scholarly journals A nagy imitátor

2016 ◽  
Vol 157 (9) ◽  
pp. 350-356
Author(s):  
Mihály Murányi ◽  
Zoltán Kiss ◽  
Antal Farkas ◽  
Tibor Flaskó
Keyword(s):  
Computed Tomography ◽  
Antibiotic Treatment ◽  
Left Kidney ◽  
Retrograde Pyelography ◽  
Intravenous Antibiotics ◽  
Renal Tuberculosis ◽  
Purulent Fluid ◽  
Staghorn Stone ◽  
Ureteric Stricture ◽  
Left Flank Pain

Authors present two patients suffering from renal tuberculosis, which caused differential diagnostic problems. The first patient was examined because of fever and left flank pain. Computed tomography revealed renal shrinkage on the left side. Retrograde pyelography demonstrated ureteric stricture and dilated calices. Urine culture showed Mycobacterium tuberculosis. Two months after initiation of the antituberculotic therapy nephrectomy was performed. The second patient was referred to the department because of fever after unsuccessful antibiotic treatment. Ultrasound examination showed a staghorn stone, dilated renal pelvis and perirenal abscess on the left side. Double J catheter insertion and percutaneous puncture of the abscess were performed. Culture of the pus aspirated proved Proteus morganii. Fever and complaints of the patient relieved after antibiotic treatment. Two months later double J catheter was changed because of persistent pyelonephritis. One week later the patient returned to the hospital with fever, which could not be reduced with intravenous antibiotics. Computed tomography showed purulent fluid in the left kidney, and nephrectomy was performed. Histology revealed renal tuberculosis. The authors summarize the diagnosis and treatment of renal tuberculosis on the basis of these two cases. Orv. Hetil., 2016, 157(9), 350–356.

scholarly journals Renal solitary fibrous tumour: A rare pathological entity

2014 ◽  
Vol 8 (9-10) ◽  
pp. 657
Author(s):  
Biao Dong ◽  
Jianjian Zhang ◽  
Gang Wang ◽  
Xiuyu Zhai ◽  
Yaowen Fu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Left Kidney ◽  
Mesenchymal Cell ◽  
Radical Resection ◽  
Solitary Fibrous Tumour ◽  
Retrograde Pyelography ◽  
Ki 67 ◽  
Spindle Cells ◽  
Cell Neoplasm ◽  
Immunohistochemical Studies

A solitary fibrous tumour (SFT) is a rare mesenchymal cell neoplasm that can develop at any site. SFT of the kidney is extremely rare. Recently, we had a case of solitary fibrous tumour involving the left kidney in a 71-year-old female patient. The SFT was incidentally found by imaging modalities at the time of a physical workup. Computed tomography and retrograde pyelography showed a 4 × 3.5 × 4-cm nodular mass in the middle poles of the left kidney adjacent to the renal pelvis. A laparoscopic radical resection of the left kidney was performed. The tumour was well-circumscribed and composed of a mixture of spindle cells; microscopically, we found dense collagenous bands. Immunohistochemical studies showed strong reactions with CD34, bcl-2 and CD99. A nuclear positivity with Ki-67 was observed in less than 1% of cells. The tumour was negative for desmin, SMA and CD117. Histopathological and immunohistochemical studies confirmed the diagnosis of a solitary fibrous tumour.

scholarly journals Solitary staphylococcal liver abcess in a neonate

2015 ◽  
Vol 14 (3) ◽  
pp. 299-301
Author(s):  
Suman Das ◽  
Dilip Kumar Paul ◽  
Anish Chatterjee ◽  
Sumantra Raut
Keyword(s):  
Computed Tomography ◽  
Medical Science ◽  
Abdominal Distension ◽  
High Fever ◽  
Percutaneous Aspiration ◽  
Intravenous Antibiotics ◽  
Right Lobe ◽  
Sepsis Screen ◽  
The Right

A 28 days old neonate presented with high fever, abdominal distension, poor feeding and lethargy. Sepsis screen was positive; ultrasound and computed tomography of the abdomen demonstrated a multiloculated hepatic abcess in the right lobe of the liver. The baby was treated with intravenous antibiotics for 6 weeks and percutaneous aspiration of the abcess, resulting in excellent recovery.Bangladesh Journal of Medical Science Vol.14(3) 2015 p.299-301

Castleman Disease of the Kidney in Computed Tomography Urography

2021 ◽  
Vol 17 ◽  
Author(s):  
Kai Wang ◽  
Fengjuan Xing ◽  
Heng Ma ◽  
Wenjuan Li
Keyword(s):  
Computed Tomography ◽  
Left Kidney ◽  
Castleman Disease ◽  
Renal Parenchyma ◽  
Case Presentation ◽  
Imaging Characteristics ◽  
Computed Tomography Urography ◽  
Hypervascular Tumors ◽  
Cystic Area

Background: Castleman disease (CD) of the kidney is extremely rare. In this study, we presented a case of CD of the left kidney and comprehensively described the findings of computed tomography urography. Case Presentation: The case involved unusual imaging characteristics of the focal central cystic area. Conclusion: The small and regular cyst-like structures and the hyperdense mass relative to the renal parenchyma in plain scans might help distinguish the CD of the kidney from other hypervascular tumors.

Antibiotic treatment regimens for bone infection after debridement: a study of 902 cases

2020 ◽  
Author(s):  
Xiaohua Wang(Former Corresponding Author) ◽  
Li Fang ◽  
Yueqi Chen ◽  
Shulin Wang ◽  
Huan Ma ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Antibiotic Treatment ◽  
Bone Infection ◽  
Oral Antibiotic ◽  
Oral Antibiotics ◽  
Treatment Regimens ◽  
Intravenous Antibiotics ◽  
Abnormal Rate ◽  
Oral Group ◽  
Liver And Kidney

Abstract Purpose: Our aim was to investigate the clinical efficacy and complications of antibiotics treatment duration for the patients of bone infection. Methods: We retrospectively analyzed the patients with bone infection admitted to our hospital between March 2013 and October 2018. The surgical debridement was performed and the patients were divided into three groups: IV group (Intravenous antibiotics for 2 weeks); Oral group (Intravenous antibiotics for 2 weeks followed by oral antibiotics for 4 weeks); Rifampicin group (Intravenous antibiotics for 2 weeks followed by oral antibiotics plus rifampicin for 4 weeks). The infection control rate and complications were compared. Results ： A total of 902 patients were enrolled, the infection sites included 509 tibias, 228 femurs, 32 humeri, 23 radii and ulnae, 40 calcanei, 23 multiple-site infections and the other sites 47 cases. After at least 6 months of follow-up, 148 (16.4%) patients had recurrence of infection. The recurrence rate of IV group was 17.9%, which was no significant higher than that of Oral group (10.1%) or Rifampicin group (10.5%). The abnormal rate of Glutamic-pyruvic transaminase(ALT) in IV group was 15.1%, which was lower than that of Oral group (18.0%) and Rifampicin group (27.4%), P=0.026. The positive rates of proteinuria in the three groups were 3.2%, 4.5%, and 9.3%, respectively, P=0.020. Conclusion: After debridement of bone infection, the additional oral antibiotic treatment may increase the damage of liver and kidney, and can not significantly reduce the infection recurrence rate. Therefore, it is recommended to adopt short-term systemic antibiotic treatment after debridement.

Prosthetic valve endocarditis

ESC CardioMed ◽  
2018 ◽  
pp. 1720-1723
Author(s):  
José A. San Román ◽  
Javier López
Keyword(s):  
Computed Tomography ◽  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Prosthetic Valve ◽  
Photon Emission ◽  
Clinical Manifestations ◽  
Prosthetic Valve Endocarditis ◽  
Native Valve ◽  
Native Valve Endocarditis ◽  
Duke Criteria

Prosthetic valve endocarditis (PVE) complicates the clinical course of 1–6% of patients with prosthetic valves and it is one of the types of infective endocarditis with the worst prognosis. In early-onset PVE (that occurs within the first year after surgery), the microbiological profile is dominated by staphylococci. In late-onset PVE, the microorganisms are similar to native valve endocarditis. Clinical manifestations are very variable and depend on the causative microorganism. The diagnosis is established with the modified Duke criteria although they yield lower diagnostic accuracy than in native valve endocarditis. Transoesophageal echocardiography is the main imaging technique in everyday clinical practice in PVE as the sensitivity is higher than transthoracic echocardiography. The findings of other techniques, as cardiac computed tomography (CT), positron emission tomography/CT, or single-photon emission computed tomography/CT have been recently recognized as new major diagnostic criteria and can be very useful in cases with a high level of clinical suspicion and negative echocardiography. Empirical antibiotic treatment should cover the most frequent microorganisms, especially staphylococci. Once the microbiological diagnosis is made, the antibiotic treatment is similar to native valve infective endocarditis, except for the addition of rifampicin in staphylococcal PVE and a longer length (up to 6 weeks) of the treatment. Surgical indications are also similar to native valve endocarditis, heart failure being the most common and embolic prevention the most debatable. Prognosis is bad, and during the follow-up, a team experienced with endocarditis is needed. Patients with a history of PVE should receive antibiotic prophylaxis if they undergo invasive dental manipulations.

Lemierre’s syndrome as a consequence of acute supraglottitis

2002 ◽  
Vol 116 (3) ◽  
pp. 216-218 ◽  
Author(s):  
Andrew Hope ◽  
Nigel Bleach ◽  
Sabour Ghiacy
Keyword(s):  
Computed Tomography ◽  
Jugular Vein ◽  
Fusobacterium Necrophorum ◽  
Lemierre’S Syndrome ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Intravenous Antibiotics ◽  
Intracranial Thrombosis ◽  
Internal Jugular Vein Thrombosis ◽  
Lemierre's Syndrome

Lemierre’s syndrome comprises internal jugular vein thrombosis following oropharyngeal sepsis and is a rare and serious condition. It is most commonly caused by the anaerobe Fusobacterium necrophorum and typically presents as metastatic sepsis to the lungs and joints. Thrombosis is demonstrated by computed tomography (CT) of the neck, and it is routinely treated with intravenous antibiotics and anti-coagulation.We describe a case of Lemierre’s syndrome following acute supraglottitis. The clinical features were of retrograde intracranial thrombosis, rather than the more usual metastatic sepsis.

scholarly journals Laparoscopic Nephroureterectomy for Adult Patient with Primary Obstructive Megaureter

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Kimito Osaka ◽  
Kazuhide Makiyama ◽  
Shinji Ohtake ◽  
Hiroyuki Yamanaka ◽  
Futoshi Sano ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Surgical Intervention ◽  
Abdominal Distension ◽  
Retrograde Pyelography ◽  
Ureteral Catheter ◽  
Large Size ◽  
History Of ◽  
Obstructive Megaureter ◽  
Laparoscopic Nephroureterectomy

A 29-year-old female with a complaint of abdominal distension was referred to our hospital. She had a history of being treated for pyelonephritis three times. By computed tomography and retrograde pyelography, she was diagnosed with adult left primary megaureter. Her left renal function was severely deteriorated. She hoped for surgical intervention before becoming pregnant. Laparoscopic nephroureterectomy for megaureters seems to be difficult due to the large size. By sucking urine from an inserted ureteral catheter and setting trocar positions, we successfully performed laparoscopic nephroureterectomy for megaureter.

A Case of IgG4-Related Retroperitoneal Fibrosis from the Renal Pelvis Mimicking Bilateral Hydronephrosis

2014 ◽  
Vol 97 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Seiya Inoue ◽  
Chihiro Takahashi ◽  
Katsuya Hikita
Keyword(s):  
Computed Tomography ◽  
Malignant Disease ◽  
Ureteropelvic Junction Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Retrograde Pyelography ◽  
Bilateral Hydronephrosis ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Serum Igg4 ◽  
Show Evidence

We describe a 49-year-old woman who presented with continuous bilateral lumbago. As the patient's ultrasonography manifestations were very similar to those of bilateral hydronephrosis, we performed retrograde pyelography and ureteroscopy. However, apart from slight left ureteropelvic junction obstruction, there was no hydronephrosis. Since malignant disease could not be completely denied, computed tomography-guided biopsy was performed. However, the tissue did not show evidence of malignancy. As the patient continued to have lumbago, we measured serum IgG4 levels because of suspicion of retroperitoneal fibrosis secondary to IgG4-related disease, which proved to be high. Further, immunostaining of the renal pelvic biopsy samples showed IgG4-positive cells. Therefore, diagnosing IgG4-related retroperitoneal fibrosis, we administered corticosteroids. The patient responded favorably to the drug, with gradual regression of the lesion.

Incidental Splenic Cyst Simulating A Supernumerary Kidney

Ultrasound ◽  
2009 ◽  
Vol 17 (2) ◽  
pp. 90-92
Author(s):  
Andrew Christie
Keyword(s):  
Computed Tomography ◽  
Renal Failure ◽  
Left Kidney ◽  
Splenic Cyst ◽  
Computed Tomography Scan ◽  
Splenic Cysts ◽  
Us Findings ◽  
Tomography Scan ◽  
Collecting System

This case represents an incidental splenic cyst misinterpreted as a supernumerary kidney, resulting in a computed tomography scan to confirm the ultrasound (US) findings. A 55-year-old man presenting with renal failure had an US examination which showed a mass adjacent to the left kidney. It resembled a kidney with a dilated collecting system rather than a spleen. Supernumerary kidneys are extremely rare in the published literature. Splenic cysts are more common, but are still relatively unusual. The possible diagnoses and US findings in splenic cysts are discussed.

Cervical necrotizing fasciitis with thoracic extension after total laryngectomy

2002 ◽  
Vol 116 (8) ◽  
pp. 639-641 ◽  
Author(s):  
Aad J. Beerens ◽  
Rob J. Strack van Schijndel ◽  
Hans F. Mahieu ◽  
Charles R. Leemans
Keyword(s):  
Computed Tomography ◽  
Necrotizing Fasciitis ◽  
Antibiotic Treatment ◽  
Total Laryngectomy ◽  
Oxygen Therapy ◽  
Left Pleura ◽  
Extensive Debridement ◽  
Laryngectomized Patient ◽  
A Minor ◽  
Radical Surgical Resection

Cervical necrotizing fasciitis (CNF) with thoracic extension is rare. It has never been reported in laryngectomized patients. A case of fatal CNF in a laryngectomized patient equipped with a voice prosthesis is presented. Diagnosis and treatment are discussed. CNF with thoracic extension was diagnosed on clinical picture, computed tomography (CT) and biopsies were taken just above the tracheostoma. Antibiotic treatment was started and extensive debridement of the affected tissues performed. A minor extension to the left pleura was considered irresectable. Irradical debridement and the impossibility of administering hyperbaric oxygen therapy caused death within two day after presentation. CNF is a rare disease and to our knowledge, has never been reported after total laryngectomy. This case emphasizes the need for early antibiotic treatment and radical surgical resection of the affected tissues.

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