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costal tuberculosis

Mercedes Pérez-Bonilla, Daniel Oves-Costales, Mercedes de la Cruz, Maria Kokkini, Jesús Martín, Francisca Vicente, Olga Genilloud, Fernando Reyes
Phocoenamicins B and C ( 1 and 2 ), together with the known spirotetronate phocoenamicin ( 3 ), were isolated from cultures of Micromonospora sp. The acetone extract from a culture of this strain, isolated from marine sediments collected in the Canary Islands, displayed activity against methicillin-resistant Staphylococcus aureus (MRSA), Mycobacterium tuberculosis H37Ra and Mycobacterium bovis . Bioassay-guided fractionation of this extract using SP207ss column chromatography and preparative reversed-phased HPLC led to the isolation of the new compounds 1 and 2 belonging to the spirotetronate class of polyketides...
March 16, 2018: Marine Drugs
Yasmina Rhofir, Rachida Zahraoui, Nabil Tiress, Hicham Naji-Amrani, Mouna Soualhi, Jamal Eddine Bourkadi
Nocardiosis is a rare but severe infection caused by bacteria of the genus nocardia, which belong to the order actinomycetales. If they can affect immunocompetent adult, nocardioses are pathologies affecting the individuals with weakened immune system. Pulmonary involvement is the most common manifestation, its correct management is based on diagnosis, which is often delayed due to non-specific symptoms and inconclusive specimens. We here report two cases of nocardiosis in immunocompetent patients. The first case concerns a 24-year old man with a history of smoking and alcoholism, hospitalized for chest pain and hemoptysis of low abundance evolving for two months, associated with the occurrence of dorsal subcutaneous fistulized abscess...
2017: Pan African Medical Journal
Nasim Khadem, Cristina Costales, Eric A White, Dakshesh B Patel, Anderanik Tomasian, George R Matcuk
No abstract text is available yet for this article.
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Jiandang Shi, Xuefeng Yue, Ningkui Niu, Chen Zhao, Hongyan Qiu, Zili Wang
PURPOSE: In the present prospective randomized controlled study, we compared the feasibility and effectiveness of our modified thoracoabdominal approach to anterior thoracolumbar spine surgery without cutting open the costal portion of diaphragm (extradiaphragmatic approach) with the traditional transdiaphragmatic thoracoabdominal approach. The traditional combined thoracoabdominal approach in anterior thoracolumbar surgery for spine tuberculosis is effective but seriously damages the diaphragm and causes various lung complications...
July 2017: European Spine Journal
S Bacha, M Khemiri, H Racil, S Hantous, N Chaouch, S Cheikhrouhou, A Chabbou, M L Megdiche
INTRODUCTION: The features of paradoxical reactions (PR) that occurred in non-HIV infected patients are rare and not well known. CASE REPORT: The authors reported the case of a 21years old, non-immunocompromised, and HIV negative patient treated for disseminated tuberculosis. PR occurred after 8months after initiation of antituberculous treatment. PR presented as left cervical lymphadenopathy, pulmonary, pleural, costal and spinal location of the tuberculosis. The antituberculous drugs were prolonged...
December 2016: Revue de Pneumologie Clinique
Antony Colombo, Christophe Saint-Pierre, Stephan Naji, Michel Panuel, Hélène Coqueugniot, Olivier Dutour
In 2008, a skeleton of a 1 - 2.5-year-old child radiocarbon dated from the 10th - 11th century AD was discovered on the oppidum of La Granède (Millau, France). It presents multiple cranial osteolytic lesions having punched-out or geographical map-like aspects associated with sequestrum and costal osteitis. A multi 3D digital approach (CT, μCT and virtual reconstruction) enabled us to refine the description and identify the diploic origin of the lytic process. Furthermore, precise observation of the extent of the lesions and associated reorganization of the skeletal micro-structure were possible...
June 2015: Tuberculosis
Noboru Oyachi, Kazuko Obana, Takeyuki Suzuki, Shuri Kimura, Kozo Chino, Toshio Oyama, Kunio Takano
Reported here is the case of a 15-month-old boy with costal osteomyelitis due to the bacillus Calmette-Guérin (BCG) vaccine against tuberculosis. Mild complications of this vaccine, such as localized abscess and regional lymphadenitis, are occasionally recognized, but its association with osteomyelitis is extremely rare.
October 2013: Pediatrics International: Official Journal of the Japan Pediatric Society
Wan Kee Kim, Joon Bum Kim, Gwan Sic Kim, Sung-Ho Jung, Suk Jung Choo, Cheol Hyun Chung, Jae Won Lee
BACKGROUND: Sternal dehiscence is one of the most troublesome complications following cardiac surgery. Treatment failure and consequent lethal outcomes are very common. The aim of this study was to evaluate titanium plate fixation as a treatment for sternal dehiscence following major cardiac surgery. MATERIALS AND METHODS: Between 2010 and 2012, 17 patients underwent sternal reconstruction using horizontal titanium plating for the treatment of post-cardiac-surgery sternal dehiscence...
August 2013: Korean Journal of Thoracic and Cardiovascular Surgery
Sathya N Dornala, Snehalatha S N Dornala
The clinical study was conducted at the Out Patient Department of State TB Training and Demonstration Centre, S.R. Nagar, Hyderabad, Andhra Pradesh, India, during June 2003 to December 2004. A group of 60 patients of PTB were included in the study and were divided into two equal groups. Both the groups were on the Directly Observed Treatment Short - course chemotherapy (DOTS) regime. The test group was given DOTS + Bhringarajasava (30 ml thrice a day) and the control group was only on DOTS. The study was to evaluate whether the addition of Bhringarajasava as Naimittika Rasayana (complementary drug) is beneficial in providing faster and better relief or not...
October 2012: Ayu
Karla Diaz, Diego Maselli, Manuel Rivera, Stephanie Levine
SESSION TYPE: Pleural Cases IPRESENTED ON: Tuesday, October 23, 2012 at 11:15 AM - 12:30 PMINTRODUCTION: The most common cause of hemothorax is trauma. Non-traumatic hemothorax is uncommon and can be caused by malignancy, tuberculosis, blood dyscrasias, pulmonary embolism, thoracic aortic aneurysm, pulmonary artery aneurysm, arteriovenous fistula, connective tissue disease, and catamenial hemothorax. We present the case of a patient who developed a hemothorax as a result of a costal exostosis: a rare cause of spontaneous hemothorax...
October 1, 2012: Chest
Mpiko Ntsekhe, Bongani M Mayosi, Tawanda Gumbo
BACKGROUND: The purpose of this study was to quantify the heterogeneous distribution of echodensities in the pericardial fluid of patients with tuberculous pericarditis using echocardiography and fractal analysis, and to determine whether there were differences in the fractal dimensions of effusive-constrictive and effusive non-constrictive disease. METHODS: We used fractal geometry to quantify the echocardiographic densities in patients who were enrolled in the Investigation of the Management of Pericarditis in Africa (IMPI Africa) Registry...
July 28, 2012: Cardiovascular Ultrasound
Marisa De Feo, Giovanni Rossi, Emanuele Durante-Mangoni, Maurizio Cotrufo, Alessandro Della Corte
Rib chondro-osteitis is rare and usually caused by tuberculosis. A 63-year-old man presented with fever, painful swelling, and a burning sensation in the parasternal right submammary region. He had a history of cardiac interventions: percutaneous transcatheter angioplasty with stenting 1 year prior and coronary artery bypass graft surgery 16 years before; therefore, he was on dual antiplatelet therapy. He sustained blunt chest trauma 5 months before admission. A chest wall abscess was suspected and fine needle aspiration of the lesion revealed the presence of purulent fluid...
June 2011: Ostomy/wound Management
B Wiesner, A Prothmann, C Grohé
A 25-year-old female patient from India suffered from diffuse pain in the upper and lower abdomen, caused by infiltrative changes of the ovaries and intraabdominal fluid. The patient refused further examinations. 11 months later she endured additional pain of the thorax and the left shoulder. An opacity in the left lung and costal destruction was diagnosed. Puncture of the lung process showed a granulomatous inflammation including Langerhans cells. The puncture of a peritoneal thickening also showed inflammation...
July 2010: Der Internist
Yao-Ching Hsieh, Keng-yu Tsai, Chi Y Wang, Chien-ning Hung, Shinn-shyong Tsai, Hung-Jen Liu
Avian tuberculosis was diagnosed via histopathology, microbiology, and molecular biology in two of six pheasants from a local sanctuary bird house in Taiwan. Swinehoe's pheasant (Lophura swinhoii) is a near-threatened species in Taiwan. The infected birds showed clinical signs such as fatigue, inappetence, diarrhea, and fluffing of feathers. On postmortem, nonmineralized caseogranulomas were present in the brain, heart, lung, liver, spleen, costal membranes, and intestinal tracts. The presence of granulomas in the lungs of the infected pheasants may suggest that exposure to the infective agent was via the respiratory route rather than the alimentary route...
December 2009: Avian Diseases
Takuya Ueda, Christe Andreas, Jun Itami, Kunihisa Miyakawa, Hajime Fujimoto, Hisao Ito, Justus E Roos
OBJECTIVE: The purpose of this study was to evaluate the radiologic features of pyothorax-associated lymphoma on CT scans and chest radiographs. MATERIALS AND METHODS: Radiographs and CT scans of 21 patients with biopsy-proven pyothorax-associated lymphoma (17 men, four women; median age, 71 years; range 52-77 years) were retrospectively identified. Two readers in consensus analyzed the morphologic imaging features of pyothorax-associated lymphoma and determined their relation to the preexisting chronic empyema cavity...
January 2010: AJR. American Journal of Roentgenology
Kajorn Inthraburan, Adisorn Wongsa
A 26-year-old Thai man presented with progressive dyspnea for four months and right pleuritic chest pain two days before admission. The chest radiograph showed massive right pleural effusion. Thoracentesis was done, and the culture grew Nocardia spp as well as positive strain for acid-fast bacilli. An anti-HIV test was reactive, with a CD4 count of 12 cells/mm3. The patient was treated with inter-costal tube drainage (ICD) inserted for empyema thoracis. The antimicrobials used trimethoprim-sulfamethoxazole and anti-TB drugs CAT-1 orally...
July 2009: Southeast Asian Journal of Tropical Medicine and Public Health
Mar Llamas-Velasco, Inmaculada Domínguez, Enrique Ovejero, Silvia Pérez-Gala, Amaro García-Diez
Empyema necessitatis (EN) is a rare disease, with unknown incidence, which has received little attention from a dermatological point of view but it is essential to recognize it because of the possibility of causing mortality if not treated properly and in time. We report a 32-year-old woman, diagnosed with nervous anorexia, with an enlarging mass on the anterior right thoracic wall. Cultures showed Actinomyces gerencseriae as the main etiological agent of her empyema "necessitatis". She was successfully treated with amoxicillin with clavulanic acid...
January 2010: European Journal of Dermatology: EJD
Alper Gözübüyük, Berkant Ozpolat, Sedat Gürkök, Hasan Caylak, Orhan Yücel, Kuthan Kavakli, Mehmet Dakak, Onur Genç
OBJECTIVE: Tuberculosis remains one of the most fatal diseases in the world. Extrapulmonary tuberculosis increases in parallel fashion with the rise of incidence of pulmonary tuberculosis. Tuberculosis of the chest wall is rare. METHODS: Our study retrospectively evaluated 10 patients with tuberculosis of the chest wall who were treated with surgery in addition to antituberculous chemotherapy in the last 8 years. Seven of the lesions were located on the anterior chest wall, and three of the lesions were on the lateral chest wall...
January 2009: Journal of Cutaneous Medicine and Surgery
Naruhiko Ishiwada, Haruka Hishiki, Masaharu Watanabe, Kiyofumi Ohkusu, Yoichi Kohno
Conventional polymerase chain reaction (PCR) used to identify mycobacterial species does not distinguish between Mycobacterium tuberculosis and M. bovis BCG, and several weeks or months may be needed to identify individual slow-growing Mycobacterial species. We report a 4-year-old girl who had subcutaneous abscess and sternal osteomyelitis after BCG vaccination at 4 month of age. We directly identified M. bovis BCG genome in the punctured abscess within a few days using PCR and PCR-restriction fragment length polymorphism...
January 2008: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
Y L Ng, D Patsios, H Roberts, A Walsham, N S Paul, T Chung, S Herman, G Weisbrod
AIM: To determine the value of computed tomography (CT)-guided fine-needle aspiration biopsy (FNAB) of small pulmonary nodules measuring 10 mm or less. MATERIAL AND METHODS: CT-guided FNABs of 55 nodules, measuring 10mm or less, were performed between January 2003 and February 2006. A coaxial technique was used, with an outer 19 G Bard Truguide needle and inner 22 G disposable Greene biopsy needle. Adequacy of specimens was assessed on-site by a cytotechnologist...
March 2008: Clinical Radiology
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