摘要:

The destructive potential ofPneumocystis cariniiinfection in patients with AIDS has been amplyl documented. This report describes a homosexual man withP. cariniipneumonia (PCP) complicated by pneumatocoeles and pneumomediastinum. The pneumomediastinum almost completely resolved with successful antimicrobial therapy. Pneumomediastinum, like pneumothorax, should be anticipated in patients with AIDS and PCP.

ISSN:0002-9629    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A patient with long-standing asymptomatic, primary hyperparathyroidsim developed pain in the anterior neck area, with cough, dysphagia and increasing shortness of breath. This led to respiratory insufficiency, which required endotracheal intubation and respirator assistance, During the ensuring hours the patient developed an area of ecchymosis on the anterior chest. Chest x-ray showed widening of the superior mediastinum, and CT scan showed a large mass with a fluid level. Surgery revealed a large hematoma originating form a mediastinal parathyroid adenoma with a hemorrhagic infarct. Serum calcium, previously elevated, decreased to normal with the onset of neck pain, and the patient remains normocalcemic. Previous reported cases of this rare complication of parathyroid adenomas are reviewed. Hemorrhagic infarct of a parathyroid adenoma may present with a rapidly enlarging mediastinal mass, and/or hypercalcemic crisis. Surgical removal of the infarcted adenoma can return the serum calcium to normal.

ISSN:0002-9629    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Three male patients developed a total of four episodes of acute rhabdomyolysis associated with documented cocaine intoxication (two caused “crack” and two caused by intravenous cocaine). Included is one patient who developed rhabdomyolsis after injecting cocaine and then redeveloped it 6 months later on “rechallenge.” One of the four cases resulted in death related to severe hyperkalemia and ischemic bowel. The remaining three episodes followed a course of nonoliguric renal failure.

ISSN:0002-9629    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A Latin-American teenager was begun on a regimen of acetazolamide fo a presumptive diagnosis of familial periodic paralysis. He presented 2 weeks later with near total body paralysis and was found to have florid manifestations of Graves' disease. Although thyrotoxic periodic paralysis occurs most frequently in Oriental males, it occasionally is found in Caucasians. Unlike familial, euthyroid, and periodic paralysis, thyrotoxic periodic paralysis may be worsened by administration of acetazolamide. Physical signs and laboratory evidence of hyperthyrodism must be sought in cases of periodic paralysis to differentiate the two diseases.

ISSN:0002-9629    

出版商:OVID    

年代:1989

数据来源: OVID