scholarly journals Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst

2011 ◽  
Vol 18 (5) ◽  
pp. 258-260 ◽  
Author(s):  
J Fisher ◽  
Y Shargall ◽  
S Krajden ◽  
F Moid ◽  
V Hoffstein
Keyword(s):  
Cystic Echinococcosis ◽  
Bronchogenic Cyst ◽  
Surgical Drainage ◽  
Traditional Management ◽  
Acute Rupture ◽  
Invasive Surgical Approach ◽  
Asymptomatic Individuals ◽  
One Year ◽  
Pulmonary Cyst ◽  
Clinical Stability

Cystic echinococcosis is observed worldwide. Traditional management includes an invasive surgical approach with adjunctive chemotherapy. It has been suggested that observation alone may be appropriate in asymptomatic individuals with stable cysts. A case involving a 38-year-old Peruvian man with an asymptomatic bronchogenic cyst (suspected to be due to echinococcus, but never definitely diagnosed) is presented. The cyst was first noted in 1998, and was followed for 10 years during which time he remained asymptomatic with minimal radiographic change. One year later, in 2009, he presented with acute rupture of the cyst causing empyema. The patient required thoracotomy, decortication and resection of the ruptured cyst. Final pathology showedEchinococcusorganisms. The patient responded well to treatment with albendazole and praziquantel, and became completely asymptomatic within six months.The present case demonstrates that echinococcal cysts may be at risk of spontaneous rupture, even after many years of clinical stability, thus supporting the case for resection of asymptomatic cysts suspected of being echinococcal at the time of diagnosis. In addition, the case illustrates that medical therapy with albendazole and praziquantel, in conjunction with surgical drainage, can be successful in the treatment of echinococcal empyema.

scholarly journals Multiple Hepatic and Renal Hydatid Cysts Managed with Laparoscopic Surgery

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Lamia Kouba ◽  
Bayan Alsaid ◽  
Taisser Almeree ◽  
Mazen Allouche ◽  
Abdulghani Alshalabi
Keyword(s):  
Cystic Echinococcosis ◽  
Treatment Options ◽  
Hydatid Cysts ◽  
Ct Guided ◽  
Laparoscopic Excision ◽  
History Of ◽  
Percutaneous Removal ◽  
Diagnostic Modalities ◽  
One Year ◽  
Laparoscopic Techniques

Cystic echinococcosis is a parasitic disease caused by Echinococcus granulosus. The liver and lungs are the most commonly infected organs. We present the first-of-a-kind case of laparoscopic excision of 8 hydatid cysts, of which seven were in the liver and one was in the kidney of a 40-year-old patient. The patient presented with fatigue and fever and a one-year history of vague abdominal pain. Albendazole was administered before surgical intervention. The postoperative follow-up period was notable for a renal fistula. The patient subsequently underwent CT-guided percutaneous removal of a central hepatic hydatid cyst that was inaccessible using laparoscopic techniques. Cystic echinococcosis is endemic in the Mediterranean region. The growing number of immigrants and refugees from endemic areas could increase the prevalence of the disease in nonendemic countries. Therefore, it is important for physicians worldwide to be familiar with the diagnostic modalities and possible treatment options for hydatid disease.

scholarly journals Echinococcosis in Kurdistan Iraq: Prevalence of Cystic Hydatidosis in Man with a Survey of E.granulosus eggs in Stray Dogs in Kalar City, Sulaymania Province, Kurdistan- Iraq.

2019 ◽  
Vol 6 (1) ◽  
pp. 114-128
Author(s):  
Arkan Barzanji ◽  
Louis Saida
Keyword(s):  
Cystic Echinococcosis ◽  
Economic Losses ◽  
City Center ◽  
Stray Dogs ◽  
X Ray ◽  
Cystic Hydatidosis ◽  
Area North ◽  
One Year ◽  
Surgery Department ◽  
First Time

The current study included two levels: - cystic echinococcosis in man and a survey of eggs of the parasites E. granulosus in feces of stray dogs in Kalar city sulaymania province. The statically analysis of private and governmental hospitals documents showed 56 cases of cystic echinococcosis have been treated surgically during five years’ period (2013-2017). The patients who included in this study were examined by physicians and confirmed by one or more of the following methods, imaging diagnosis (CT scan, Ultrasound, and X ray), histopathology and serology. Among total of 3330 patients admitted to the surgery department of these hospitals, 56 (1, 6%) were found to be infected with cystic hydatidosis at approximately 5.6 cases per 100,000 persons and at average 11.2 cases per one year. Among total patients’ involvements, house wives 22 (39.28%) were high infected and then followed by the workers and students 12(21.4%) and 11(19.64%) respectively. According to the organs patients involvement liver was highly infected 31(55.3%) and then followed by lungs 9(16.07). The age group (41-50) yrs. was 13(23.21%) highly infected than other ages, and the females (53.57%) were high infected than males (46.4%) among total patients infected. The economic loses of 56 cases treated surgically was approximately 112000$ USA$. This study is the first time talking about economic losses in this city of Iraq. The result of 60 sample feces examination of stray dogs showed that 36.6% of which were contaminated with eggs of E. granulosus. The high percentage of infection with this parasite (60%), was found at the Slaughtered animal's area, south of city center and the lowest (10%) was at Awarakan, Jutyaran & sharawan2 area, north of city center.

886 Healing Hands and Thrifty Plans! A Prospective, Cost-Effective Trial in Abscess Management

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Saiyed ◽  
M Ahmed ◽  
M Winfield ◽  
C Briggs ◽  
B Amr
Keyword(s):  
Soft Tissue ◽  
Financial Burden ◽  
Substantial Reduction ◽  
Cost Effective ◽  
Surgical Drainage ◽  
Soft Tissue Abscess ◽  
General Surgeons ◽  
One Year ◽  
The Uk ◽  
Operative Costs

Abstract Aim Cutaneous abscesses are ubiquitous presentations requiring surgical drainage in most cases. There is a wide variation across the UK in the surgical practice dealing with such common problem. The aim of this study was to reduce the costs incurred in surgical drainage of acute skin and soft tissue abscess. Method This was a prospective, cost-effective study of the expenses incurred in surgical drainage of acute cutaneous and subcutaneous abscesses treated under the general surgeons' care over one year. Results A consequential saving of £13,962 was achieved during the study period. Between October 2019 and October 2020, 322 patients with soft tissue abscesses were treated by incision and drainage in general surgery. We calculated a total cost of £55.26 per patient for this routine operation. These expenses were based on basic surgical drapes pack, standard surgical gowns, sterile gloves and obtaining and processing the microbiology specimens. We have designed and implemented a new theatre protocol specifically for this procedure, resulting in a substantial reduction of the costs to £11.90 per patient. The total savings of £13,962 do not include savings caused by abscess drainage under local anaesthesia and does not calculate the savings that occurred due to shorter inpatient stay. These extra savings will be calculated and added later. Conclusions Considering the increasing financial burden on the NHS, we could make significant savings of nearly 80% of the operative costs of surgical drainage of a cutaneous abscess. We could achieve that by implementing simple modifications in the current surgical pathways without compromising patients' safety.

Staphylococcal Pneumonia

1972 ◽  
Vol 11 (2) ◽  
pp. 69-71 ◽  
Author(s):  
J.A. Peter Turner
Keyword(s):  
Cystic Fibrosis ◽  
Antibiotic Therapy ◽  
Complete Resolution ◽  
Pleural Space ◽  
Surgical Drainage ◽  
Staphylococcal Pneumonia ◽  
One Year

The reasons for the current decline in childhood staphylococcal pneumonia are not immediately apparent. Nevertheless, the clini cian must not forget the possibility of this disease, particularly with infants under one year of age. Adequate antibiotic therapy together with surgical drainage of the pleural space, if the lat ter is necessary, will result in complete resolution without se quelae. Such an infection may indicate an underlying cystic fibrosis.

scholarly journals Long term follow up of familial mesial temporal lobe epilepsy

2008 ◽  
Vol 14 (3) ◽  
pp. 111-113 ◽  
Author(s):  
Márcia E. Morita ◽  
Lívia Conz ◽  
Claudia V. Maurer-Morelli ◽  
Eliane Kobayashi ◽  
Clarissa L. Yasuda ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Mesial Temporal Lobe Epilepsy ◽  
Seizure Outcome ◽  
Asymptomatic Group ◽  
Long Term Follow Up ◽  
Mesial Temporal Lobe ◽  
Asymptomatic Individuals ◽  
One Year

OBJECTIVE: To analyze seizure outcome in individuals with familial mesial temporal lobe epilepsy (FMTLE). METHOD: We followed prospectively 64 individuals with FMTLE and 37 asymptomatic individuals belonging to 28 families. RESULTS: Patients with FMTLE had a mean follow up was 93.4 ± 15.8 months. At baseline they were divided in benign (n = 29), remission (n = 28) and refractory (n = 7). At last follow up visit 41.4% patients with benign FMTLE remained classified as benign, 20.7% became refractory and 37.9% were in remission. In the subgroup of FMTLE in remission 21 75% remained without seizures; 21.4% were classified as benign FMTLE, and one died (3.6%) from cause unrelated to epilepsy. All refractory patients remained refractory. From the asymptomatic group, 10.8% became symptomatic (FMTLE). The mean follow up was 76.0 ± 21.2 months. CONCLUSION: Prospective follow up of more than 7 years in patients with FMTLE revealed that it is unlikely to achieve seizure control in those with refractory seizures. Patients with diagnose of more benign forms of FMTLE for more than one year are likely to either remit or remain under well controlled seizures. The majority of patients who had achieved seizure remission remained seizure-free and none became refractory. Asymptomatic individuals had a greater probability to have seizures compared to the general population in a 6 year period of follow up.

scholarly journals O Poder Psicoativo dos Alimentos: Análise de um Caso de Intoxicação com Noz-Moscada

2019 ◽  
Vol 33 (13) ◽  
Author(s):  
Desidério Duarte ◽  
Marta Mendonça ◽  
Luís Ramos
Keyword(s):  
Psychotic Episode ◽  
Psychomotor Agitation ◽  
Specialist Consultation ◽  
Delusional Ideation ◽  
Psychoactive Effects ◽  
High Doses ◽  
Disorganized Speech ◽  
One Year ◽  
Clinical Stability

Ingestion of high doses of nutmeg causes potentially serious and disabling medical and psychiatric consequences. No isolated component of nutmeg has been identified as responsible for all symptoms observed during intoxication, however myristicin, one of the essential oil’s components of this spice, is believed to be responsible for most psychoactive effects, although the exact mechanism is not known. Other constituents, such as elemicin, may also be involved. Symptoms of intoxication begin three to six hours after ingestion, resolve within the first 48 hours, and usually leave no sequelae. In this paper we present the case of a patient who after consuming 18 to 28 g of nutmeg developed a severe psychotic episode, with disorganized speech, psychomotor agitation and mystical/grandiose delusional ideation. The symptoms resolved quickly, and after one year of clinical stability without therapy, was discharged from the specialist consultation.

scholarly journals Cystic echinococcosis in cattle dairy farms: spatial distribution and epidemiological dynamics

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Antonio Scala ◽  
Antonio Bosco ◽  
Anna Paola Pipia ◽  
Claudia Tamponi ◽  
Vincenzo Musella ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Dairy Cattle ◽  
Cystic Echinococcosis ◽  
Degrees Of Freedom ◽  
Sensu Stricto ◽  
Geographical Information ◽  
Southeastern Part ◽  
One Year ◽  
Data Layers ◽  
Cattle Farms

A study monitoring cystic echinococcosis (CE) in adult dairy cattle from intensive livestock farms located in the municipality of Arborea (Sardinia, Italy) was carried out between 2012 and 2015. A retrospective study of veterinary reporting forms of <em>post-mortem</em> inspections in 10 different Italian slaughterhouses was also performed. In addition, data on viability and molecular characterisation of hydatid cysts removed from parasitised organs in cattle was carried out. A geographical information system (GIS) with data layers of the study area and the geo-referenced points of 160 cattle farms was constructed. CE was found in 21.9% (35/160) of the surveyed farms. The retrospective study revealed that 0.05% (13/23,656) of adult slaughtered animals (over one year of age) from Arborea had tested positive to CE. The results stratified per year showed the following CE prevalences: 0.09% (5/5673) in 2012; 0.02% (1/5682) in 2013; 0.08% (5/6261) in 2014; and 0.03% (2/6040) in 2015 (χ<sup>2</sup> with 3 degrees of freedom=3.81; P=0.282). The <em>E. granulosus</em> <em>sensu stricto</em> (formerly called G1 or sheep strain) was detected in all cysts subjected to molecular analysis. The GIS analysis showed that CE is fairly resilient in the Arborea territory where most of cattle farms are located, while a small cluster of cases was found located in the southeastern part of Arborea, close to districts where sheep farms are situated. The present survey reports the presence of CE in Sardinian dairy cattle intensive farms and suggests that the parasitic pressure of CE in the island continues to be very strong.

Between ‘Savage Man’ and ‘Most Faithful Englishman’ Manteo and the Early Anglo-Indian Exchange, 1584–1590

Itinerario ◽  
2000 ◽  
Vol 24 (2) ◽  
pp. 146-169 ◽  
Author(s):  
Michael Leroy Oberg
Keyword(s):  
North Carolina ◽  
Chesapeake Bay ◽  
One Year ◽  
Anglo Indian

In August of 1587 Manteo, an Indian from Croatoan Island, joined a group of English settlers in an attack on the native village of Dasemunkepeuc, located on the coast of present-day North Carolina. These colonists, amongst whom Manteo lived, had landed on Roanoke Island less than a month before, dumped there by a pilot more interested in hunting Spanish prize ships than in carrying colonists to their intended place of settlement along the Chesapeake Bay. The colonists had hoped to re-establish peaceful relations with area natives, and for that reason they relied upon Manteo to act as an interpreter, broker, and intercultural diplomat. The legacy of Anglo-Indian bitterness remaining from Ralph Lane's military settlement, however, which had hastily abandoned the island one year before, was too great for Manteo to overcome. The settlers found themselves that summer in the midst of hostile Indians.

Some Biological Applications of High Voltage Electron Microscopy

1974 ◽  
Vol 32 ◽  
pp. 298-299
Author(s):  
Hans Ris
Keyword(s):  
High Voltage ◽  
Chromosome Structure ◽  
Nerve Fibers ◽  
Good Resolution ◽  
High Voltage Electron Microscopy ◽  
Voltage Electron ◽  
University Of Wisconsin ◽  
High Voltage Electron ◽  
One Year ◽  
The University

The High Voltage Electron Microscope Laboratory at the University of Wisconsin has been in operation a little over one year. I would like to give a progress report about our experience with this new technique. The achievement of good resolution with thick specimens has been mainly exploited so far. A cold stage which will allow us to look at frozen specimens and a hydration stage are now being installed in our microscope. This will soon make it possible to study undehydrated specimens, a particularly exciting application of the high voltage microscope.Some of the problems studied at the Madison facility are: Structure of kinetoplast and flagella in trypanosomes (J. Paulin, U. of Georgia); growth cones of nerve fibers (R. Hannah, U. of Georgia Medical School); spiny dendrites in cerebellum of mouse (Scott and Guillery, Anatomy, U. of Wis.); spindle of baker's yeast (Joan Peterson, Madison) spindle of Haemanthus (A. Bajer, U. of Oregon, Eugene) chromosome structure (Hans Ris, U. of Wisconsin, Madison). Dr. Paulin and Dr. Hanna are reporting their work separately at this meeting and I shall therefore not discuss it here.

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