Visceral leishmaniasis is a severe disease caused by the intracellular protozoa Leishmania donovani. Diagnosis is based on examination of bone marrow or serology. The role of imaging techniques as diagnostic tools remains to be established in visceral leishmaniasis. We report multiple nodular lesions in the liver and spleen on ultrasonography and computed tomography in a patient with visceral leishmaniasis. To our knowledge, this is the first reported case of multiple nodular hepatosplenic lesions in visceral leishmaniasis.
We report a rare case of simultaneous cranial subarachnoid and spinal subdural hematoma (SDH) in a 42-year-old man who was on Warfarin therapy after cardiac bypass surgery. Computed tomography at presentation revealed a cranial subarachnoid hemorrhage, and spinal Magnetic Resonance Imaging (MRI) showed a spinal SDH extending from the T6 to L5 segments. He had paraparesis due to spinal cord compression. The patient was managed conservatively due to his poor general condition and was infused with intravenous steroid therapy, but he experienced sudden cardiac arrest 5 hours later after being admitted to the hospital. This case is of interest because of its first presentation of spinal subdural hematoma and cranial subarachnoid hemorrhage simultaneously and it is also the second longest vertebral segmental spread in the literature.
ÖZBiz bu makalede kardiak by-pass cerrahisi sonrası Warfarin tedavisi alan 42 yaşında erkek bir hastada, eş zamanlı gelişen kranial subaraknoid kanama ve spinal subdural hematom bulgularını bildiriyoruz. Hastanın başvuru kranial bilgisayarlı tomografisinde subaraknoid kanama ve sonrasında yapılan spinal manyetik rezonans görüntülemesinde T6 vertebra düzeyinden başlayıp L5 vertebra düzeyine dek uzanan spinal subdural hematom gözlendi. Hastada spinal kord kompresyonuna bağlı paraparezi mevcut idi. Genel durum bozukluğundan dolayı hasta konservatif olarak intravenöz steroid infüzyon tedavisi ile gözlenirken, hastaneye başvurusundan 5 saat sonra ani kardiak arrest gelişti. Bu olgu literatürde ilk defa eş zamanlı olarak gelişen kranial subaraknoid kanama ve ikinci en uzun segmentte gelişen spinal subdural hematom olması itibariyle ilgi çekicidir.AnAhtAR sÖZCÜKleR: Spinal subdural hematom, Kranial subaraknoid kanama, MRG, Spinal kord kompresyonu
Mycoplasma equirhinis and Mycoplasma felis are thought to be infectious etiologic agents of inflammatory airway disease (IAD), which, after musculoskeletal injuries, is the second most common cause of poor performance in thoroughbred racehorses. The aims of this study were to investigate for the first time the presence of M. equirhinis, M. felis, and other Mycoplasma spp. in the lower respiratory tract of racehorses in İstanbul Province in Turkey and to statistically evaluate the association between clinical signs of IAD and the presence of mycoplasmas. Tracheal wash (TW) samples were collected from 111 English and Arabian thoroughbred horses that showed clinical signs of IAD. TW samples were examined by culture and PCR methods. The detection rates of Mycoplasma spp., M. felis, and M. equirhinis were found to be 16.2%, 0%, and 18% by culture and 59.5%, 1.8%, and 6.3% by PCR in TW samples, respectively. According to statistical evaluations, a significant association was found for the presence of M. felis in English thoroughbred racehorses. However, no significant association was found between clinical signs of IAD and the presence of M. equirhinis, M. felis, and other Mycoplasma spp.
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