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131 entries in total
Health aspects of the refugee crisis — case reports
In recent years, the number of refugees and illegal immigrants reaching Europe from the many regions affected by warfare, humanitarian disasters, and epidemics. Along with the changing directions from which refugees are arriving, the potential epidemiological risks are also changing and new health challenges arise at the ED level as well as in the context of population health. A particularly dangerous trend can be seen in the potential reduction in travel time from an endemic country to Europe, of people who are healthy carriers of potentially infectious diseases, which allows the development of the full-blown forms of particular entities only in destination countries, where people working in the in the health sector do not have adequate training to deal with diseases that are new to their territory with diseases. The presentation presents two case reports with similar symptomatology but completely different etiology and management using P.falciparum malaria and Ebola hemorrhagic fever as examples.
Cold agglutinin disease in the course of pneumonia in a 15-year old girl — Case Report
Mycoplasma pneumoniae is the agent eologiczny of 40% of out-of-hospital pneumonia in children. The infection most often involves the respiratory tract, some patients have symptoms from other organs and systems, including autoimmune hemolytic anemia with cold agglutinins.
Common immunogenic background of pars planitis and multiple sclerosis — a case report
Multiple sclerosis (MS) is the most common central nervous system (CNS) disease of unknown etiologii. There is a hypothesis of an interaction between the major tissue compatibility complex (HLA), activation of lymphocytes T lymphocytes and unknown factors initiating abnormal immune responses. An increased incidence of of uveitis in patients with MS, the most common form of which is inflammation of the part of the flat of the ciliary body (PP).
Stress fracture of the acetabulum
Pelvic fatigue fractures most often involve the sacrum and hip bones. Their cause is repetitive micro-injuries to which people who engage in regular sustained physical activity are exposed. One of the rarest locations of a fatigue fracture is the acetabulum of the hip joint.
Patients with severe malnutrition before aggressive medical treatment
Patients with severe malnutrition make up a relatively small percentage of those qualified for surgery. Often the underlying pathology involves the gastrointestinal tract and is neoplastic in nature. Preparing patient for aggressive surgical and then oncologic treatment prior to surgery is particularly complex.
Chondrosarcoma of bones of wrist - a case report
Chondrosarcoma is a malignant neoplasm of the bone. It is the second most common among sarcomas of bones in adults. The early symptom is pain; in later stages, there is a tumor and distortion of the outline of the limb. The first and primary examination is a review roentgenography (X-ray) of the entire bone in two projections along with the adjacent joint. The histopathological diagnosis is established on the basis of an examination of the of tissue material taken during surgical biopsy. Treatment consists of resection of the tumor.
Difficulties in differentiation of membranous structures in the right atrium
Membranous structures within the right atrium of the heart are a rare congenital defect that causes many diagnostic difficulties. In differentiation, we considered persistent sinus venosus valve, persistent Eustachian valve, persistent Tebezius valve, and persistent Chiari network.
Mechanical ileus of large bowel in course of endometriosis - a case report
Endometriosis is a disease in which endometrial cells are located outside the uterine cavity. It affects women of reproductive age reproductive age. Rarely, endometriosis foci localize in the gastrointestinal tract. Intestinal endometriosis most often occurs in the large intestine, sometimes causing mechanical obstruction.
A case of emphysematous pyelonephritis in diabetic patient
Emphysematous pyelonephris (EPN) is an acute complication of urinary tract infection with bacteria that produce gas. The mortality rate in this condition, according to some authors, can be as high as 80%. The most common pathogen causing EPN is Escherichia coli. Therapy is based on empirical administration of antibiotics and surgical treatment.
Features of papiloma viral infection at unmaturing of pregnancy for women with latent toxoplasmosis in association with EBV-infection
The study included 72 women who had miscarriages and were diagnosed with the latent form of toxoplasmosis in combination with with human papillomavirus (HPV) and Epstein-Barr virus (EBV) infection. The study found was the absence of clinical signs of infection with positive polymerase chain reaction (PCR) results for the presence of HPV and EBV genetic material. The latent form of HPV infection in combination with EBV infection and toxoplasmosis is more often characterized by a high levels of HPV types: 16, 31, 35, 52, 56, 58, 59 in the urogenital smear, low IgG avidity to T. gondii and a high content of ЕBV in saliva. Only 2 of the 72 women tested had spontaneous regression of HPV within a year. In order to reliably predict oncogenic risk and exclude manifest infection, long-term prospective follow-up. In order to determine the exact cause of miscarriages in women with latent toxoplasmosis combined with infection- EBV and HPV infection, it is necessary to use PCR testing from stillbirth tissues.