Childhood pneumonia due to brucellosis: A case report
Rationale: Childhood brucellosis is a significant community health problem. It may imitate other conditions and may be misdiagnosed. Pulmonary involvement is a rare complication of childhood brucellosis. Patient concerns: A 23-month-old child was referred to our hospital with a 3-week history of fevers and cough. He was initially diagnosed with pneumonia. Diagnoses and Interventions: Conventional antibiotic treatment was ineffectual. Total leukocyte count was 10,300/mm3, hemoglobin was 8.5 g/dL, and platelet count was 250,000/mm3. The erythrocyte sedimentation rate and procaicltonin were 25 mm/h and 0.12 ng/mL, respectively. Chest radiography showed pneumonic infiltrate in both lungs. The initial bacteriologic test results were negative. Ten days after admission, Brucella melitensis were isolated from the second blood culture. This child was cured with the 2-drug regimen (rifampin+trimethopicin-sulfamethoxazole) for 6 weeks. Outcomes: The child recovered well with no occurrence of complications. The child remained asmptomatic without any signs or symptoms at a follow-up of 1 year. Lessons: Non-specific findings of pulmonary brucellosis in children often make diagnosis difficult. The second blood culture is essential. In endemic areas, children with fevers and cough should be included in the diagnosis in cases of pulmonary brucellosis.
CONCLUSION: The most widely used regression equations for stature estimation in South-East Asian population were from the Thailand population. Further research is recommended to develop regression equations for other South-East Asian countries. PMID: 31427544 [PubMed - in process]
DiscussionMalignant peripheral nerve sheath tumors (MPNST) are uncommon sarcomatous tumors that are believed to be derived from Schwann cell or neighboring cells with perineurial differentiation. MTT is rarely reported in mediastinum, lung and heart (
In this study, we reviewed the recent literature about the use of WBCT in AAFD, starting from a critical analysis about the biases related to conventional radiography and to non-standing CT. Then, we focused on the effects of load on the 3D architecture of the foot and ankle in AAFD. Finally, we discussed the benefits and future perspectives for the use of WBCT in the management of this condition and as a surgical planning tool as well. Level of Evidence: Diagnostic Level V, expert opinion. See Instructions for Authors for a complete description of levels of evidence.
LUNG cancer symptoms tend to develop as the condition progresses, but because there ’s no cure, it’s extremely important to recognise any signs as early on as possible. A person’s cough could signal the potentially life-threatening condition.
Publication date: Available online 20 August 2019Source: IDCasesAuthor(s): Takahiro Karasuno, Hiroshi Sata, Yuri Noda, Masami Imakita, Masato YasumiAbstractInvasive candidiasis remains an important cause of mortality and morbidity in patients with underlying diseases. Here, we report a case of gastric perforation due to Candia glabrata infection in a 74-year-old-male with Paroxysmal nocturnal hemoglobinuria (PNH) who received long-term corticosteroid treatment of hemophagocytic syndrome associated with acute cholecystitis. Total gastrectomy was performed, and he was treated liposomal amphotericin B. The patient was extubat...
ConclusionsMechanical ventilation beyond day 10 affected only two thirds of PerCI patients. However, VAP was a key complication in such patients. Discharge to chronic care facilities and hospital mortality were more common in PerCI patients.
ConclusionsFractal analysis of alveolar bone obtained from PSP plate–based intraoral radiographic images is influenced by spatial resolution and some digital enhancement filters; therefore, for FD comparison purposes, images should have the same specifications.
Conclusions.Migration of the root complex occurs primarily within the first year after coronectomy. Therefore, a routine radiographic follow-up after 1 year only is recommended.
Nigeria marked three years free of endemic wild polio on Wednesday with health officials saying the nation's progress in fighting the crippling viral disease could result in the whole of Africa being declared polio-free early next year.
Stachybotrys chartarum, also known as black mold, is a type of indoor fungus that grows in areas of high moisture and humidity. At high rates of growth, the fungus can produce mycotoxins that become airborne and inhaled. More often than not, inhalation of significant amounts of black mold causes pulmonary mycotoxicosis. Patients present with flu-like symptoms that include fever, chills, nausea, cough, dyspnea, headache, and myalgia. Infections are usually self-limited, requiring only supportive care.