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At least 991 records · Page 55Linked to original sources
PubMed2000

Massive left diaphragmatic separation and rupture due to coughing during an asthma exacerbation.

We report a case of herniation of abdominal contents into the left hemithorax in a patient hospitalized with an acute exacerbation of asthma accompanied by paroxysms of coughing. There was no history of trauma. We believe this is the first reported case of diaphragmatic rupture complicating an asthma exacerbation. We review clinical features, pathophysiology, diagnosis, and treatment of diaphragmatic rupture in its most common setting, trauma, and discuss its occasional "spontaneous" occurrence.

Chest Pain↗
PubMed2000

Traumatic asphyxia complicated by unwitnessed cardiac arrest.

We report a case of traumatic asphyxia complicated by unwitnessed cardiac arrest in which the patient has made a good, functional recovery. Traumatic asphyxia is an uncommon clinical syndrome usually occurring after chest compression. Associated physical findings include subconjunctival hemorrhage and purple-blue neck and face discoloration. These facial changes can mimic those seen with massive closed head injury; however, cerebral injury after traumatic asphyxia usually occurs due to cerebral hypoxia. When such features are observed, the diagnosis of traumatic asphyxia should be considered. Prompt treatment with attention to the reestablishment of oxygenation and perfusion may result in good outcomes.

Adult↗
PubMedDate not supplied

Signs of medullar aplasia in the oral cavity: report of case.

Medullar aplasia is a hematological disease characterized by medullar dysfunction that results in a marked decrease of various hematological cellular elements. This produces anemia, infections of different etiologies and also, spontaneous or provoked hemorrhagic syndromes of varying importance. A case of medullar aplasia affecting a child, diagnosed after a tooth extraction is reported, and accompanied by its pathological characteristics. In addition, an easy reading E.L.I.S.A/ test for diagnosing herpes virus type 1 or 2 is presented.

Anemia, Aplastic↗
PubMed2001

[Acute hemorrhagic edema in children: excellent prognosis].

In 2 young children, boys aged 8 and 14 months, who were referred with fever and typical concentric skin lesions and oedema (except for on the trunk), acute haemorrhagic oedema was diagnosed. This is a benign leucocytoclastic vasculitis of the skin accompanied by oedema, which affects children between birth and 36 months of age. It is often preceded by an infection or vaccination. As a rule, recovery is complete.

Acute Disease↗
PubMed2001

[Acute hemorrhagic edema of childhood and its differentiation from Schoenlein-Henoch purpura].

In two young patients with an elevated temperature, a girl aged 6 months and a boy aged 10 months, purpura and oedema were noticed on the face, ears, arms and legs. On one occasion the boy lost blood anally. A histopathological examination revealed leucocytoclastic vasculitis with fibrin deposits. The diagnosis was 'acute haemorrhagic oedema of infancy' (AHOI), a relatively unknown variant of palpable purpura due to leucocytoclastic vasculitis affecting infants and young children (up to two years of age). AHOI is characterised clinically by marked oedema and fever as well as large palpable purpuric and ecchymotic skin lesions in a target-like pattern mainly on the face, ears and extremities. The skin lesions heal spontaneously within one to three weeks and internal organs are rarely affected. This is in contrast to Henoch-Schönlein purpura, which was observed in a 5-year old boy suffering from similar skin lesions on the legs as well as painful joints, in whom IgA deposits were found in the vasculitis. Henoch-Schönlein purpura is clinically characterised by palpable purpura on the extensor surfaces of the legs and on the buttocks, whereas in AHOI larger purpura and ecchymoses are found on the face, ankles and wrists, with far more extensive oedema. There are also histological differences: in AHOI there is more extensive vasculitis with fibrin deposits and IgA deposits are seen in a minority of cases. Awareness of this relatively unknown form of leucocytoclastic vasculitis will assist in making an early diagnosis possible, thereby avoiding unnecessary treatment and concern.

Acute Disease↗
PubMed2001

Embryofetotoxicity of acetaminophen (paracetamol) in experimental in vivo model.

The aim of the study was to evaluate the toxic effect of acetaminophen on rat fetuses. Acetaminophen, suspended in Tween 80 solution, was administered once a day, orally by a stomach tube to pregnant Wistar rats from day 8th to 14th of pregnancy at the dose: 3.5 (P1), 35.0 (P2), 350.0 mg/kg (P3). The pregnant females were terminated on day 21st of pregnancy and the number of corpora lutea, implants, resorptions, and fetuses was counted. The fetuses and the placentas were weighed and the length of the fetuses and their tails were checked. The slides of the fetal liver were examined via light microscopy in four stains: hematoxylin and eosin, silver Gomorii, van Giesson, and periodic acid-Schiff. There was a statistical (p < 0.05) difference in fetal body length in group P3 without any macroscopic malformation, except for the non-statistical number of subcutaneous ecchymoses. Histological adaptive changes of the fetal liver were observed occasionally in all the studied groups. In conclusion, the oral administration of acetaminophen caused an embryotoxic effect in the highest doses without any macroscopic malformation, and only slightly impaired morphology of the rat fetal liver.

Acetaminophen↗
PubMed2002

[Fitz-Hugh-Curtis syndrome: 2 patients with perihepatitis and sepsis].

Two women aged 53 and 22 years presented with abdominal pain and signs of sepsis with metabolic acidosis. The first patient had ecchymoses all over her body, the second patient had an enlarged left kidney with wedge-shaped hypo-intense areas on the CT scan. The clinical condition of both women deteriorated. On laparoscopy perihepatitis with fibrin wires ('violin strings') was seen, pathognomonic for Fitz-Hugh-Curtis syndrome. Upon appropriate antibiotic treatment, both patients fully recovered. Although it is common belief that Fitz-Hugh-Curtis syndrome is caused by local spread from the fallopian tubes into the peritoneal cavity, these presentations suggest a haematogenous spread of Neisseria gonorrhoeae as well as Chlamydia trachomatis in the first case, and C. trachomatis in the second case.

Abdomen↗
PubMedDate not supplied

[Nonbacterial thrombotic endocarditis related to hepatocarcinoma].

A case of a woman with nonbacterial thrombotic endocarditis (NBTE) associated with hepatocarcinoma is here presented. Epidemiologic and clinicopathologic aspects are reviewed, early clinical suspicion may prevent embolization. it represents the first case reported in the national literature.

Aged↗
PubMedDate not supplied

[Painful bruising syndrome mimicking cellulitis of the leg].

BACKGROUND: Autoerythrocyte sensitization syndrome (painful bruising syndrome) is marked by spontaneous and painful ecchymotic bruising, without any biological abnormality, occurring in women with pathological mental profile. Sometimes, when the inflammation is severe, an infectious cellulitis or muscular compression may be suspected. CASE REPORT: A 21-year-old woman was referred for the rapid occurrence of a diffuse and painful inflammation of the right leg, with fever. The leg was red, warm, with diffuse bruising. The foot was fixed in varus equin. The biological parameters were normal. Magnetic resonance imaging showed normal muscles but modifications in the subcutaneous fat, similar to an acute cellulitis. A cutaneous biopsy showed a moderate oedema of the dermis and erythrocyte extravasation. Antibiotics were inefficient on the pain and the aspect of the lesions. Because of the efficacy of saline serum injections on the symptoms and a pathological psychological profile, an autoerythrocyte sensitization syndrome was suspected. The skin test was negative. Psychiatric evaluation revealed a severe personality disorder associated with depression. The ecchymotic lesions disappeared with adapted psychiatric treatment. DISCUSSION: Painful bruising syndrome occurs most often in young women with various psychiatric problems. The lesions are characterized by recurrent, painful, swollen and bleeding bruises in any part of the body. Fever, abdominal pain and external bleeding are possible. Haematological and immunological findings are usually normal. The histology of early lesions reveals oedema of the dermis and modest perivascular infiltrate, whereas extravasated erythrocytes appear later. The magnetic resonance imaging aspect of the lesions has never been described. Abnormalities of the subcutaneous fat are similar to those of acute cellulitis, expressing the inflammation process secondary to the ecchymoses. The syndrome results from complex somatic and psychological mechanisms. Many drugs were tried for the treatment of the disease, without any significant improvement.

Adult↗