Emphysematous epididymo-orchitis with involvement of the prostate, seminal vesicles, and the scrotum: a case report

Emphysematous epididymo-orchitis is a rare clinical entity. Up until July 2020, only 9 cases have been reported in PubMed and Scopus platforms, one of which also had scrotal involvement. Therefore, we are reporting the second case with prostate, seminal vesicle, and scrotal involvement. The condition represents an aggressive form of infection caused by gas-forming microbes. The radiological detection of air within the organs involved in the characteristic diagnostic sign. The case we are reporting is a 47 years old diabetic, chronic renal failure patient on regular hemodialysis who had a fulminant emphysematous infection in the left testis, epididymis, spermatic cord, the prostate, seminal vesicles, and the scrotum. Emergency orchiectomy has been carried out. The most significant part of the case is the pictures showing ballooning scrotum and gas bubbles in abnormal anatomical locations.

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN DIET PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

<p><em>Diet on </em><em>chronic renal failure patient is very important to avoid the appearance of uremia effect, liquid hoarding which can affect heart congestive failure and heart edema so that the death is last final. Family support is a factor that influences obedience. The aim of this research was to know the correlation of family support with diet obedience on chronic renal failure patient in Dr. ReksodiwiryoTk III hospitalPadang on year 2017. This research used descriptive analytic with the research design was cross sectional study. This research had been done on October 2016 to Mei 2017. The population in this research was 161 people and the sample was taken by accidental sampling in two weeks for 62 respondents at Hemodialisa room in Dr. ReksodiwiryoTk III hospitalPadang. The data analysis was done by computerization and analyzed in univariat with frequency distribution and bivariat used chi-square test with p value &lt;0,05. The result of this research showed that more than a half respondent (62,9%) had high disobedience and more than a half respondent (61,3%) got less family support. Based on the statistic test, it showed that there was a useful relationship between family support and diet obedience (p= 0,003). To increase family support on diet obedience, it is suggested to medic and family to give the information, attention, and support to patient in doing diet therapy. </em></p>

Pattern of Lipid Profile in Chronic Renal Failure Patient with GFR < 60 ml/min/1.73 m2 on Conservative Treatment Versus Maintenance Haemodialysis

The incidence and prevalence of chronic kidney disease (CKD) are increasing worldwide and are associated with poor outcomes. It becomes apparent that the severity of CKD along with CVD severity in any population makes a devastated combination for both patients and healthcare system. Identification of CKD as a major risk factor for cardiovascular morbidity and mortality is attributed to dyslipidemia, and therefore an expectation of effective intervention to diminish premature cardiovascular mortality and progression of renal disease to increase longevity is imperative, thus this study may explore the lipid profile in chronic renal failure patient; on conservative treatment and maintenance haemodailysis treatment. A cross sectional comparative study was carried out to find out the Pattern of lipid profile in chronic renal failure patient with GFR < 60 ml/min on conservative treatment versus maintenance haemodialysis admitted in a selected hospital of Dhaka city. Total 128 study population were selected according to selection criteria among which 62 subjects were on maintenance dialysis (designated as group A) and 66 subjects were on conservative treatment of CKD (designated as group B). On average cholesterol, LDL and triglyceride level were more in group B than group A. On the other hand, HDL level was more in group A than group B and it was statistically insignificant. At the same time average LDL/HDL ratio was higher in group B than group A. But all these differences were statistically insignificant. Among the group A patients average triglyceride, total cholesterol and LDL level were higher in stage 4 CKD patients than stage 5 CKD patients. Average HDL level was higher in stage 5 CKD patients than stage 4 CKD patients. Among the group B patients average triglyceride and LDL level were higher in stage 4 CKD patients. But none of these two differences were statistically significant. On the other hand, average total cholesterol level was higher in stage 3 CKD patients and it was statistically significant(p<0.05). HDL level was higher in stage 5 patients. But this difference was not statistically significant. In group A LDL/HDL ratio was more in stage 4 CKD patients and it was statistically significant(p<0.05). Average LDL/HDL ratio was highest in stage 4 CKD patients in group B and it was statistically significant (p<0.05). Our study had showed that mean lipid profile is better in patients of CKD on dialysis than those on conservative treatment, but there is no statistical significance as sample size very small. A multicentric prospective study involving larger number of study population giving adequate statistical power is recommended for conclusive comment on the possible factors associated with dyslipidaemia in CKD patients.Bangladesh J Medicine Jul 2016; 27(2) : 55-61