Pulmonary histoplasmosis in a Japanese male: report of a case

A case of pulmonary histoplasmosis, which is rare in Japan, is reported herein. A 43-year-old man who had worked in Mexico for 2 years and had come back to Japan 3 months earlier, presented at our hospital because of an abnormal shadow on his chest roentogenogram with no symptoms. His chest roentogenogram as well as chest computed tomograms revealed a 2-cm-diameter nodule in the anterior basal segment of his right lung and an enlargement of the subcarinal lymph node. Although these pictures seemed to indicate an advanced lung cancer, no malignant cells were found based on the brushing cytology findings after bronchoscopy. An exploratory thoracoscopic tumor resection and biopsy of the enlarged lymph node led to a histological diagnosis of an abscess due to histoplasma. The hospital course was uneventful. Postoperatively, amphotericin B was administered for 1 year. This is the eighth case of pulmonary histoplasmosis reported in Japan. A pulmonary nodule together with mediastinal lymphoadenopathy seems to be characteristic in these patients. Histoplasmosis should therefore be considered in the differential diagnosis, since overseas travel has now become common-place for the Japanese.     

Transient glaucoma as a manifestation of mumps. A case report

A case report of a 43-year-old man who during convalescence after mumps (parotitis epidemica) developed bilateral glaucoma associated with redness of his eyes but no other ocular manifestations. The chamber angles were open. No signs of scleritis or iritis were present. The best treatment was found to be prednisolone topically and acetazolamide orally. After ten days the intraocular pressure was normalized and after a fortnight all treatment could be discontinued.     

An unusual consequence of stereotactic colloid cyst aspiration: case report

The removal of a colloid cyst of the third ventricle by stereotactic cyst aspiration is frequently performed as an alternative to a transcortical-transventricular or transcallosal operative route. A consequence of a CT-guided stereotactic aspiration, where residual colloid cyst material has been dislodged into the lateral ventricle and likened to an intraventricular mouse, is described.     

Eccrine acrospiroma in a young African male: case report

This is a report of a rare benign neoplasm of the sweat gland in a 23 year old African male. Clinically, the growth had the appearance of an ulcerated malignant cutaneous neoplasm. It was completely and easily excised at surgery and the patient has remained well without recurrence five years after complete excision.     

Small cell carcinoma of the male breast: report of a case

An uncommon type of breast carconoma in a male studied by light and electron microscopy, is reported. Light microscopy reveals histologic characteristics and a pattern similar to infiltrating lobular carcinoma in the female breast. The ultrastructural study, because of close similarities in cellular characteristics with previously published reports, gives firm support to the light microscope findings.     

Extinction of response to urine odor as a consequence of vomeronasal organ removal in male guinea pigs.

The present authors (see record 1983-12216-001) previously showed that, over time, removal of the vomeronasal chemoreceptor organ (VNO) in male guinea pigs disrupted investigatory responses to conspecific odors. The present study, with 24 Ss, investigated whether this result reflected sequelae to surgical trauma or an extinction of the response due to lack of reinforcement. The VNO was surgically removed in 2 groups of Ss (A and B), and a 3rd group (C) experienced sham surgery. Beginning 3 wks following surgery, Ss in Groups A and C were given 2 standard urine-response tests/week for 24 wks. Initiation of testing of Group B Ss was delayed until Week 15 following surgery. Results indicate that (a) responses of Group A declined relative to those of Group C; (b) at the 1st postsurgical test, Group B was as responsive to urine as Group C and much more responsive than Group A; and (c) a decline in responses for Group B occurred during tests after Week 15. Data strongly support the extinction hypothesis. It is concluded that although the main olfactory system is capable of eliciting a high level of investigatory behavior in response to female urine odors, this response wanes in the absence of the VNO, perhaps due to a loss of reinforcing properties associated with VNO stimulation. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bullous pemphigoid as a paraneoplastic syndrome. A case report in renal-cell carcinoma

Paraneoplastic markers in tumor patients may occur at various stages of the disease. While some disorders almost invariably herald an underlying malignancy (obligative marker), most only occasionally do so (facultative marker). The association of bullous pemphigoid with malignancy is controversial. There are only a few reports of bullous pemphigoid associated with a renal cell carcinoma. We diagnosed a renal cell carcinoma in a 74 year old female patient, admitted to the hospital because of bullous pemphigoid. Multiple metastases were found in her lymph nodes, liver, lung and skeleton. The patient died eleven weeks after the first symptoms of bullous pemphigoid appeared.     

Primary adenocarcinoma of the renal pelvis in a young male: a case report

The patient was a 16-year-old male who visited our hospital with the chief complaint of microhematuria. Computed tomography revealed left hydronephrosis, renal stones and left renal tumor. Needle biopsy was performed under ultrasonography. The histological diagnosis was adenocarcinoma and left radical nephrectomy was performed. The histological diagnosis was mucinous adenocarcinoma of the renal pelvis. Postoperative chemotherapy was not given. The patient has had neither recurrence nor metastasis for 1 year following surgery. This is the 92nd reported case in the literature.     

Osteomyelitis presenting as genital sore: a case report

A female attending the skin outpatient department presented with a genital sore which was treated as chancroid. On further investigation it proved to be the opening of a sinus secondary to chronic osteomyelitis of the pubic symphysis.     

Agoraphobia in a rehabilitation medicine setting: A case report.

Agoraphobia is a pervasive constellation of fears and avoidance behaviors that is severely debilitating. People with agoraphobia are often afraid of open spaces, crowds, being alone, or other everyday situations. In this article, I present the case of a client with agoraphobia who was on a medical rehabilitation unit. Psychological interventions with this person are outlined; discharge and follow-up status are given. In a literature review, I focus on possible origins of agoraphobia and outline some current treatment modalities. Although the treatment interventions were geared for a rehabilitation hospital milieu, the theory and techniques presented can effectively be generalized to other treatment environments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Same-sex rape of male college students

Rape of men by other men is a widely neglected yet increasingly recognized form of sexual assault. Information on same-sex rape involving men is frequently absent in campus rape education and prevention programming because the general public and popular culture have traditionally viewed rape in a context of violence against women. Available medical and psychological literature indicates the need for expanded prevention, treatment, and research dealing with men who rape other men. Several initiatives in the areas of curriculum infusion, support, services, training, and public policy for addressing same-sex rape of men in campus communities are offered.     

Congenital tuberculosis. A report of a probable case

Extensive miliary pulmonary tuberculosis in a 17-day-old infant born to a mother with pulmonary tuberculosis is described. It was assumed that the patient probably had congental tuberculosis. We report our findings to draw attention to a rare disease where a high index of suspicion, timely diagnosis and adequate management are essential if treatment is to be successful.     

Spinal neurenteric cyst. A report of a case

A case of intradural extramedullary neurenteric cyst is reported. The embryogenesis and surgical treatment of this lesion are discussed.     

Infection of a Charcot spine. A case report

Charcot spine is an unusual neuropathic arthropathy that may be found in patients with complete neurologic lesions of the spinal cord. The case presented represents a progressive destructive lesion of a Charcot spine, which, on extensive investigation and subsequent surgical arthrodesis, demonstrated an infectious process. Infection must be considered as a possible etiology in a destructive lesion of a Charcot spine.     

Subcapsular hematoma as a complication of acute pyelonephritis: a case report

A case of subcapsular hematoma, a rare complication of acute pyelonephritis (APN) is described. A 60-year-old diabetic woman was admitted with a 3 day history of fever and left flank pain due to acute pyelonephritis. On the third day in hospital, left flank pain worsened despite use of antibiotics available for the treatments of APN and hemoglobin rapidly decreased from 11.1 to 7.9 g/dL. Ultrasonography and abdominal CT showed left subcapsular hematoma. Renal angiography demonstrated an ovoid avascular zone between the capsular artery and parenchyme of the left kidney with no evidence of tumors or vascular abnormalities, such as arteriovenous malformation or fistula. Subsequent percutaneous drainage of this subcapsular hematoma was performed and showed old blood-colored drainage. Hereby, the possibility of subcapsular renal hematoma in the course of acute pyelonephritis is stressed as a rare complication.     

HELLP syndrome: undiagnosed in a case of impending rupture of uterus. A case report

Eleven patients with chronic renal failure who were being treated with haemodialysis three times a week were monitored for a total of 34 haemodialysis sessions. Erythrocyte 2,3-biphosphoglycerate (2,3-BPG) concentration was analysed immediately before initiation of bicarbonate haemodialysis and 1 h afterwards. The 2,3-BPG concentration was expressed relative to the haemoglobin tetramer (Hb4) concentration as the 2,3-BPG/Hb4 ratio and compared with blood gas analyses and biochemical variables important for characterizing uraemia. During the first hour of haemodialysis the 2,3-BPG/Hb4 ratio decreased (p < 0.002), but the magnitude of the decrease did not significantly correlate with the 2,3-BPG/Hb4 ratio measured before haemodialysis (p=0.104). The decrease is most likely to be caused by the haemodialysis procedure itself. Mechanical stress on the erythrocytes is believed to cause the 2,3-BPG to escape; it is then removed by haemodialysis. Physiologically, an increase in 2,3-BPG would be expected to counteract the hypoxia which is frequently observed during haemodialysis. However, the present results show the opposite, a decrease in 2,3-BPG. No significant correlation was shown between the haemoglobin concentration and the 2,3-BPG/Hb4 ratio before dialysis (p=0.414). The pH showed a significant positive correlation with the 2,3-BPG/Hb4 ratio before dialysis, whereas the arterial pO2 and the 2,3-BPG/Hb4 ratio before dialysis were insignificantly negatively correlated. The concentrations of calcium, phosphate, creatinine, urea and albumin did not correlate significantly with the change in 2,3-BPG/Hb4-ratio after 1 h. The 2,3-BPG/Hb4 ratio (p=0.03) sampled just before dialysis correlated significantly and positively with the total weekly dosage of erythropoietin given to the patients.