Snowflake In The Liver Case Study
Snowflakes in the liver
Case presentation:
A 43-year-old male patient was admitted to the Emergency Department ward for general malaise with abdominal pain in the right upper quadrant, breath employee, already present two months before and actually increase. There was no sign of fever, pathologic lymphadenopathy, jaundice or other symptoms. At physical examination the patient appeared lucid, well spatial/temporal-oriented, afebrile, hemodynamically stable (AP 100/70 mmHg, HR 68 bpm), weight 73 Kg, height 180 cm; all examinations were in the normal range, except for mild deep pain in right upper quadrant and the right shoulder.
Past History:
He was born in Portugal, lived in Switzerland from 1983 to 2000, then in France from 2000 to 2007 and
…show more content…
An abdominal CT-scan showed calcification with a “snowflake appearance”in the liver (figures 1-2); for our radiologic team these are suggestive for signs of chronic hepatic Brucellosis5. The patient was seen twice at our department to undergo liver fine-needle biopsy of the major hepatic lesion, negative for helminths (Trichinellaspp, Toxocariasis, Echinococcusgranulosus, Fasciolaspp, Anguillosisspp, Cisticercosisspp), Protozoa, Parasites and …show more content…
Despite antibiotics3, bacteria are sometimes difficult to eradicate and if the disease is very aggressive4, surgery may be required to treat patients5. We’ve found a typical case of a relatively rare disease that took some time to be properly diagnosed. Following current guidelines, we starting first with antibiotic treatment and then, given the persistence of the disease, with a more aggressive surgical option3-4. It is known that if the disease persists despite antibiotic therapy, as in this case, is adequate treat the patient surgically5. We wondered if we had had to intervene early with surgery, in order to rapidly eradicate the disease, but at the moment the evidences point to intervene only in case of persistence of the disease despite maximal medical therapy. Further evidences are needed to acquire more knowledge about the better treatment, especially to identify patients at risk of relapse, in order to rapidly change on surgical option rather than continue for a long time with antibiotic therapy. We hope that this event will make a contribution in this
Terrance V Corder
1516 Words | 7 PagesThis antibiotic produced a zone of inhibition of 26mm and was therefore sensitive. After a little bit more research it was concluded that K. oxytoca produces B-lactamase, therefore making it resistant to penicillin and ampicillin (MicrobeWiki, 2015). Now that testing has been done the providers know what type of medication would be best to start with. Two out of four medications could possibly be used to attack the infection. If the patient were to take Ciprofloxacin the mechanism of action would be to inhibit relaxation of DNA; inhibit DNA gyrase in
Hennekam Lymphangiectasia Research Paper
1746 Words | 7 PagesHENNEKAM LYMPHANGIECTASIA SYNDROME ABSTRACT Hennekam Lymphangiectasia Syndrome is a rare autosomal recessive condition. Onset is usually in childhood. The prevalence is unknown but less than 50 cases have been reported in the literature. Incidence is about 1 in 1,00,000 and occurs in all ethnic groups. The syndrome is characterized by the association of lymphedema, intestinal lymphangiectasia, intellectual defecit and facial dysmorphism.
Burning Secsation Case Study
57 Words | 1 PagesThis is a 25 year old African American male who is here because he is experiencing burning secsation with urination, and irritation at the penus. Patient is also requesting stuture removed form his right hand. difficulty with Patient denies chest pain, SOB, N/V/D, or fever. Patient denies depressive moods, thoughts of suicide or homicide. current pain
C Diff Research Paper
646 Words | 3 PagesTREATMENT Treatment for this condition includes: • Taking antibiotics that keep C. diff from growing. • Stopping the antibiotics you were on before the C. diff infection began. Only do this as instructed by your health care provider. • IV fluids, if you are dehydrated. • Fecal transplant.
Colistin Case Study
2242 Words | 9 PagesThis ultimately leads to the bacteria’s death. Q1B: What infections are treated with colistin? Colistin is used to treat infections caused by gram-negative or MDRO (Multidrug-Resistant Organisms). Occasionally, professionals will choose to avoid
Clostridium Difficile Infection Paper
414 Words | 2 PagesMEDSURG Nursing, 23(3), 187-188. Farber, J., Illiger, S., Gartner, F. B., Lutz, v. M., Lohmann, C. H., Bauer, K., . . . Geginat, G. (2017). Management of a cluster of Clostridium difficile infections among patients with osteoarticular infections. Antimicrobial Resistance and Infection Control, 6 doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1186/s13756-017-0181-4 Wang, J., Quan, K. A., Tjoa, T., Yim, J., Dickey, L., Chang, J., ... & Gohil, S. K. (2016, December).
Bubonic Plague DBQ
1130 Words | 5 PagesIt began with “swellings in the groin and armpit, then eventually spread across the whole body.” Then “dark
Persuasive Speech On Lyme Disease
442 Words | 2 PagesImagine this, you have been bitten by a tick almost 6 years ago. You have not had any problems and you did not even know it until this one day. You feel sick, heart problems start to show and one side of your face is suddenly paralysed. You have no idea what to do or what it is. So you decide to go to the doctor.
Getting Vaccinated Essay
457 Words | 2 PagesHepatitis A and B are serious liver diseases which can cause fever, nausea or vomiting, jaundice, abdominal pain, or joint pain. Measles can cause high fevers, coughing, runny nose, red eyes, and rashes. Getting vaccinations to prevent these diseases and other communicable diseases is an important thing to do if you want to avoid sickness or other severe health
Snowflake Investigation Report
1650 Words | 7 Pages1. INTRODUCTION Snowflakes, feathery ice crystals that typically display a delicate six-fold symmetry might be the most distinguished mathematical art in the world, from the center of the snowflake, to the outskirts of their anatomy. When inspected, one notices that the different limbs of the snowflakes are mathematically constructed of fractal triangles. With that said, the aim of my exploration is to generate an equation that will aid me in representing a snow flake of any size, in order to do so I would need to explore specific areas of mathematics such as: symmetry, graphical representations, sequences and series and many more. As a consequence I will be focusing on the mathematical concept of: fractal triangles, in order construct my
Pancreatitis Case Studies
560 Words | 3 PagesIt is even more unique to be diagnosed in an immune-competent young patient. While in the hospital patient was diagnosed with acute pancreatitis by meeting two criteria, elevated amylase and lipase and radiologic imaging. Although not clear, his presentation could have been a new onset acute pancreatitis in the setting of salmonella bacteremia or an exacerbation of previously resolving pancreatitis. Pancreatitis associated with salmonella enteritidis can result from hematogenous spread of bacteria either from the broken barrier of the intestinal mucosa, or given that literature suggests growth of bacteria in bile and gallstone cultures. Contiguously spread of infection within the biliary duct is also possible.
Renaissance Music Influence
1196 Words | 5 PagesOthers say he was born in Condé-sur-l'Escaut of Hainaut in present-day Belgium, while another group believes that he was born immediately across the border in Picardy in present-day France and he was a Frenchman. He was acknowledged as the most prolific composer of his age. Though very little is known about his career and early life, it is certain that he rendered his services to a number of supporters throughout his life. He lived the most part of his musical career in Italy. He held many important positions there and created several motets and masses, which are esteemed highly as the masterpieces of a musical genius.
K-Bar Dairy Case Study
985 Words | 4 PagesFrom those 40, milk samples were taken which further identified 10 isolates of B. abortus, in addition to other Brucella strains (OB Mex). Of the 14 human participants, all were found positive for Brucellosis. Positive confirmation of this disease is done via blood testing, given the lack of disease specific symptoms. Considering the small population of this community, the number of confirmed cases is noteworthy. All of these individuals were given a 6 week antibiotic treatment which consisted of Rifampicin and Trimethoprim (OB Mex).
Stewardship In Antibiotics
1405 Words | 6 PagesAntibiotic medications have saved many people’s lives. Unfortunately antibiotics are no longer as effective in stopping pathogenic bacteria infection. Currently there is an antibiotic resistance crisis since may bacteria have become or are becoming resistant to all of the antibiotics developed. Instead of researching new antibiotics, which will continue to promote antibiotic resistance, antibiotic stewardship should be promoted specifically dealing with preventing infections, monitoring antibiotic prescription, and developing laboratory tests that provide accurate results faster. Hospitals need to reduce the infections contracted during patients stays in their facilities.
More about Snowflake In The Liver Case Study
Terrance V Corder
1516 Words | 7 PagesHennekam Lymphangiectasia Research Paper
1746 Words | 7 PagesBurning Secsation Case Study
57 Words | 1 PagesC Diff Research Paper
646 Words | 3 PagesColistin Case Study
2242 Words | 9 PagesClostridium Difficile Infection Paper
414 Words | 2 PagesBubonic Plague DBQ
1130 Words | 5 PagesPersuasive Speech On Lyme Disease
442 Words | 2 PagesGetting Vaccinated Essay
457 Words | 2 PagesSnowflake Investigation Report
1650 Words | 7 PagesPancreatitis Case Studies
560 Words | 3 PagesRenaissance Music Influence
1196 Words | 5 PagesImpact Of Silent Films On The Great Gatsby
300 Words | 2 PagesK-Bar Dairy Case Study
985 Words | 4 PagesStewardship In Antibiotics
1405 Words | 6 Pages