Gastric ulceration caused by heater probe coagulation

A double-contrast upper gastrointestinal examination on a woman who had undergone endoscopic heater probe therapy one day earlier for multiple arteriovenous malformations revealed shallow, irregular, and linear ulcers at the sites of heater probe coagulation. Multiple shallow ulcers may therefore develop as a direct complication of heater probe therapy. Radiologists should be aware of this complication to avoid diagnostic confusion in these patients.     

Colonic ulceration caused by administration of loxoprofen sodium.

A 54-year-old female with chronic headache was admitted to our hospital because of hematochezia. She had routinely taken loxoprofen sodium because of severe headache. Emergent colonoscopic examination revealed ulceration of the cecum. After administration of loxoprofen sodium was discontinued and administration of sulfasalazine was initiated, her intestinal bleeding subsided. Two months after discontinuation of loxoprofen sodium, the colonoscopic examination revealed scar formation at the site of cecal ulceration. In this case, it was conceivable that the administration of loxoprofen sodium might have induced colonic ulceration.     

Oesophageal obstruction and ulceration caused by oral potassium therapy

A case is described of oesophageal ulceration and hold up following oral potassium therapy. The patient had recently undergone mitral valve replacement.     

Oesophageal obstruction and ulceration caused by oral potassium therapy

A case is described of oesophageal ulceration and hold up following oral potassium therapy. The patient had recently undergone mitral valve replacement.     

钩虫丝状蚴溃疡1例报告

患者,男,36岁,未婚,农民.因醉酒后摔伤头部于2005年8月5日入本院治疗,住院号：134238.CT头颅检查：右枕叶硬脑膜外小血肿,左枕部头皮血肿.     

钩虫丝状蚴溃疡1例报告

患者,男,36岁,未婚,农民。因醉酒后摔伤头部于2005年8月5日入本院治疗,住院号:134238。CT头颅检查:右枕叶硬脑膜外小血肿,左枕部头皮血肿。体检:消瘦、贫血貌;昏迷,双侧瞳孔基本等大,对光反射弱;心肺无明显异常;四肢无骨折,右手和左肩有擦伤,头部左枕区有一直径6cm血肿,头皮渗血,头发和颈部有血迹。生命体征基本稳定。治疗:行局部消毒、清创、包扎、脱水、醒脑、抗感染支持对症治疗。次日下午患者苏醒后再次体检,发现患者意识障碍,反应迟钝,口角流涎;骶尾骨区皮肤有1溃疡病灶,大小约3cm×4cm,局部充血水肿,中心溃烂,有血性渗液,按褥疮处理…     

Proarrhythmia caused by amiodarone]

A woman with mitral prosthesis, treated with amiodarone i.v. (500 mg in two boluses) for an atrial tachycardia, shows repeated episodes of torsade de pointes. Although there is a connection between the intensity of electro-physiological alterations due to the anti-arrhythmic therapy and pro-arrhythmic effects, there are cases in which the torsade de pointes seems to be associated with modest alterations of QT intervals or even without high plasma concentrations of drugs. In these cases a genetic predisposition for drug's metabolism alteration or greater sensibility of target organs is suggested.     

Asthma caused by analgesics]

Asthma, caused by analgesics, a relatively frequent phenomenon in bronchial asthma conditioned by infection, often remains unrecognized and is then sometimes a danger of high degree for these patients. Pathogenetically, the asthma caused by analgesics perhaps does not underlie an immunological mechanism, but an induced by analgesics prostaglandin-E-synthesis inhibition. For this speak the results of skin tests, of the LTT with analgesics and of IgE concentration measurements. Concomitant phenomena of the asthma caused by analgesics are: initial rhinirrhoe, alcohol intolerance, polyposis nasi and NNH affections. Among the evoking noxae the pyrazolones (regard: pyrazolone containing asthma mixed preparations!) are of greatest importance. Since already the smallest doses of analgesics may evoke considerable asthmatic reactions the indication to the exposition test should be made cautiously. In an anamnestic suspicion on asthma caused by analgesics a strict avoidance of analgesics, antirheumatic drugs and antipyretic drugs is necessary. Salicyl amide does not cause in vitro a prostaglandin synthesis inhibition. Still further clinical examinations are necessary, whether it amy generally be recommended as a possible alternative of analgesics in asthma caused by analgesics.     

Drug-induced pneumonitis caused by sulfamethoxazole-trimethoprim]

A 33-year-old man was treated with sulfamethoxazole-trimethoprim (SMT-TMP) for an infection in the cervical vertebrae by methicillin-resistant Staphylococcus aureus (MRSA). Two weeks later a fever of 39 degrees C appeared, and a productive cough, hemosputum, and dyspnea developed a further three weeks later. Chest radiographs showed bilateral ground-glass opacity. Cell differentiation of bronchoalveolar lavage fluid (BALF) revealed increases of lymphocytes and eosinophils, and the CD4/CD8 ratio of the BALF lymphocytes was decreased. A thoracoscopic lung biopsy specimen showed fibroedematous thickening of the alveolar walls, hypertrophic alveolar cells, and cell infiltration with neutrophils and lymphocytes. The pathological diagnosis was nonspecific interstitial pneumonia, group II. The fever resolved 6 days after discontinuance of SMX-TMP. The lymphocyte stimulation test for SMX-TMP gave a positive result. Administration of glucocorticoid improved both the symptoms and the laboratory data.     

Pneumopericardium caused by gastropericardial fistula]

This is the case of a 56-year-old male who presented at our Emergency Room complaining of severe epigastric pain that radiated towards the left shoulder and neck. Pneumopericardium was diagnosed with plain chest X-rays, which indicated a gastropericardial fistula. A contrast X-ray film was taken using a water-soluble contrast. A full gastrectomy was performed with esophagojejunostomy reconstruction and pericardial drainage, which resulted in a favourable patient outcome.