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Results 501 - 550 of 742
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Shimizu H - - 1996
We present a case of severe acute pancreatitis in a 14-year-old boy that may have been caused by hyperparathyroidism. The clue to finding the parathyroid adenoma was the hypercalcaemia. Although the patient did have acute pancreatitis, no therapy had been effective until the discovery of the parathyroid adenoma. After the ...
Mate-Kole M O - - 1996
From 1972 to 1992, 170 patients with acute renal failure (87 M, 83 F; mean age 32.51 +/- SE 0.945) underwent hemodialysis at the renal unit of the Korle Bu Teaching Hospital, Accra. Vascular access was established initially by arteriovenous shunt (133 cases), femoral venous cannulation (10 cases), and subclavian ...
Gurbuz A T - - 1996
Acute appendicitis is the most common cause of an acute surgical abdomen. The authors present the first case of simultaneous acute appendicitis in monozygotic twins in the English literature and the fifth case reported in the world literature. Twin sisters, whose homozygosity is proven by DNA testing, presented with symptoms ...
Freund K B - - 1996
OBJECTIVE: To report on new features of unilateral acute idiopathic maculopathy (UAIM). PATIENTS: We have evaluated an additional 17 patients with UAIM since 1991. This is a report of new features of the maculopathy noted in seven patients from this new series. RESULTS: New clinical findings in UAIM included eccentric ...
Stimec B - - 1996
Analysis of 97 human postmortem pancreatograms and 103 endoscopic pancreatograms revealed a total of 3 cases (1.5%) with isolated variants in the branches of the main pancreatic duct. In the first one, tortuous branches were present in the upper head-body region. The second case involved joint tributaries bridging over an ...
Kisanga R E - - 1996
Two cases of urethral prolapse in young girls are presented. One patient had urethral bleeding and the other presented with acute urinary retention. In Tanzania, to the best of our knowledge, urethral prolapse as a cause of acute urine retention in girls has not been reported. The management is also ...
Mancao M Y - - 1996
Croup is an acute infectious illness usually occurring in children; it is characterized by brassy cough and stridor. The main pathogens include mainly parainfluenza and influenza viruses. Recently there have been reports of prolonged croup caused by the herpes simplex viruses. We report two cases of prolonged croup due to ...
Gordon J A - - 1995
The signs and symptoms of an acute retrobulbar hemorrhage include sudden ocular pain, explosive unilateral proptosis, limitation of extraocular movements and loss of vision. Retrobulbar hemorrhage is a well-described complication of retrobulbar anesthetic injection. We report an unusual case of a presumed acute retrobulbar hemorrhage following intraocular surgery which, on ...
Nikolaidis L A - - 1995
Acute pancreatitis as a manifestation of hyperparathyroidism (HPT) has been reported in the literature but the concept of causal relationship has been disputed. We report a case of acute pancreatitis where the presence of hypercalcemia led to the diagnosis of primary HPT. No other current risk factors for pancreatitis were ...
Loberant N - - 1995
Brucellosis is an infectious disease transmitted from various animal hosts to man. In children the most common route of infection is unpasteurized milk or milk products. Brucellosis affects the urinary tract uncommonly, most frequently causing orchioepididymitis. We report the case of a 4-year-old boy with brucellosis who developed acute focal ...
Skarsgard E D - - 1995
An unusual complication of pancreatic pseudocyst is reported. A 47-year-old woman with chronic liver disease and a history of recurrent pancreatitis died of fulminant, gram-negative septic shock. Acute, bilateral thigh cellulitis with tissue culture positive for Escherichia coli was the only potential infectious source identified. Autopsy revealed a pseudocyst in ...
Hsu K L - - 1995
This is a review of a rare case of acute appendicitis secondary to metastatic nasopharyngeal carcinoma (NPC) that had never before been reported in the literature. The clinical presentation did not differ from usual cases of acute appendicitis, but the pathology caused us to re-evaluate the NPC stage of the ...
Lewis H M - - 1995
Childhood urticaria pigmentosa is generally considered to have a good prognosis with the majority of cases undergoing spontaneous resolution. However, there have been a number of reports of haematological malignancies occurring in association with urticaria pigmentosa. We describe a child with extensive urticaria pigmentosa and a congenital cardiac anomaly who ...
Lee W S - - 1995
Scrub typhus is a zoonotic disease, caused by Rickettsia tsutsugamushi, in which humans are accidental hosts. Although it is an acute febrile illness, severe complications of this disease are very rare since the introduction of specific antibiotic therapy. The authors report two cases of scrub typhus complicating acute respiratory distress ...
Anderlini P - - 1995
BACKGROUND: Acute rhabdomyolysis has been described to occur only rarely after systemic administration of cancer chemotherapy drugs, such as cytarabine and 5-azafluorene. A single case of rhabdomyolysis after treatment with alfa-interferon recently was reported, but to the authors' knowledge, there have been no published cases of clinically relevant rhabdomyolysis after ...
Bowman R R Department of Clinical Laboratory Science/Cytology, Loma Linda University School of Allied Health Professions, California, - - 1995
Comparisons between flow cytometry (FCM) and image cytometry (ICM) have found a high concordance rate in pancreatic tissue, with some discrepancies between the two procedures. This study utilized 40 cases of chronic pancreatitis, primary pancreatic adenocarcinoma and metastatic pancreatic adenocarcinoma to determine the concordance rate between the two procedures. The ...
Yoshida K - - 1995
Several authors have reported a case of chronic pancreatitis associated with Sjögren's syndrome in which an autoimmune mechanism may have been involved in the etiology and in which steroid therapy was effective. We recently encountered a patient with pancreatitis who had hyperglobulinemia, was autoantibody-positive, and responded to steroid therapy. This ...
McCahy P - - 1995
A case is reported of a young man presenting with abdominal pain and surgical emphysema of the neck. A chest x-ray revealed pneumomediastinum but other investigations excluded oesophageal rupture. He was found to have a complicated acute appendicitis. The history and likely causes of this unusual presentation of a common ...
Kolk A - - 1995
We report on a 16 year old girl with a three-year history of systemic lupus erythematosus who developed a case of acute lethal haemorrhagic pancreatitis. She presented with high grade fever, skin rash, malaise, and arthralgias. Laboratory lupus activity parameters were markedly elevated. In the absence of renal, pulmonary, cardiac ...
Boruchowicz A - - 1995
Pancreatic involvement is rare in sarcoidosis. We describe a 30-year-old man who had two episodes of acute pancreatitis within one month with no current aetiology. Diagnosis of sarcoidosis was based on the presence of bilateral mediastinal adenopathies, alveolar lymphocytosis on bronchoalveolar lavage and biopsy of an enlarged lymph node showing ...
al Faraj S - - 1995
Abdominal involvement in brucellosis is seen in the acute, subacute and chronic disease. It is not typical, however, that acute abdomen is the presenting feature of brucellosis. In this paper, two cases of serologically diagnosed brucellosis are reported, both presenting initially with acute abdomen and fever. In brucella-endemic regions of ...
Yang W T - - 1995
Acute scrotal swelling resulting from remote intra-abdominal pathology is a well recognized but rare entity. The present report relates to such a case in a neonate who presented with an acute right scrotal haematoma, adrenal haemorrhage not being suspected clinically, but detected ultrasonographically. In the imaging of neonatal scrotal swellings, ...
Tan W W - - 1995
OBJECTIVE: To report a case of pancreatitis related to paromomycin administration. CASE SUMMARY: A 39-year-old man with AIDS developed pancreatitis concurrent with successful treatment of intestinal cryptosporidiosis with paromomycin. The hyperamylasemia resolved with discontinuation of the agent and recurred when paromomycin treatment was reinstituted. DISCUSSION: To our knowledge, this is ...
Crausman R S - - 1995
Acute epiglottitis is being increasingly encountered in the adult population. While it has many similarities to its pediatric counterpart, the presentation and associated pathogens are distinct. In addition, although the recent literature has suggested that acute epiglottitis in the adult follows a benign course this is not always the case. ...
Radner A B - - 1995
A previously healthy 19-year-old man developed rapidly progressive invasive rhinocerebral zygomycosis due to Apophysomyces elegans. He required extensive surgery and prolonged treatment with high-dose i.v. amphotericin B for cure. This is only the third reported case of acute invasive rhinocerebral zygomycosis in an otherwise healthy patient and the first reported ...
Lyu R K - - 1995
Neurologic complications of primary Sjögren's syndrome (SS) may be under-estimated. Here, we report a patient with primary SS, who developed acute transverse myelopathy (ATM) and skin purpuric lesions simultaneously. In the first episode of myelopathy, the patient's neurologic deficits improved after steroid therapy. However, she died of recurrent myelopathy with ...
Keen C E - - 1994
AIMS: To describe the birefringent saponified fatty acid crystalloids seen in pancreatic fat necrosis. METHODS: A histological review, including polarising microscopy, of three cases of subacute or subclinical acute pancreatitis was performed. Histochemical analysis using Nile blue sulphate for lipid, Holczinger's copper rubeanate for fatty acids, and Alizarin Red S ...
Krishnamurty V S - - 1994
Pancreatic divisum and the ectopic pancreas are well-known anatomic anomalies. However, the bifid pancreatic duct is less common and is still poorly understood. The present case report examines this anatomic variant. We observed a bifid pancreatic duct in an elderly man with abdominal pain and an elevated level of serum ...
Reedy M B - - 1994
Pelvic inflammatory disease (PID) is considered to be rare or nonexistent following tubal sterilization. The purpose of this report is to describe three cases of surgically diagnosed acute PID in women previously sterilized by bilateral tubal ligation who presented over a one-year period. All three patients presented with an acute ...
Brandwein S L - - 1994
The relation between hypercalcemia and pancreatitis, first described in patients with hyperparathyroidism, is controversial. Other causes of hypercalcemia also have been associated with pancreatitis. In this report, the authors describe a patient with pancreatitis and the milk-alkali syndrome who had the classic triad of hypercalcemia, alkalosis, and renal insufficiency. The ...
Long S M - - 1994
Polyarteritis nodosa is a vasculitic disease commonly involving coronary arteries, mesenteric arteries, kidneys, muscles, and vasa nervorum. Central nervous system involvement in polyarteritis nodosa is unusual and tends to occur later in the course of disease. We report the case of a 23-year-old woman who presented to our emergency department ...
Ahn B M - - 1994
We report a case of acute herpetic esophagitis in a 33 year old man who was presumed to be immuno-compromised following prolonged steroid and cyclosporin treatment for acute rejection of a transplanted kidney. In Korea, all reported cases of herpetic esophagitis have been diagnosed in immuno-compromised and debilitated patients with ...
Mazzi G - - 1994
Although systemic hyperfibrino(geno)lysis during hypotensive crisis is known, there do not seem to be recent reports of episodes of primary acute fibrinogenolysis during anaphylactic shock. We report the case of a 61-year-old male admitted to the hospital for anaphylactic shock due to an insect bite who presented a clinical and ...
Sipahi H M - - 1994
This case report describes a 24-yr-old pregnant woman who developed acute pancreatitis while suffering from a severe eclamptic syndrome. Since she had no gallstones or other known aetiological factors of acute pancreatitis, the possibility of an aetiologic role of pancreatic ischaemic changes associated with eclampsia is discussed. From a clinical ...
Roberts M J - - 1994
Acute Mountain Sickness (AMS) is a potentially severe problem for military exercises and operations and may present in a variety of ways as was the case on the "Roof of Africa" Expedition 1990. Four cases are described and the pathophysiology of AMS is discussed. Gradual acclimatization to increasing altitude will ...
Felman R H - - 1994
A patient with eosinophilic cholecystitis and accompanying eosinophilic appendiceal inflammation, eosinophilic pericarditis, and peripheral eosinophilia is described. Review of the nine previously reported cases of eosinophilic cholecystitis suggests that this is the first case with closely associated eosinophilic appendiceal inflammation and pericarditis as manifestations of a systemic hypereosinophilic syndrome. The ...
Standridge J B - - 1994
Adding to the growing awareness of medications that can cause pancreatitis is a small but significant number of reports implicating the angiotensin converting enzyme (ACE) inhibitors. In this report, I describe the case of a patient who had no risk factors for pancreatitis and who was taking no medications known ...
Anyanwu S N - - 1994
Agenesis of the appendix is an exceedingly rare abnormality. When it does occur it may represent part of a more generalized ileocaeco-appendicular abnormality or it may occur as a localized event. A case is presented of a 23 year old lady with features of acute appendicitis in whom exploration revealed ...
Golzarian J - - 1994
The great morbidity and mortality associated with pseudoaneurysms complicating pancreatic pseudocysts stress the need for their early detection. The authors report the use of colour Doppler sonography in the detection of pseudoaneurysms within pancreatic pseudocysts, emphasizing not only the value of this modality in the initial diagnosis, but also its ...
Bewermeyer H - - 1993
In a patient with acute posterior multifocal placoid pigment epitheliopathy (APMPPE), a pontine infarction occurred about 6 months after the ophthalmological manifestation. We report the first case with histopathologically proven vasculitis shown by muscle biopsy and the first positron emission tomographic documentation in APMPPE. The ophthalmological and cerebral symptoms responded ...
Bayo F F - - 1993
A case of trauma-induced pancreatitis with subsequent intraosseous fat necrosis and infarction is presented. The young patient demonstrated multiple cortical lytic lesions of the lower extremities and bilateral sterile joint effusions. Several radiographic modalities were employed in the workup of his disease. Related findings and pathophysiologic considerations are reviewed.
Ottelio C - - 1993
A case of acute intoxication after both cutaneous and inhalatory absorption of a mixture of organic solvents (toluene and benzene) is reported. The peculiarity of this case is represented by the abnormal EEG findings: paroxysmal slow waves at the beginning of the intoxication, persisting, although attenuated, days after the patient's ...
Sathyamoorthy P - - 1993
Incomplete form of tuberous sclerosis (TS) may present with acute complications such as haematuria, retroperitoneal haemorrhage or pneumothorax. Such cases may pose diagnostic difficulty. A patient with incomplete form of TS without any cerebral impairment who presented as an acute surgical abdomen is reported. The diagnostic criteria of TS are ...
Kreidstein S H - - 1993
We describe the first reported case of Takayasu arteritis presenting as idiopathic adult respiratory distress syndrome, with a pathologic diagnosis of acute interstitial pneumonia. In the same patient, rarely occurring, diffuse coronary vasculitis developed. This case vividly illustrates the extensive, clinically significant vascular involvement that can occur in Takayasu arteritis, ...
Adogu A A - - 1993
A severe, acutely evolving peripheral gangrene of unknown etiology has been reported sporadically from different parts of Africa. This case report describes such a case of fulminant gangrene of the extremities following a febrile diarrheal illness associated with abdominal pain, polyarthropathy, and altered hemostatic function in a black adolescent male. ...
Thomas P - - 1993
A 16 year old boy presented with extreme violent behaviour requiring physical restraint. Acute drug intoxication was mooted as a probable cause of his condition. The case illustrates that the causes of altered consciousness and aggressive behaviour are many and varied and that life-threatening conditions need to be considered and ...
Hanson C A - - 1993
The incidence of acute biphenotypic leukaemia has ranged from less than 1% to almost 50% in various reports in the literature. This wide variability may be attributed to a number of reasons including lack of consistent diagnostic criteria, use of various panels of antibodies, and the failure to recognize the ...
Censori B - - 1993
We report a case of acute rhabdomyolysis associated with acute intravenous cocaine intoxication in an asymptomatic HIV-positive young man and discuss the possible pathogenetic mechanisms. Recent cocaine use must be considered among the causes of acute rhabdomyolysis without obvious precipitating factors in our country too. The characteristically uncollaborative attitude of ...
Parrish G A - - 1993
Emergency physicians frequently encounter patients with acute urinary retention. Although most common among the elderly, pediatric and young adult patients occasionally may present with this complaint. The differential diagnosis and emergency department work-up must be age specific. We discuss the case of a young man who presented with acute urinary ...
Davies P J - - 1993
The autopsy description of Beethoven's nephropathy is so typical of renal papillary necrosis, that the diagnosis is as near to certain as is possible, in the absence of a histological examination. A review of the symptoms and clinical course of Beethoven's final illness is consistent with this diagnosis. It is ...
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