1/9. A diabetic patient with a black penile tip.This is a report of a patient with diabetes mellitus type II who presented with the rare complication of penile gangrene. The gangrene was unilateral and was associated with ipsilateral partial stenosis of the common iliac artery. An angioplasty followed by insertion of a stent, rehydration, and improved diabetic control did not improve the penile lesion, and penile amputation was carried out. In the postoperative period, the patient developed a bilateral basal pneumonia with a significant growth of saprophyte mycobacterium gordonae from the bronchial aspirate. This is the first reported case of unilateral penile gangrene and also that of mycobacterium gordonae infection in a patient with diabetes mellitus.- - - - - - - - - - ranking = 1keywords = black (Clic here for more details about this article) |
2/9. Gangrenous cholecystitis: five patients with intestinal obstruction.Gangrenous cholecystitis, a disease more common in older patients and diabetics, may be complicated by perforation, pericholecystic abscess, and fistula. intestinal obstruction has rarely been reported as a complication and only in cases involving perforation or acute, nongangrenous cholecystitis. A retrospective review of hospital records between 1961 and 1989 identified 126 patients with gangrenous cholecystitis, five of whom came to the hospital with intestinal obstruction. Three were cases of paralytic ileus and two of simple mechanical obstruction without perforation. The latter group may represent the first such cases reported. gallbladder perforation occurred in two patients and cholelithiasis was found in three. The mean age of the total patient cohort was 70.6 years; patients were predominantly male and black. hypertension and diabetes were common concomitant diseases. patients commonly came to the hospital with nausea and vomiting, increasing abdominal girth, and obstipation. A leukocytosis on admission was more common than fever or hyperbilirubinemia. The clinical presentation of intestinal obstruction and the lack of objective data specific for gangrenous cholecystitis made a preoperative diagnosis impossible. Thus, a high index of suspicion should increase diagnostic accuracy. The incidence of intestinal obstruction (at presentation) in cases of gangrenous gallbladders was 4 per cent. morbidity and mortality are reduced with early operation.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
3/9. Localized peripheral calcium oxalate crystal deposition caused by aspergillus niger infection.A 70-year-old white man, who was malnourished and demented, presented with a painful black, gangrenous-appearing right foot with a fungating mass and required amputation. Pathological sections of the tissue specimens showed numerous birefringent crystals, which were identified as calcium oxalate. Branching septate hyphae and darkly pigmented fungal fruiting heads with double sterigmata characteristic of aspergillus niger were also identified in the tissue sections. No systemic or other metabolic causes of oxalosis were found. The calcium oxalate crystal deposition was felt to be secondary to aspergillus niger infection.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
4/9. Treatment of pyoderma gangrenosum with disodium cromoglycate.The case of a 35-year-old black woman with a 10-year history of ulcerative colitis and a 3-year history of pyoderma gangrenosum is presented. The pyoderma gangrenosum was treated successfully with topical application of disodium cromoglycate.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
5/9. Bilateral lower limb gangrene and stroke as initial manifestations of systemic giant cell arteritis in an African-American.giant cell arteritis (GCA) is a systemic disease of the elderly that occurs infrequently in blacks and seldom has peripheral vascular disease and stroke as its presenting major complications. The occurrence of bilateral lower limb gangrene and a fatal stroke as manifestations of occult systemic GCA in an African-American is such a unique combination of rare occurrences that it warrants documentation in the literature.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
6/9. aspergillosis complicating the grafted skin and free muscle flap in a diabetic.A case of infected diabetic foot ulcer was reconstructed by a free muscle flap overlaid with a skin graft. Primary cutaneous aspergillosis involving the grafted skin and the transplanted muscle was described. The patient presented with an indurated grey-yellow plaque or black eschar in the wound without purulent discharge. Biopsies and cultures demonstrated A. flavus as the etiologic agent without evidence of systemic dissemination. early diagnosis necessitates a high index of suspicion in immunocompromised patients with unusual cutaneous manifestation. Treatment consisted of aggressive debridement, systemic and local antifungal therapy, and delayed grafting. We concluded that primary cutaneous aspergillosis may occur at the reconstructed wound in an immunocompromised diabetic, and that it is a rare complication requiring prompt diagnosis and treatment.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
7/9. Idiopathic peripheral gangrene in nigeria.A severe, acutely evolving peripheral gangrene of unknown etiology has been reported sporadically from different parts of africa. This case report describes such a case of fulminant gangrene of the extremities following a febrile diarrheal illness associated with abdominal pain, polyarthropathy, and altered hemostatic function in a black adolescent male. A model of autoimmune causation for this uncommon clinical syndrome is proposed with guidelines for therapy.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
8/9. Meleney's synergistic gangrene: a case study.Meleney's synergistic gangrene is caused by S aureus and streptococcus organisms. One of the identifying symptoms is the presence of extremely painful lesions, which usually form in the second week after surgery or minor trauma. The ulcers that form at the center of the lesion are usually covered by a black eschar and encircled by a gangrenous margin. With knowledge of the pathophysiology and characteristics of this process, nurses can aid in the recognition of this unexpected complication. nursing interventions can be planned around the needs of these patients. The key to recovery is early identification of the infection and prompt treatment.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |
9/9. endoscopy in lye burns of oesophagus and stomach.Upon ingestion of lye and its compounds severe corrosive lesions may develop not only in the oesophagus but also of the stomach. These are frequently not recognized until life-threatening complications have set in. Two case histories are reported to point to the need for early endoscopic examinations. Brown-black discoloration of the mucosa of the stomach signifies necrosis through the thickness of the wall which is an indication for immediate resection.- - - - - - - - - - ranking = 0.25keywords = black (Clic here for more details about this article) |