Malakoplakia of the kidney extending to the descending colon in a patient with secondary adrenal insufficiency: a case report

Malakoplakia is an uncommon but distinctive type of chronic granulomatous inflammation that occurs most commonly in the genitourinary tract, especially the urinary bladder. Most patients have associated conditions characterized by some degree of immunosuppression, as seen in solid-organ transplants, autoimmune diseases requiring steroid use, chemotherapy, chronic systemic diseases, alcohol abuse and poorly controlled diabetes. We report an unusual case of the renal malakoplakia that involved the perirenal space, extending to the descending colon in a 65-year-old Korean woman with secondary adrenal insufficiency and diabetes mellitus.     

Firefighting efforts may lead to massive fungal growth and exposure within one week. A case report

A case study on extensive fungal growth that occurred in an apartment building after firefighting efforts is described in this paper. Exposure to airborne microorganisms (both viable and total) was investigated by filter sampling in three periods before and during remedial actions after the fire. Material samples were also analyzed. Extensive mold growth was observed on the building materials as soon as eight days after the fire. High concentrations of fungal spores, 10(7) cfu/g, were found when material samples were analyzed. Concentrations of airborne fungal spores (10(4) spores/m3) were also high and increased by two orders of magnitude during the demolition of moldy building materials and during the clean-up after the demolition. The proportions of airborne viable fungi in comparison with the total spore concentrations were 28-83% immediately after the fire, but they had decreased to <1% two months after the fire during the reconstruction phase. Paecilomyces was the main fungal genus in the indoor air before and during the demolition, while Penicillium dominated during the reconstruction. Paecilomyces was not detected in the outdoor air. Paecilomyces and Penicillium were also found in the material samples. The results show that fast and extensive mold growth in a building may take place also in subarctic climates, at least during summer. High concentrations of fungal spores are released to the air during the demolition of moldy building materials and the following clean-up. Therefore, personal protection is necessary during such work.     

职业性亚急性铅中毒1例报告

1病例介绍患者,女,25岁,系个体蓄电池厂切片工,于2003年10月10日～11月17日接触铅尘作业。车间面积约20m^2,高3m,平时门窗可开启。空气中铅尘浓度大,自然通风差,无通风设备。工人偶而戴防尘口罩,每天工作9h,最多时达11．5h,且卫生习惯差,有时在车间进食。同工种有类似发病者,其车间铅浓度未检测。     

1例自杀倾向大学生的心理危机干预田番茁

目的探讨大学生心理危机干预办法,防范意外发生。方法采用心理咨询的方法,要求咨询教师与求助学生保持联系。对1例有自杀倾向的大学生,进行心理危机干预案例分析。结果患者自杀未遂,被及时解救,前后进行5次心理咨询学生症状缓解后达到了预期效果。结论学校心理咨询有其特殊性,充分发挥学院心理辅导员、寝室心理互助员作用,注重家校合作和日常宣传教育,对心理危机的预防和干预具有重要意义。     

1例儿童铅中毒性脑病报告分析

目的分析我院收治的1例儿童铅中毒性脑病患者。方法对患者的中毒经过、中毒原因及临床资料进行综合分析。结果废旧电瓶回收处理不当造成的环境污染可引起儿童铅中毒性脑病。结论卫生监督部门应加强对私营企业卫生的管理和指导,减少铅等有害物质对环境的污染,防止中毒事件的发生。     

Addisonian crisis in patients with known adrenal insufficiency: the importance of early intervention

In patients known to have adrenal insufficiency, inadequate adjustment of the glucocorticoid dosage during intercurrent illness can be life threatening. We describe two patients with adrenal insufficiency who died after their glucocorticoid dosage was insufficiently increased during an episode of gastroenteritis and pneumonia, respectively. Another patient died after a few days of fever and vomiting of unknown origin, after a period of refusing her medication. To prevent unnecessary death from Addisonian crisis, we have developed a protocol. Patients with known adrenal insufficiency, as well as their relatives and general practitioners, should repeatedly receive verbal and written instructions on how to deal with physical and severe psychic stress. We teach the patients and their relatives how to use an emergency injection of hydrocortisone, and the patients can consult the on-call endocrinologist by telephone 24 hours a day.     

Geophagic lead nephropathy: case report.

An adult presenting with anemia and seizures was found to have lead poisoning. Chelation therapy undertaken before the source of exposure was known was accompanied by clinical improvement. Recurrence of an excessive body lead burden despite chelation led to the discovery of pica for lead-contaminated garden soil. Lead nephropathy progressed when the geophagia was resumed.     

火药烧伤致急性铅中毒1例报告

报道1例因突发事故所致急性铅中毒病例的临床表现及救治经过，并探讨其侵入途径。     

婴儿铅中毒死亡1例报告

1岁儿童因密切接触铅10个月,出现中毒性脑病死亡。     

口服威露士消毒药水中毒1例报告

患者男,30岁,因生气自行口服威露士消毒药水(绿色)约500ml后自觉咽喉部、胸骨后烧灼感,伴头晕、恶心及乏力,1h后来诊。查体：BP118／76Mmg,P96次／min。意识清楚,皮肤黏膜无黄染,查体配合,自动体位。咽部充血．心肺无异常,肝脾未触及,上腹部轻度压痛,肠鸣音正常。未引出病理反射。平素身体健康。     

A case report of lead paint poisoning during renovation of a Victorian farmhouse.

We describe a series of four cases of childhood lead poisoning and two cases of adult lead toxicity in a professional family exposed to lead dust and fume during renovation of a rural farmhouse. Initial blood lead levels in the children ranged from 2.70 to 4.20 microM/L (56 to 87 microns/dl) and all four required chelation therapy. Lead-based paint poisoning, a well recognized entity among young children in poor, urban neighborhoods, is not confined exclusively to such areas.     

Anosmia after exposure to a pyrethrin-based insecticide: A case report

We present the case of a subject developing anosmia, preceded by nasal transient irritation and short lasting phantosmia and torqosmia, upon re-entrance into a room treated with a pyrethrin-based insecticide. The concentration of the insecticide in the room is unknown, but relatively high levels are predicted basing upon the modality of exposure and by the irritation symptoms in the subject. Despite corticosteroids therapy, anosmia has persisted unmodified for more than three years; according to, and based on evidence in the literature on olfactory disturbance prognosis, anosmia in this patient is likely to be permanent. The significance of this case report is related to the current wide use of insecticides containing pyrethrin and pyrethroids and highlights the need for more adequate attention to lowering airborne concentrations of pyrethrins and pyrethroids prior to re-entering the treated rooms. In particular, in a closed space sprayed with pyrethrins and pyrethroids insecticide, any irritant symptoms and/or dysosmia should be immediately considered relevant warning signs, and must be avoided.