General Medicine ◽  
World War

scholarly journals US in the evaluation of abdominal pain in a department of internal medicine

2011 ◽  
Vol 14 (3) ◽  
pp. 142-146 ◽  
Author(s):  
F. Simoni ◽  
N. Vitturi ◽  
M. Tagliente ◽  
M. Soattin ◽  
G. Realdi
Keyword(s):  
Internal Medicine ◽  
Abdominal Pain

Chronic abdominal pain and haematuria in internal medicine: do not forget about the Nutcracker syndrome

2020 ◽  
Author(s):  
Lorenzo Falsetti ◽  
Giuseppe Pio Martino ◽  
Massimo Mattioli ◽  
Saverio Menetti ◽  
Carla Serra
Keyword(s):  
Internal Medicine ◽  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Nutcracker Syndrome

scholarly journals Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Pseudomyxoma Peritonei ◽  
Clinical Condition ◽  
Imaging Techniques ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Primary Site ◽  
Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

scholarly journals 1947. Educational Impact of a Hybrid Infectious Diseases Rotation for Internal Medicine Residents

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S57-S57
Author(s):  
James B Cutrell ◽  
James B Cutrell ◽  
Binh-Minh Le ◽  
Heather R Wolfe ◽  
Helen King ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Infectious Diseases ◽  
Educational Innovation ◽  
Mobile App ◽  
Curriculum Innovation ◽  
Educational Impact ◽  
Educational Innovations ◽  
Clinical Exposure ◽  
Internal Medicine Residents ◽  
Board Review

Abstract Background Traditional infectious diseases (ID) rotations for internal medicine (IM) residents focus on inpatient consultation, potentially skewing trainees’ perspectives on ID. We report our experience with a hybrid inpatient–outpatient ID rotation which provides broader ID clinical exposure and an effective venue for educational innovation. Methods We included all IM residents completing an assigned ID rotation in the UT Southwestern IM residency since July 2013. From July 2013 to June 2017, a 4-week ambulatory ID (Amb ID) rotation, consisting of general and subspecialty ID clinics and weekly teaching sessions focused on ID board review, was offered in parallel to traditional inpatient ID consult rotations. From July 2017 to present, all assigned residents complete up to a 4-week ID hybrid rotation, consisting of 2 weeks of ambulatory ID and 2 weeks of inpatient ID consults, with all residents receiving weekly teaching sessions; in some cases, the 4 weeks were not completed sequentially. Data were collected on resident numbers and training level, quantitative and qualitative course evaluations, and program in-training examination scores in ID content areas. Results From July 2013 to June 2019, IM residents completed a total of 626 ID rotations, an average of 104 per year (Table 1). A sample ID hybrid schedule is shown in Table 2. Overall resident satisfaction with the ID hybrid rotation was 4.7 (std. dev. 0.7) on a 5-point Likert scale. This rotation has consistently been among the highest rated rotations by residents. In-training examination ID scores increased significantly with creation of the Amb ID rotation in 2013 and further increased since 2017 with creation of the ID hybrid, in which both inpatient and ambulatory residents receive the weekly teaching sessions (Figure 1). Pilot educational innovations through this rotation include an online web-based antibiotic stewardship curriculum (2014–2015) and a mobile app-based ID board review platform utilizing spaced interval learning (2018–2019). Conclusion A hybrid inpatient–outpatient ID rotation for IM residents has proven to be a highly effective platform for ID education and curriculum innovation at our institution. This concept could be exported to other institutions and increase IM resident interest and breadth of clinical exposure in ID. Disclosures Ank E. Nijhawan, MD, MPH, Gilead Sciences, Inc.: Research Grant.

scholarly journals Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Edgar Stroppa Lamas ◽  
Alan Vinicius Gamero Osti
Keyword(s):  
Abdominal Pain ◽  
Clinical Condition ◽  
Patent Foramen Ovale ◽  
Rare Case ◽  
Acute Abdominal Pain ◽  
Paradoxical Embolism ◽  
Splenic Infarction ◽  
Foramen Ovale ◽  
Case Presentation ◽  
Work Up

Background. Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging work-up revealed splenic infarction. Common etiologies were excluded. A transesophageal echocardiography (TEE) revealed a patent foramen ovale (PFO). The patient was sent to closure with good outcome. Conclusion. Paradoxical embolism due to PFO can be a cause of splenic infarction, and its investigation and subsequent closure may be considered when there are no other causative disorders.

scholarly journals Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Vittorio Cherchi ◽  
Gian Luigi Adani ◽  
Elda Righi ◽  
Umberto Baccarani ◽  
Giovanni Terrosu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Clinical Condition ◽  
Correct Diagnosis ◽  
Intestinal Wall ◽  
Accidental Ingestion ◽  
The Us ◽  
Manual Suture ◽  
One Year

The incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause serious morbidity due to proximate attraction through the intestinal wall. Morbidity and mortality depend on a prompt and correct diagnosis which is often difficult and delayed due to the patient's age and because the accidental ingestion may go unnoticed. We report our experience in the treatment of an 11-year-old child who presented to the emergency department with increasing abdominal pain, vomiting, diarrhea, and fever. Surgery evidenced an ileocecal fistula secondary to multiple magnetic FB ingestion with attraction by both sides of the intestinal wall. A 5-centimeter ileal resection was performed, and the cecal fistula was closed with a longitudinal manual suture. The child was discharged at postoperative day 8. After one year, the patient’s clinical condition was good.

scholarly journals Management of chronic hepatitis C in French departments of internal medicine and infectious diseases

2005 ◽  
Vol 133 (2) ◽  
pp. 305-314 ◽  
Author(s):  
P. CACOUB ◽  
I. GODEREL ◽  
P. MORLAT ◽  
D. SENE ◽  
R. P. MYERS ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Hepatitis C ◽  
Liver Biopsy ◽  
Infectious Diseases ◽  
Drug Users ◽  
Antiviral Treatment ◽  
Substantial Improvement ◽  
Hcv Rna ◽  
Prospective Multicentre Study ◽  
Therapeutic Evaluation

This prospective, multicentre study was conducted during 2–30 April 2001 in the internal medicine/infectious diseases services in France and included data from 1858 hepatitis C virus (HCV)-infected patients, half of whom were HIV co-infected. The aims were to outline the type of pre-therapeutic evaluation of HCV infection performed (HCV RNA, genotype, liver biopsy); determine the proportion and characteristics of patients receiving antiviral treatment; and determine if any changes in these parameters had occurred between 1995 and 2001. Patients whom had a complete pre-therapeutic evaluation (39%, 709/1834) and received antiviral treatment (38%, 690/1830) were more likely to have abnormal liver biochemistry, cirrhosis and cryoglobulinaemia (P<0·001). Injecting drug users and HIV-co-infected patients were less likely to have a complete pre-therapeutic evaluation or receive antiviral treatment (P<0·001). A complete pre-therapeutic evaluation was more often performed in 2001 than in 1995 (39% vs. 6%, P<0·001), including qualitative HCV RNA testing (91% vs. 68%, P<0·001), genotyping (59% vs. 7%, P<0·001) and a liver biopsy (60% vs. 29%, P<0·001). The frequency of anti-HCV treatment approximately doubled between 1995 and 2001 (20% vs. 38%, P<0·001). Although adherence to consensus recommendations regarding pre-therapeutic evaluation is not ideal, a substantial improvement has occurred since 1995. Nevertheless, means of increasing the availability of antiviral therapies, particularly for patients with HIV co-infection or injecting drug use, require further study.

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