1/14. acalculous cholecystitis in a patient with visceral leishmaniasis.Acute acalculous cholecystitis (ACC) is unusual. We present a case of cholecystitis associated with visceral leishmaniasis (VL) in a man in venezuela who presented high fever, anorexia and abdominal pain. Histopathological study of the gallbladder showed Leishmania spp. ACC in VL must be kept in mind in tropical countries.- - - - - - - - - - ranking = 1keywords = leishmaniasis (Clic here for more details about this article) |
2/14. herbal medicine induced stevens-johnson syndrome: a case report.A severe form of erythema multiforme (EM), diagnosed as stevens-johnson syndrome (SJS) was detected in a 10-year-old Indian male child who took herbal medication of plant origin prescribed by a traditional healer for remission of his fever. The child developed a severe and florid form of mucocutaneous oral ulceration, severe ocular manifestations, along with marked constitutional disturbances and dehydration. An extensive literature search revealed few previous reports of herbal drug induced EM and SJS. In india, traditional therapy with herbal preparation (Ayurvedic medicine) is not uncommon.- - - - - - - - - - ranking = 0.057410268931171keywords = mucocutaneous (Clic here for more details about this article) |
3/14. Successful treatment of visceral leishmaniasis with liposomal amphotericin b.We report a case of a 26-year-old female from kenya who suffered from intermittent fever of unknown origin for one month. The major findings on admission were pancytopenia associated with considerable splenomegaly. The diagnosis was established by visualisation of amastigotes in bone marrow biopsy and by detection of antibodies to Leishmania spp. in blood. The infection was treated intravenously with liposomal amphotericin b for five days. The patient was afebrile after the first infusion. No relapse was reported.- - - - - - - - - - ranking = 0.8keywords = leishmaniasis (Clic here for more details about this article) |
4/14. Visceral leishmaniasis mimicking a flare of systemic lupus erythematosus.Fever in systemic lupus erythematosus (SLE) may be caused by exacerbation of the disease itself or by infection. We report on a patient with a long standing history of SLE that was complicated by fever and pancytopenia with no splenomegaly. SLE disease activity was suspected because of an elevated dna-antibody titer. The early positive response to corticoid therapy may have masked the underlying infection. Visceral leishmaniasis was diagnosed by a repeated bone marrow biopsy and serological testing.- - - - - - - - - - ranking = 1keywords = leishmaniasis (Clic here for more details about this article) |
5/14. Acute febrile mucocutaneous lymph node syndrome (Kawasaki disease) in adults: case report and review of the literature.A 25-year-old female meeting all six criteria for Kawasaki disease is reported. A total of 22 reported cases of adult Kawasaki disease, including the present case, are reviewed. In adult Kawasaki disease, arthralgia, gastrointestinal complications and hepatic dysfunction are seen more frequently than in childhood cases. Cardiac complications are rarely seen in adult Kawasaki disease. Two cases have been positive for anti-nuclear antibody (ANA). The present patient had increased levels of serum IgE and was positive for ANA, suggesting involvement of an immune mechanism. adult Kawasaki disease is rare but appears to be on the increase; internists treating adults must be aware of this disease.- - - - - - - - - - ranking = 0.22964107572468keywords = mucocutaneous (Clic here for more details about this article) |
6/14. Fungal splenic abscess.Nineteen patients with fungal splenic abscesses included 16 with leukemia, one drug user, one patient with Cushing's syndrome, and one without predisposing causes. Fifteen had persistent fever; six had esophageal or mucocutaneous candidiasis. abdominal pain occurred in seven patients, splenomegaly occurred in six, and left abdominal mass occurred in one. Three chest x-ray films showed left pleural effusions; two had elevated left hemidiaphragms, two had left-sided infiltrates, and one was normal. Sixteen of 17 technetium tc 99m sulfur colloid scans were abnormal, as were 15 gallium citrate Ga 67 scans. Two computed tomographic studies revealed splenic defects. candida was the cause in 15 cases, aspergillus was the cause in three cases, and blastomyces dermatitidis was the cause in one case. Sixteen patients underwent splenectomy, 12 receiving postoperative antifungal therapy. Fifteen survived regardless of underlying disease or hepatic microabscesses.- - - - - - - - - - ranking = 0.057410268931171keywords = mucocutaneous (Clic here for more details about this article) |
7/14. Kawasaki's disease: another cause for fever in the pediatric patient.The case of a four-year-old black male with mucocutaneous lymph node syndrome (Kawasaki's disease) is presented. The clinical as well as the laboratory criteria for diagnosis are illustrated and corrollated with the corresponding pathologic findings. Recommendations are made for the immediate disposition of patients encountered in the emergency department setting, and an outline for the long-term follow-up of the patient is presented.- - - - - - - - - - ranking = 0.057410268931171keywords = mucocutaneous (Clic here for more details about this article) |
8/14. mucocutaneous lymph node syndrome with coronary artery aneurysm.A white North American girl with clinical features of the mucocutaneous lymph node syndrome had a myocardial infarct and angiographic evidence of a coronary artery aneurysm and mitral regurgitation. The mucocutaneous lymph node syndrome has been extensively diagnosed in japan in recent years. It appears to be a distinct entity, although not precisely separated from polyarteritis nodosa in childhood. The condition may be more common than previously realized.- - - - - - - - - - ranking = 0.11482053786234keywords = mucocutaneous (Clic here for more details about this article) |
9/14. mucocutaneous lymph node syndrome in the united states.Sixteen patients with an unusual and distinct symptom complex were encountered during a four-year period. Principal features of this syndrome are (1) fever lasting more than seven days; (2) conjunctival injection; (3) changes in the mouth consisting of erythema of the oropharynx, "strawberry tongue", and erythema of the lips; (4) indurative edema of hands and feet with palm and sole erythema followed by desquamation of the fingertips; and (5) an erythematous rash. Associated features were lymphadenopathy, pyuria, aseptic meningitis, diarrhea, arthritis, and arthralgia. Although usually a self-limited illness, one patient died with massive coronary artery thrombosis on the 19th day of illness. This syndrome appears to be clinically and pathologically similar to mucocutaneous lymph node syndrome, an illness prevalent in japan but previously unrecognized by American clinicians. Pathologic features suggest a relationship to infantile periarteritis nodosa.- - - - - - - - - - ranking = 0.057410268931171keywords = mucocutaneous (Clic here for more details about this article) |
10/14. Acute febrile mucocutaneous lymph node syndrome (Kawasaki disease) in an adult.The patient is a 31-year-old man with a febrile condition accompanied by mucocutaneous changes and swelling of cervical lymph nodes. Clinical features and laboratory data meet the criteria for acute febrile mucocutaneous lymph node syndrome (MCLS). In addition, coronary artery aneurysms and stenotic lesions were observed in the coronary arteriograms. Previously reported cases of MCLS in adults have been extraordinarily rare.- - - - - - - - - - ranking = 0.34446161358703keywords = mucocutaneous (Clic here for more details about this article) |
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