scholarly journals Fulminant Shigellosis in a HIV Patient

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Siang Mei Sally Ooi
Keyword(s):  
Rare Case ◽  
Wall Thickening ◽  
Immunosuppressed Patient ◽  
Hartmann Procedure ◽  
Pneumatosis Coli ◽  
Colonic Wall ◽  
Intravenous Antibiotics ◽  
Infectious Enterocolitis

Infectious enterocolitis caused byshigellais usually self-limiting and seldom requires antibiotics treatment. It is uncommon to develop fulminant shigellosis requiring surgery. We report a rare case of fulminant shigellosis in a HIV patient with recurring infection which could not be managed with intravenous antibiotics. CT reviewed extensive colonic wall thickening and stranding with evidence of pneumatosis coli. The patient eventually required a Hartmann procedure. Although fulminant shigellosis is uncommon, thorough assessment and vigilant management are warranted in immunosuppressed patient.

scholarly journals Mesenteric Phlebosclerosis Associated with Herbal Medicine

2020 ◽  
Vol 14 (3) ◽  
pp. 516-521
Author(s):  
Kimitoshi Kubo ◽  
Noriko Kimura ◽  
Norishige Maiya ◽  
Soichiro Matsuda ◽  
Momoko Tsuda ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Rare Case ◽  
Lower Abdominal Pain ◽  
Hepatic Flexure ◽  
Wall Thickening ◽  
Ascending Colon ◽  
High Grade Fever ◽  
Radiological Features ◽  
Intravenous Antibiotics ◽  
Fat Stranding

Mesenteric phlebosclerosis (MP) associated with herbal medicine is rarely reported and its endoscopic and radiological features remain poorly described. An 81-year-old woman was admitted to our hospital for right lower abdominal pain and high-grade fever. Computed tomography (CT) revealed wall thickening, pericolic fat stranding, and linear calcifications extending from the cecum to the hepatic flexure of the colon. Ultrasonography (US) revealed wall thickening of the cecum and ascending colon. Colonoscopy (CS) revealed dark-purple edematous mucosa with erosion and ulcers from the cecum to the hepatic flexure of the colon. The patient was histopathologically diagnosed with MP, discontinued orengedokuto, and was treated with intravenous antibiotics for 1 week. Six months after treatment, US and CT revealed no significant changes, but CS showed improvement in dark-purple edematous mucosa with erosion and ulcers. To our knowledge, this report represents a valuable addition to the MP literature describing a rare case of MP associated with herbal medicine.

scholarly journals Exclusive Phlebosclerosis of Submucosal Veins Leading to Ischemic Necrosis and Perforation of the Large Bowel: First European Case

2018 ◽  
Vol 12 (1) ◽  
pp. 137-142 ◽  
Author(s):  
Sebastian Klein ◽  
Denise Buchner ◽  
De-hua Chang ◽  
Reinhard Büttner ◽  
Uta Drebber ◽  
...  
Keyword(s):  
Wall Thickening ◽  
Caucasian Woman ◽  
Ischemic Necrosis ◽  
Colonic Wall ◽  
Asian Patients ◽  
Life Threatening ◽  
History Of ◽  
Mesenteric Vessels ◽  
The Right ◽  
European Woman

Phlebosclerotic colitis (PC) is a rare, potentially life-threatening disease of unclear pathogenesis almost exclusively reported in Asian patients of both genders. A fibrous degeneration of venous walls leads to threadlike calcifications along mesenteric vessels and colonic wall thickening, detectable by CT. This causes disturbed blood drainage and hemorrhagic infarction of the right-sided colonic wall. This is a report of PC in a Caucasian woman in Europe without Asian background and no history of herbal medications, a suspected cause in Asian patients. CT revealed no calcification of the mesenteric vein or its tributaries. Instead, submucosal veins of the left-sided colonic wall were calcified, leading to subsequent transmural necrosis. Clinically, the patient developed a paralytic ileus and sigmoidal perforation during a 2-week hospitalization due to a bleeding cerebral vascular aneurysm. This case of a European woman with PC is unique in its course as well as its radiologic, clinical, and pathologic presentation.

scholarly journals Colonic Wall Thickening Reported in Abdominal CT: Does It Always Imply Malignancy?

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
A. Akbas ◽  
H. Bakir ◽  
M. F. Dasiran ◽  
H. Dagmura ◽  
E. Daldal ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Univariate Analysis ◽  
Wall Thickening ◽  
Abdominal Ct ◽  
Colonic Wall ◽  
Colon Wall ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Independent Variables ◽  
Ct Examination

Aim/Background. Early diagnosis of patients with colon cancer is one of the most important parameters affecting the survival of patients. In this study, we aimed to examine the effect of the age, hemoglobin (Hb), albumin, neutrophil lymphocyte ratio (NLR), thrombocyte lymphocyte ratio (PLR), and mean platelet values (MPV) on the separation of benign and malignant diseases in patients with suspected colon wall thickness (CWT) observed in abdominal computed tomography (CT) examination. Method. The study included 116 patients between the ages of 18 and 95 who had CT examination where the colon wall could be evaluated and who also had colonoscopy. Patients suspected for CWT in CT with difficulties in differential diagnosis were divided into two groups according to colonoscopic-histopathological evaluations. Normal or benign pathological causes were included in the first group, while malignant causes constituted the second group. Whether the two groups differed in terms of CWT, Hb, age, albumin, NLR, PLR, and MPV values was investigated with descriptive statistics. Results. One hundred and sixteen patients (74 males, 42 females) with CT examinations and colonoscopic sampling were included in the study. After colonoscopic and histopathological evaluations, there were 64 cases in the first group and 52 in the second group. According to the results of the univariate analysis and multivariate logistic regression, CWT, Hb, NLR, and MPV were identified to be independent variables for determining colon cancer. Conclusion. A combined evaluation of Hb, NLR, and MPV values in patients with CWT in abdominal CT examination may contribute to the separation of benign and malignant pathologies.

scholarly journals Salmonella Sp. as the Cause of Periprosthetic Joint Infection of the Hip: Report of a Rare Case and Literature Review

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0004
Author(s):  
Asep Santoso ◽  
Iwan Budiwan Anwar ◽  
Tangkas Sibarani ◽  
Bintang Soetjahjo ◽  
Ismail Mariyanto
Keyword(s):  
Total Hip Arthroplasty ◽  
Literature Review ◽  
Antibiotic Treatment ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Periprosthetic Joint Infection ◽  
Rare Case ◽  
Joint Infection ◽  
Immunosuppressed Patient ◽  
Cement Spacer

Periprosthetic joint infection of the hip due to Salmonella sp. is rare. It is sometimes difficult to treat and needed a prolonged antibiotic treatment. We reported a case of periprosthetic joint infection of the hip in a 67 years old female who received prior left total hip arthroplasty. Two-stage revision surgery with antibiotic-loaded cement spacer has been performed to the patient and successfully control the infection. Review of the literatures also has been done. Salmonella Sp. has to be considered as one of differential etiology in the case of infected arthroplasty especially in an immunosuppressed patient. It showed still there has been no consensus in the treatment of choice for this particular case.

Unusual Causes of Colonic Wall Thickening on Computed Tomography

2003 ◽  
Vol 58 (3) ◽  
pp. 191-200 ◽  
Author(s):  
D.R Turner ◽  
G Markose ◽  
M.J Arends ◽  
C.S Ng ◽  
A.H Freeman
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Colonic Wall

Correlations Between Colonic Wall Thickening in Patients with Virally Induced Cirrhosis on CT and Clinical Status

2001 ◽  
Vol 25 (5) ◽  
pp. 786-791 ◽  
Author(s):  
Yasutaka Baba ◽  
Hirofumi Hokotate ◽  
Hiroki Inoue ◽  
Masayuki Nakajo
Keyword(s):  
Clinical Status ◽  
Wall Thickening ◽  
Colonic Wall

Severe Antibiotic-Associated Colitis in a Patient With Cystic Fibrosis and Colonic Wall Thickening

2002 ◽  
Vol 34 (2) ◽  
pp. 224-226 ◽  
Author(s):  
S. Schmitt-Grohé ◽  
E. Wiggert ◽  
J. Steffan ◽  
R. Handke ◽  
S. Zielen
Keyword(s):  
Cystic Fibrosis ◽  
Wall Thickening ◽  
Colonic Wall

scholarly journals A Rare Case of Hyper IgE Syndrome with Vocal Cords Involvement

2019 ◽  
Author(s):  
Samin Sharafian ◽  
Masoud Movahedi ◽  
Arash Kalantari ◽  
Nima Parvaneh ◽  
Mohammad Gharagozlou
Keyword(s):  
Rare Case ◽  
Immunoglobulin E ◽  
Maculopapular Rash ◽  
Primary Immunodeficiency Disease ◽  
Surgical Removal ◽  
Cutaneous Lesions ◽  
Vocal Cords ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Immunodeficiency Disease

Hyperimmunoglobulin E syndrome (HIGE) is considered as a phagocytic or a newly classified complex and heterogeneous primary immunodeficiency disease with symptoms such as increased levels of immunoglobulin E, eczema, and, recurrent lung and skin infections. In this paper, we have presented a rare case of this syndrome. A 9-year-old Iranian girl presented with a history of pruritic maculopapular rash who was eventually diagnosed as a case of HIGE. In her recent admission, she had dysphonia, stridor and huge cauliflower cutaneous lesions on her neck, finger and vocal cords, which did not respond to intravenous antibiotics, and ultimately required surgical removal.

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