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Invaginación intestinal en adultos como manifestación de enfermedad celíaca: Caso clínico Celiac disease presenting as an intestinal intussusception: Report of one case
RODRIGO QUERA,CLAUDIO HEINE T,ANDRéS O’BRIEN,LUIS CONTRERAS
Revista médica de Chile , 2010,
Abstract: Acute abdominal pain caused by perforation, intestinal lymphoma or intussusception is an uncommon manifestation in adult celiac disease. We report a 49 year-old female with history of irritable bowel syndrome and osteoporosis consulting for acute abdominal pain and severe abdominal distention. Abdominal CT scan and magnetic resonance imaging showed a jejunal intussusception and other radiological alterations that suggested the possibility of celiac disease. Serological antibodies (endomysial and transglutaminase antibodies), endoscopy and the pathological study of duodenal biopsies confirmed the diagnosis. With a gluten free diet, the patient remains asymptomatic.
Obstrucción intestinal por intususcepción como primera manifestación de enfermedad celíaca en un adulto Celiac disease presenting as an intestinal intussusception. Report of one case  [cached]
Francisco Dodds B,Iván Aguancha S,Mario Santamarina R,Jorge Vega S
Revista médica de Chile , 2008,
Abstract: The usual form of presentation of celiac disease is chronic diarrhoea and deficiencies of vitamin D, vitamin K, iron and vitamin B12, due to malabsorption. Intestinal obstruction secondary to an intussusception is rare in adults and usuaUy is a compUcation of carcinoma of the colon or post operative adhesions. We report a 45 year-old female consulting for diarrhoea and vomiting lasting one week and progressive abdominal bloating. A plain abdominal Xray showed air fluid levels in the small bowel and a CT sean showed an intussusception. She was operated and discharged but continued with diarrhoea. She was admitted again and a new CT sean showed three intussusceptions that were resolved with the administration of oral contrast media. Antiendomisial antibodies were positive and a celiac disease was diagnosed. After one year with a gluten free diet, the patient remains asymptomatic.
Kawasaki disease as the presenting featare of angioimmunoblastic lymphoma
S.Alle Yasin,R. Amin
Journal of Mazandaran University of Medical Sciences , 2005,
Abstract: Kawasaki disease is an acute multiorgan vasculitis occurs mostly in children between six months and five years of age. The etiology of the disease is unknown, but superantigens may have an important role in the pathogenesis. In this case report, a 10- year old boy is presented with signs of kawasaki disease and despite receiving two high doses intravenous immunoglobulin, cervical lymph nodes continued to enlarge and finally lymph node biopsy revealed angioimmunoblastic like T cell lymphoma. Because the etiology of Kawasaki disease is unknown, if lymphadenopathy persists, other diseases like lymphoma should be considered.
A Case of Kawasaki Disease Presenting with Aseptic Meningitis  [cached]
Emin ?zkaya,Ye?im Co?kun,Betül Sezgin,?zgül Yi?it
Cocuk Enfeksiyon Dergisi , 2010,
Abstract: Early recognition and prompt treatment of Kawasaki disease(KD) are essential to ensure a succesful outcome of the coronary artery involvement. However, some patients lack sufficient clinical signs to fulfill the diagnostic criteria, and this may lead to problems in diagnosing children presenting with atypical symptoms. Central nervous system involvement, including aseptic meningitis, can be a presenting feature of KD itself. In this article, we describe a 9-year-old boy who presented with an unusual onset of disease, characterized by fever, erythematous maculopapular rash, vomiting and abdominal pain. He was diagnosed as aseptic meningitis with an unusual onset of Kawasaki Disease (KD) clinical pattern together with the echocardiographic coronary arteries anomalies. Since the cardiovascular sequelaes of the disease could be prevented by early diagnosis and effective drug therapy, KD should be considered in the differential diagnosis in children with fever, erythematous maculopapular rash and vomiting that may be associated with clinical features of aseptic meningitis.
Kawasaki disease: A case report  [PDF]
AR Ojha,A Nepal,R Acharya,KN Shakya
Journal of Kathmandu Medical College , 2012, DOI: 10.3126/jkmc.v1i1.7252
Abstract: Kawasaki disease is a vasculitis of medium sized arteries which is diagnosed by exclusion and by use of diagnostic criteria. It needs a high index of suspicion to diagnose and should be suspected in any child with history of fever for more than a week with rash and lymphadenopathy. Such patients should be treated with intravenous immunoglobulin and Aspirin to prevent complications. Here we report a case of Kawasaki Disease who presented with prolonged fever, rash and lymphadenopathy and made an uneventful recovery. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7252 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.26-28
Neonatal Kawasaki Disease: A Case Report  [PDF]
Mohamed A. Huneif, Ayed A. Shati, Abdu M. Abudiah, Abdullah M. Aljaser, Mansour Y. Otaif
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2015, DOI: 10.4236/ojra.2015.52008
Abstract: Objective: To report a case of Kawasaki disease (KD) with unusual age at presentation. Case Report: A 26-day-old Saudi boy presented with fever, irritability and poor feeding for 3 days. There was right cervical lymph node enlargement. There was mild throat congestion and bilateral congested tympanic membrane. The liver was palpable. Otherwise, there were no more abnormal physical findings. Laboratory findings revealed high erythrocyte sedimentation rate and positive C-reactive protein. The patient was admitted into an isolation room and antibiotics were started. On the 5th day, the condition of the patient deteriorated. Ampicillin was discontinued and vancomycin was started till getting the results of the culture sensitivity. On the 7th day, he developed diaper rash and fever spikes continued. On the 8th day, the patient developed swelling, redness and hotness of the right hand. Possibility of sepsis was considered and the administered antibiotics were imipenem and vancomycin, while cefotaxime was discontinued. On the 12th day, the patient developed anemia and leukocytosis. Gamma glutamyl transpeptidase was high. On the 15th day, the patient started to develop maculopapular rash on the trunk and desquamation of both hands and feet with swelling, cracked lips, bilateral conjunctival injection and unilateral neck lymph node swelling. So, the infant’s condition was clinically diagnosed as KD. Aspirin was started and 2 doses of intravenous immunoglobulins were given. On the 18th day, the condition of patient improved and the fever subsided. Conclusions: The diagnosis of KD among neonates is a clinical challenge. Diagnosis is based on clinical criteria after the exclusion of other diseases presenting with high persistent fever. Early treatment by administering intravenous immunoglobulins and aspirin can help prevent cardiac complications. There is a pressing need to raise awareness among pediatricians about this disease.
Two Incomplete Kawasaki Disease Cases Presenting With Rare Symptoms  [cached]
Dilek Y?lmaz ?iftdo?an,Süleyman Nuri Bayram,Mustafa Orhan Bulut,Ertürk Levent
Cocuk Enfeksiyon Dergisi , 2008,
Abstract: Early recognition and prompt treatment of Kawasaki disease are essential to ensure a successful outcome of coronary artery involvement. A specific diagnostic test is not available and the diagnosis is based on the presence of characteristic clinical findings. However, in some patients with lack of sufficient clinical signs to fulfill the diagnostic criteria are called incomplete Kawasaki disease. There may be problems in diagnosing infants presenting with rare symptoms. Here we presented two infants diagnosed with incomplete Kawasaki disease who presented with rare symptoms. The first patient presented with a history of persistent fever for seven days, irritability and strawberry tongue. Subsequently erythema with induration was noticed around the BCG site. The second patient presented with fever, maculopapular rash and transient hemiparesis. The coronary abnormalities were observed by echocardiography in both patients. Incomplete Kawasaki disease was diagnosed, and therapy with acetylsalicylic acid and intravenous gamma globulin was initiated in both patients.
RECURRENT ADULT INTUSSUSCEPTION PRESENTING WITH CHRONIC ANAEMIA: A CASE REPORT
MM Dauda, AM Tabari
Annals of African Medicine , 2002,
Abstract: This is a report of a 45-year-old man who had intussusception for 2 years but presented only after he developed chronic anaemia and cardiac decompensation.
Kawasaki disease: giant aneurysm with a large thrombus of the left coronary artery  [cached]
Alakananda Ghosh,Brojendra Nath Agarwala
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e23
Abstract: We report a six-month-old febrile infant presenting with stridor. Later on, he developed typical Kawasaki disease with giant aneurysm of the coronary artery with thrombosis that resolved with an aggressive anticoagulation therapy. The giant aneurysm still persisted a year later. Respiratory illness with stridor is an unusual presentation of Kawasaki disease.
Enfermedad de Kawasaki, reporte de casos Kawasaki disease: case report  [cached]
JUAN CAMILO JARAMILLO,CARLOS ARTURO AGUIRRE
Infectio , 2006,
Abstract: La enfermedad de Kawasaki es una vasculitis multisistémica, aguda, que ataca principalmente los ni os lactantes y preescolares, y se ha convertido en la primera causa de enfermedad cardiaca adquirida en los países industrializados. Puede ser autolimitada, pero suele da ar las arterias de mediano calibre, especialmente las coronarias, ocasionando graves secuelas e, incluso, la muerte. Además de las alteraciones cardiacas, la enfermedad puede tener manifestaciones gastrointestinales, musculoesqueléticas, neurológicas, pulmonares y oculares, entre otras. No se conoce su causa, pero existen evidencias de que puede ser infecciosa y se ha postulado que sería desencadenada por un agente infeccioso ubicuo, probablemente respiratorio, que desencadena una potente reacción inmunológica en ciertos individuos. La enfermedad tiene comportamiento endemoepidémico. En Colombia, se han descrito casos esporádicos, aunque no existe una vigilancia activa de este problema de salud. En esta revisión se analizan cuatro casos de enfermedad de Kawasaki, captados en un hospital de tercer nivel en un período de un mes y medio, lo que sugiere un posible brote; se resalta la variedad de signos y síntomas de la enfermedad y se hace énfasis en el diagnóstico temprano con el fin de mejorar el pronóstico. The Kawasaki disease is a systemic vasculitis that mainly affects children under five years. It has become the first cause of acquired cardiac illnesses in industrialized countries. Although it can be a self-limited disease, it usually damages medium caliber arteries, especially the coronaries, causing serious sequels and even death. Aside from cardiac alterations, the Kawasaki disease can affect other organs and systems: muscles, central nervous system, lungs and eyes, among others. Its cause is still unknown, but there is evidence that it may have an infectious origin, and it has been postulated that it is triggered by an ubiquitous infectious agent, probably a respiratory one, that causes a strong immunological reaction in certain individuals. The Kawasaki disease has an endemoepidemic pattern. In Colombia, some isolated cases have been described, although an active surveillance of this disease does not exist. In this review, four Kawasaki disease cases are analyzed, attending a third level hospital during a one and a half month period which suggests a possible outbreak. The variety of signs and symptoms of the disease in these cases are emphasized and also is the importance of early diagnosis to improve patients’ outcome.
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