Publications

Amniotic fluid embolism (AME) is a rare complication of pregnancy, unpredictable, with a varied clinical picture clinical picture, with dangerous consequences for mother and newborn. PE is the cause of 20% of perinatal maternal deaths [1]. Embolism is caused by amniotic fluid entering the mother's circulation. The authors of describe the case of a 21-year-old female patient who was diagnosed with amniotic fluid embolism. The newborn, who was born at 35 weeks' gestation, by natural means with a birth weight of 2620 g, with APGAR scores: 0-2-5-6-7 points at 1-3-5-10-15 minutes of life respectively, with symptoms of perinatal hypoxia, survived. His mother suffered a severe complication of ischemic stroke with hemiplegia.

Devic's disease (neuromyelitis optica, NMO) is a chronic demyelinating disease of the central nervous system primarily damaging the spinal cord and optic nerves. Formerly considered a variant of multiple sclerosis multiple sclerosis, NMO is now classified as a separate disease entity with a specific pathogenesis related to associated with reactivity against aquaporin 4.

Acute non-inflammatory renal failure (ONNN) can follow hypovolemic shock hemorrhagic. Renal replacement therapy techniques, such as continuous veno-venous hemodiafiltration (CVVHDF), are key elements of therapy, leading to improvement in the patient's condition and restoration of the pre-event physiology.

Nutritional therapy is a new and rapidly growing field of medicine. It is widely used in all medical specialties. This article is the first in a series of articles on practical application of knowledge regarding nutritional assessment, qualification for nutritional intervention and guiding nutrient supplementation in medical patients.

Wegener's granulomatosis consists of necrotizing generalized granulomatous Vasculitis. The disease particularly occupies the respiratory tract and kidneys.

Fibroblastoma desmoplasticum (collagenous fibroma) is a rare benign soft tissue tumor. So far about 120 cases have been described in the literature. The most common location is the subcutaneous tissue of the extremities and neck. It occurs most often in men, in the fifth and sixth decades of life. It is usually well-demarcated, elastic, slow-growing, non-painful tumor. The treatment of choice is simple surgical removal. Recurrences have not been observed.

Acromegaly is characterized by skeletal abnormalities and organ proliferation due to hypersecretion of growth hormone (GH). It occurs with a frequency of 40-70/million. The preferred method of treatment is adenomectomy transsphenoidal.

Hemophagocytic lymphohistiocytosis (HLH) is a syndrome resulting from an exaggerated inflammatory reaction. HLH can be triggered by a variety of congenital and acquired factors. The most common symptoms of HLH are persistent fever, splenic enlargement and cytopenias in the peripheral blood. Laboratory findings include hyperferritinemia (often >10000 μg/L) and elevated levels of soluble receptor for interleukin-2. Without appropriate treatment, HLH leads usually to the death of the patient.

In children, the main cause of diabetes is type 1 diabetes.Other types of diabetes found in children can be type 2 diabetes and other specific causes of diabetes such as drug-induced diabetes, diabetes accompanying cystic fibrosis, or diabetes caused by a defect in a single gene (type 3).

Tumors were detected in a 59-year-old male long-term smoker with no significant past medical history of both lungs. A bronchoscopy was performed, which showed bronchial stenosis on the right side to segment 9 by a submucosal infiltration. Cytological examination of the brush biopsy smear and histopathological examination of the sections from the lesion yielded a diagnosis of squamous cell carcinoma. Due to the equivocal nature of the left lung lesion on CT scan, a PET-CT was performed. The result of the study: SUVmax of right lung cancer = 1.9; left lung tumor = 8.8.It was decided to perform thoracotomy left-sided thoracotomy. An ad hoc intraoperative cytological examination of the left lung tumor impression revealed non-small cell carcinoma cells. The lower lobe was removed along with the mediastinal lymph nodes. After two months, a video-guided right lower lobectomy with mediastinal lymphadenectomy was performed. Histopathological examination of the right lung revealed pre-invasive squamous cell carcinoma while the left lung was diagnosed as squamous cell carcinoma with an intermediate grade of cell differentiation (G2). Taking into account the criteria of Martini and Melamed, bilateral synchronous foci of of primary cancer.

The case of a 29-year-old patient with a late diagnosed mediastinal abscess is presented. The symptom that drew attention to this possibility was a left-sided pneumothorax. Two weeks earlier, the patient had had an inflamed mandibular sixth molar removed. On the day of admission, alveolar hemorrhage occurred. An ad hoc revision of the alveolus, and tooth VII was removed. The neck abscess was incised. Pleural drainage was obtained to expand the lung. In the further course, massive alveolar hemorrhages occurred a couple of times. Repeat alveolar revisions and three times the branches of the external carotid artery were surgically supplied. The last operation was followed by a massive hemorrhage. As it was determined - from the mediastinum. By means of an emergency sternotomy an aortic lesion at the left carotid artery outlet was visualized, which was sutured. The mediastinitis was controlled with drainage and antibiotics, achieving a cure.

In HPV infections, a very important and underestimated clinical aspect is the co-occurrence of lesions in different locations and the ease of transmission between sexual partners. Also of significant clinical importance is vertical infection during pregnancy, which can lead to infection of the fetus. Virus-induced papillomas can develop in any part of the upper and lower respiratory tract as well as in the upper gastrointestinal tract. They most often occupy the larynx, and also develop in the tonsils, trachea, bronchi and lungs, and can also show aggressive growth and undergo malignant transformation.