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The authors present a rare case of a 90 years old man non-traumatic chylothorax and chylous ascites.
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Adult Onset Still’s Disease (AOSD) is a rare, systemic inflammatory disease. Its main manifestations consist of fever, arthralgias and evanescent rash and the diagnosis is essentially clinical. The authors present a case of a 43-year-old woman admitted to the Emergency Department because of fever, odynophagia and arthralgia for about 2 weeks. Complementary diagnostic tests showed elevation of C-Reactive Protein (CRP) and leukocytosis. After exhaustive investigation, the diagnosis of AOSD was mad...
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Non-O1 non-O139 Vibrio cholerae can rarely cause severe extra-intestinal infections like skin and soft tissue infections, primary bacteremia or pneumonia. The authors describe a case of a 69-year-old man who developed a bacteriemic cellulitis after placing his legs in shallow water in the Cavado river estuary. This is the first reported case of a non-O1 non-O139 V.cholerae bacteriemic celluilitis in Portugal
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espanolPresentamos el caso de un paciente varon de 59 anos que acudio a nuestras consultas por un sindrome general, y tras completar el estudio fue diagnosticado de Espondilodiscitis Piogena. El paciente se habia sometido a sesiones de acupuntura por un dolor de espalda de evolucion torpida, no evidenciandose ninguna otra causa que pudiera justificar el cuadro clinico. Realizamos una revision de casos similares recogidos en la literatura publicada hasta la fecha EnglishWe report the case of a 59...
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espanolPresentamos un caso de una paciente de mediana edad con ingesta mantenida de anticonceptivos hormonales (AH) que desarrolla multiples adenomas hepaticos (asociacion bien documentada) y un carcinoma hepatocelular (CHC) unifocal gigante, sin encontrar otros factores de riesgo para el mismo (enolismo, tabaquismo, cirrosis, hemocromatosis,...). Si bien en la literatura no hay unanimidad respecto a la asociacion del consumo de AH con el CHC, algunos autores ya contemplaron esa posibilidad, exc...
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The nodular primary localized cutaneous amyloidosis is rare and characterized by skin deposition of amyloid substance. There are cases of progression to invasive disease. The type of amyloid substance is not specific to this disease, also being found in primary systemic amyloidosis or systemic amyloidosis associated with multiple myeloma. The authors describe two cases of nodular primary localized cutaneous amyloidosis. A 70-year-old man underwent excision of papule on the mouth left commissure,...
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