肠多发性淋巴瘤性息肉病一例

患者女,53岁.腹痛、恶心、呕吐1年,加重伴发现腹部肿物、腹泻半个月.曾在当地行抗感染、对症治疗无好转,于2008年4月25日入本院.体检:腹平坦,未见胃肠型及蠕动波,右下腹见一局限性隆起.右下腹脐旁触及一肿物10 cm×7 cm,质硬,欠光滑,活动度尚可,压痛(+),全腹无反跳痛及肌紧张,肝脾肋下未触及.     

肠多发性淋巴瘤性息肉病一例

患者女,53岁.腹痛、恶心、呕吐1年,加重伴发现腹部肿物、腹泻半个月.曾在当地行抗感染、对症治疗无好转,于2008年4月25日入本院.体检:腹平坦,未见胃肠型及蠕动波,右下腹见一局限性隆起.右下腹脐旁触及一肿物10 cm×7 cm,质硬,欠光滑,活动度尚可,压痛(+),全腹无反跳痛及肌紧张,肝脾肋下未触及.     

儿童肠型白塞氏病合并左下肺炎一例临床分析

白塞氏病是一种病因不明、累计全身多个系统、器官的慢性炎性疾病,基本病理改变是血管炎。好发于青壮年,东亚、中东和地中海地区高发,男女发病率文献报道不尽一致,累计胃肠系统,因地区差异,比例不同,儿童发病率极低。儿童肠型自塞氏病早期临床症状不明显、具有非特异性,结肠镜、胶囊内镜结合组织病理活检是对肠型白塞氏病疑难病例具有诊断价值。为提高临床医师对本病诊断、治疗方面认识,减少误诊、漏诊率,现将我院2008年10月收治的1例儿童肠型白塞氏病合并左下肺炎病例报道如下。     

肠病性肢端皮炎6例报告

肠病性肢端皮炎(enteropathic acrodermatitis)是一种少见的常染色体隐性遗传性疾病。由于认识不足,常易误诊。本院近年诊治6例,报告如下。 临床资料 一、一般资料 男女各3例,年龄6月～2岁。其中2男1女为同胞兄妹。父母均健康。超病年龄半月～1岁。病程1～1年半。主要症状及临床经过:6例均有反复腹泻及四肢尤其是肢端皮肤损害。     

肠病相关性T细胞淋巴瘤9例临床病理分析

目的：探讨肠病相关性T细胞淋巴瘤（ enteropathy-associatied T-ce111ymphoma,EATL）的临床病理学特征。方法回顾性分析9例EATL的临床病理学和免疫表型特征,并复习相关文献。结果Ⅰ型EATL主要由中等至较大的肿瘤细胞组成,核圆形或多角形,核仁明显。Ⅱ型EATL瘤细胞形态单一,体积中等或偏小,核圆形、深染,核碎屑和坏死常见。两种类型EATL背景中均可见组织细胞和中性粒细胞等炎症细胞,且肿瘤细胞弥漫表达 CD3、CD43、TIA-1,不表达 CD4、CD5、CD20、CD79a。Ⅱ型EATL弥漫表达CD56和CD8,Ⅰ型EATL不表达CD56和CD8,Ki-67增殖指数均>70%,EBERs原位杂交阴性。7例获得随访资料,其中4例患者术后10个月内死亡,3例患者术后18个月内死亡。结论 EATL是一种罕见的源于肠道上皮内T淋巴细胞的侵袭性淋巴瘤,临床主要表现为长期慢性腹泻、腹痛、发热及腹部包块等症状,部分病例可发生肠穿孔。诊断时需结合临床表现、病理检查及免疫表型。     

肠病性肢端皮炎合并Kaposi水痘样疹一例报告

病例：患儿,女,2月,因“全身皮肤水疱疹1周”入院,患儿近1周来无明显诱因的在面部,口唇,阴囊,足背起密集红色皮疹,基底明显红肿,周围有红晕,部分中央有水疱,呈脐凹状,部分有结痂,口周,眼周,肛周有小水泡,融合成片,部分有苔癣化,不伴发热,吃奶差,大便稀,中无脓血,追问病史,10天前其姨母患单纯疱疹,患儿曾与其密切接触,患儿自出生后即腹泻,臀部、枕项部红斑,部分结痂、脱屑,患儿平常安静,掉发多,查体：T36.5,双肺呼吸音粗,无干湿性罗音,心音有力,腹软,肝脾未及肿大,查真菌直接检查阴性,ALT正常,抗-HCV阴性,梅毒抗体阴性,HIV阴性,     

肠病性T细胞淋巴瘤

1.临床病史：患者男,61岁。因突发左下腹剧痛,伴恶心、呕吐,以急腹症于2003年5月收入院。体检：全腹肌紧张,左下腹压痛、反跳痛阳性。腹部平片示膈下游离气体,考虑为胃肠穿孔。既往患者有长期腹部不适和腹泻史。临床诊断为急性弥漫性腹膜炎,遂行剖腹探查术,切除病变送检。     

Injection site abscess due to Mycobacterium fortuitum: a case report

Injection abscess is an iatrogenic infection occurring as an isolated case or as cluster outbreak. These infections occur due to contaminated injectables or lapse in sterilisation protocol. While pathogens such as Pseudomonas, Klebsiella, E. coli, and S. aureus are the usual causative agents, unusual organisms such as mycobacteria, particularly the rapidly growing non-tuberculous mycobacteria (NTM) may cause the abscess. The chances of overlooking these organisms is high unless an acid fast bacilli (AFB) smear and culture is done on all aspirated pus specimens. We report a case of a three year old child who presented with a gluteal abscess following an intramuscular infection with an unknown preparation.     

AIDS-related dementia: a case report of rapid cognitive decline

Little is known psychometrically about the pattern of cognitive decline associated with acquired immunodeficiency syndrome (AIDS)-related dementia. Pre- and posttest results are presented to illustrate a case example of rapid cognitive decline. Increased psychometric assessment is recommended with additional examination of inconsistent results, which may be dismissed mistakenly as related to psychiatric symptoms. Implications for clinical practice and the role of the psychologist are discussed.     

First case report of catheter-related bacteremia due to "Mycobacterium lacticola"

This is the first report of infection caused by "Mycobacterium lacticola," a rapidly growing, scotochromogenic mycobacterium that was isolated from the blood of an immunosuppressed child. The organism was identified by sequence analysis of >1,400 bp of the 16S rRNA gene. The clinical relevance of this isolate, coupled with its unique 16S rRNA gene sequence, should prompt further investigation to establish this organism as a valid mycobacterial species.     

Liver abscess due to Bacillus cereus: a case report

Bacillus cereus is a food-borne pathogen that causes a self-limiting gastroenteritis. We describe the case of a 72-year-old woman admitted to our hospital because of acute abdominal colic pain. Over a 2-day period, her clinical condition deteriorated rapidly, with the appearance of acute abdomen. Computed tomography investigation of the abdomen showed a liver abscess (diameter ∼3 cm). At laparotomy, the abscess was found to be ruptured to the free peritoneal cavity. The final clinical diagnosis was acute peritonitis due to a ruptured liver abscess. Bacillus cereus was isolated from culture of the pus . Up to now, no case of liver abscess due to this organism has been reported.     

Portal hypertension due to Echinococcus alveolaris: a case report

Infection of the liver with Echinococcus alveolaris (EA) contemplates with a fatal course though it is a rare condition. We present herein a patient with upper gastrointestinal bleeding due to portal hypertension caused by the involvement of the liver with EA.     

Bacterial endocarditis due to Eikenella corrodens: a case report

Of all the causes of bacterial endocarditis, HACEK group consisting of Haemophilus, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, and Kingella Kingae are rare causative agents. We report a case of bacterial endocarditis by E. corrodens, which is one of the members of the HACEK group.     

Ulcerative vaginitis due to Torulopsis glabrata: a case report

A patient with ulcerative vaginitis is presented. The differential diagnosis included malignant ulcer, chancroid, and granuloma venereum. Torulopsis glabrata vaginitis, which was subsequently proven, responded successfully to clotrimazole suppositories. Predisposing and related factors and isolation and identification procedures are discussed.     

Immune reconstitution syndrome presenting as probable AIDS-related lymphoma: a case report

We report an unusual case of HIV-related immune reconstitution inflammatory syndrome, presenting as suspected AIDS-related lymphoma. Symptoms, initial investigations including fine-needle biopsy and 18F-FDG PET/CT scan were highly compatible with high grade AIDS-related lymphoma, however subsequently IRIS was diagnosed. We discuss pitfalls in the interpretation of diagnostic results in ARL versus IRIS.