The Experts below are selected from a list of 282 Experts worldwide ranked by ideXlab platform
Hitoo Nakano - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous rupture of the renal pelvis during pregnancy: a case report and review of the literature.
American journal of perinatology, 2002Co-Authors: Shoji Satoh, Akiko Okuma, Yasuyuki Fujita, Masatoshi Tamaka, Hitoo NakanoAbstract:We report a case with spontaneous rupture of the renal pelvis during pregnancy. A 34-year-old Japanese woman was referred at 20 weeks' gestation because of sudden severe right flank pain. She had severe colic pain radiating to the right lower abdomen with percussion tenderness at the right Costovertebral Angle and was initially suspected to have renal/ureteral calculi. Ultrasonography and intravenous pyelography showed urine extravasating from the renal pelvis, indicating rupture of the right renal pelvis. Immediately following the insertion of a double-J indwelling catheter, her symptoms and perirenal extravasation ceased. She had no further urological problems during pregnancy and a male infant was delivered at 41 weeks' gestation. Cases with spontaneous rupture of the renal pelvis in pregnancy are reviewed.
P.-m. Roger - One of the best experts on this subject based on the ideXlab platform.
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Bacteraemic urinary tract infections may mimic respiratory infections: a nested case–control study
European Journal of Clinical Microbiology & Infectious Diseases, 2016Co-Authors: E. Denis, N. Martis, F. Guillouet-de Salvador, E. Demonchy, N. Degand, K. Carles, P.-m. RogerAbstract:Daily practice suggests that respiratory signs may be observed in bacteraemic urinary infections (BUI). Our objective was to search for an association between the presence of respiratory symptoms and the bacteraemic nature of urinary tract infections (UTI). A nested case–control study was carried out based on our computerised dashboard from January 2011 to June 2015. Cases were defined as patients with a BUI due to Enterobacteriaceae species, identified in blood and urine cultures. Controls had fever and a positive urinary sample but sterile blood cultures (NBUI) and a final diagnosis of urinary infection. Patients from the BUI group were 1:1 matched to the NBUI group according to four parameters: age, gender, cardiovascular and pulmonary comorbid conditions. Subjects with cognitive impairment limiting clinical accuracy and those with healthcare-associated infections were excluded. We compared systematically recorded respiratory and urinary symptoms between groups: signs on auscultation, dyspnoea, chest pain, cough and sputum, dysuria with burning, pollakiuria, flank or Costovertebral Angle tenderness and ischuria. One hundred BUI were compared to 100 NBUI, both groups exhibiting a similar rate for all considered comorbid conditions. In the BUI group, 58 % showed at least one respiratory sign vs. 20 % in the NBUI group, p
Shoji Satoh - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous rupture of the renal pelvis during pregnancy: a case report and review of the literature.
American journal of perinatology, 2002Co-Authors: Shoji Satoh, Akiko Okuma, Yasuyuki Fujita, Masatoshi Tamaka, Hitoo NakanoAbstract:We report a case with spontaneous rupture of the renal pelvis during pregnancy. A 34-year-old Japanese woman was referred at 20 weeks' gestation because of sudden severe right flank pain. She had severe colic pain radiating to the right lower abdomen with percussion tenderness at the right Costovertebral Angle and was initially suspected to have renal/ureteral calculi. Ultrasonography and intravenous pyelography showed urine extravasating from the renal pelvis, indicating rupture of the right renal pelvis. Immediately following the insertion of a double-J indwelling catheter, her symptoms and perirenal extravasation ceased. She had no further urological problems during pregnancy and a male infant was delivered at 41 weeks' gestation. Cases with spontaneous rupture of the renal pelvis in pregnancy are reviewed.
Kiran Bala - One of the best experts on this subject based on the ideXlab platform.
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Unilateral renal phaeohyphomycosis due to Bipolaris spicifera in an immunocompetent child - rare case presentation and review of literature.
Mycoses, 2015Co-Authors: Ravinder Kaur, Kiran BalaAbstract:Summary Phaeohyphomycosis refers to infections caused by phaeoid fungi that can have an aggressive course in normal hosts. We report a case of left-sided renal phaeohyphomycosis due to Bipolaris spicifera in a 7-year-old immunocompetent male child. He presented with fever, dysuria, nausea, vomiting and flank pain. Examination revealed tenderness at the left Costovertebral Angle. Histological examination and culture of biopsy from left kidney and blood yielded the fungal pathogen Bipolaris spicifera. His past history revealed that he was diagnosed perinatally with bilateral hydronephrosis due to bilateral pelvic ureteric junction obstruction. He underwent an open dismembered pyeloplasty on the left side followed by the right side pyeloplasty at the age of 6 months and 1.5 years respectively. He was on a regular follow-up for 5 years and had been doing well. Now he was diagnosed as a case of unilateral renal phaeohyphomycosis. The patient was managed successfully with antifungal drugs amphotericin B and itraconazole. A review of previously reported bipolaris cases with their clinical manifestations, treatment and outcome is presented. Renal phaeohyphomycosis remains an unusual disease. Aggressive diagnostic approaches and careful management helped in survival of the patient.
Thilaganathan B - One of the best experts on this subject based on the ideXlab platform.
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A newly described thoracic vascular malformation in fetuses with Down syndrome.
'Wiley', 2005Co-Authors: Prefumo F, E. Fulcheri, De Biasio P, Thilaganathan BAbstract:Objectives: To report the association between thoracic vascular malformations observed in the first trimester of pregnancy and Down syndrome. Methods: The clinical features were reviewed of seven fetuses undergoing chorionic villus sampling (CVS) for increased nuchal translucency (NT) thickness, in which color Doppler ultrasonography revealed a vascular malformation in the fetal thorax. Results: The crown-rump length of the fetuses ranged from 58 to 78 mm and NT measurements ranged from 2.9 to 10.0 mm. Color Doppler allowed the identification of a highly vascular structure in the posterolateral portion of the fetal thorax, in proximity to the Costovertebral Angle, at the level of a four-chamber view of the heart. The lesions had a globular shape and were 4-6 mm in diameter, occupying almost one third of the hemithorax. Down syndrome was diagnosed in five out of the seven cases. In the only affected case that underwent postmortem examination, a hemangioma of the chest wall was demonstrated. In the two fetuses with normal karyotype, the lesion disappeared by mid-gestation. Conclusion: We report an association between the prenatal Doppler finding of a vascular tumor in the fetal chest and Down syndrome
