Poster Session : PS 0414 ; Infectious Disease ; Hydatid Cyst. Case Report

저작시기 2014.01 |등록일 2015.01.05 | 최종수정일 2015.04.23 파일확장자어도비 PDF (pdf) | 1페이지 | 가격 1,000원
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발행기관 : 대한내과학회 수록지정보 : 대한내과학회 추계학술발표논문집 / 2014권 / 1호
저자명 : ( Hector Raul Ibarra Sifuentes ) , ( Camilo Daniel Gonzalez Velazquez ) , ( Claudia Paola Rivera Uribe ) , ( Francisco Gonzalo Rodriguez Garcia ) , ( Roberto Monreal Robles ) , ( Miguel Angel Villareal Alarcon ) , ( Dionicio Angel Galarza Delgado )


영어 초록

A 47-year-old female was admitted to emergency room due to dyspnea hypotension and stupor. Medical history of sulfonamide allergy, Hemolymphangioma diagnosed and treated with thoracic laminectomy. She was healthy until 15 days before admission. She began with dyspnea, triggered by postural changes, increasingly severe. Three days later, nausea, fever and night sweats were added to the initial symptoms; fi ve days prior to admission fatigue, weakness, and pulsatile headache began. finally, she presented discomfort, acute loss of consciousness and was admitted to our hospital. At arrival, her vitals were BP 90/50 mmHg, HR 124 bpm, RR 32 bpm, SO2 80% ambient air. She presented diffi culty breathing, audible inspiratory stridor and stupor. Endotracheal intubation was performed. Bilateral expiratory wheezing was found, rest of physical examination was unremarkable. Chest radiography showed no infi ltrates, and properly positioned endotracheal tube; hemoglobin 18.2 g/dl, WBC 14.2 k/ l, neutrophil 13.5 k/ l, platelets 196 k/ l, glucose 104 mg/dl, BUN 17 mg/dl, creatinine 1.1 mg/dl, albumin 3.1 g/dl, AST 74 IU/L, ALT 36 IU/L, FA 60 IU/L, bilirubin 0.9 mg/dl. Salbutamol, Hydrocortisone and Norepinephrine were administered to treat anaphylactic shock. Lumbar puncture was performed and reported as normal; Troponin-I and D-dimer were reported high, pulmonary Angio-CT was preformed, in search of a probable pulmonary embolism, reported normal. Ventilator support was discontinued after evidence of ventilatory recovery. Next morning she had urticarial episode, resolved with loratadine. On Angio-CT we observe a hint of a hepatic lesion. Abdominal ultrasound found a cystic lesion 7.7 x 7.3 x 5.5 cm, visible wall with anechoic content; hydatid cyst CE3a, according to WHO classifi cation is diagnosed. Albendazole 400 mg BID, was administered; ELISA IgG vs Echinococcus granulosus reported positive. She was discharged and staffed in outpatient follow-up during 3 months.

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