Vaginalna krvavitev pri deklicah pred menarho je redko, a zaskrbljujoče stanje. Pojavi se lahko zaradi različnih vzrokov. O tem, kdaj opraviti pregled v anesteziji in kolposkopijo, strokovnjaki niso ...enotnega mnenja. Najpogostejši vzrok vaginalne krvavitve je vulvovaginitis, a so pogoste tudi poškodbe med izvajanjem dejavnosti v vodi. V prispevku predstavljamo primer šestletne deklice z vaginalno krvavitvijo, ki je nastala zaradi masažnih šob v termalnem bazenu.
Acute idiopathic scrotal edema is a rare cause of acute scrotum that runs a benign course and resolves without sequelae. It is characterised by acute swelling and erythema of the scrotum. Color ...Doppler imaging typically demonstrates the fountain sign that, in the presence of normal testes and epididymis, additionally conrms the diagnosis.
Acute idiopathic scrotal edema is a rare cause of acute scrotum that runs a benign course and resolves without sequelae. It is characterised by acute swelling and erythema of the scrotum. Color ...Doppler imaging typically demonstrates the “fountain sign” that, in the presence of normal testes and epididymis, additionally confirms the diagnosis.
In this paper, we review the characteristics of acute idiopathic scrotal edema and report a clinical case.
Acute idiopathic scrotal edema is a rare cause of acute scrotum that runs a benign course and resolves without sequelae. It is characterised by acute swelling and erythema of the scrotum. Color ...Doppler imaging typically demonstrates the “fountain sign” that, in the presence of normal testes and epididymis, additionally confirms the diagnosis.In this paper, we review the characteristics of acute idiopathic scrotal edema and report a clinical case.
Pneumocephalus is usually caused by injury that damages the brain meninges and thus allows air to enter the intracranial cavity. Our intention was to establish the importance of considering a stab ...wound in the neck as a possible cause of traumatic pneumocephalus. The paper presents the case of a 13-year-old girl who was accidentally stabbed in the neck with a kitchen knife by her brother. She had no neurological deficit but had developed headaches. An examination showed cerebrospinal fluid leaking from the neck wound and a CT scan revealed the pneumocephalus. Following surgical treatment, the patient's clinical symptoms regressed. To our knowledge, this case is the first report of the manifestation of pneumocephalus as the result of a neck stab wound in a child; overall, there are only three reported cases of pneumocephalus caused by a neck stab wound.
Background. The transferrin receptors are transmembrane proteins. They have a critical role in iron metabolism by controlling the flow of transferrin iron into body cells. The density of a surface ...transferrin receptor on a given cell is proportional to the iron requirements of that cell. A soluble form of the receptor can be detected in human serum by sensitive immunoassays.Conclusions. Concentration of serum transferrin receptor reflects total erythropoietic activity of human body. It provides a quantitative measure of functional iron deficiency and distinguishes the associated anemia from that of chronic disease. Elevated serum receptor levels provide a valuable measure of enhanced erythropoiesis. It might be useful for measuring of the therapeutic effect of recombinant human erythropoetin. It is more sensitive and less invasive than bone marrow examination currently used to assess a red cell precursor mass.
Background. Respiratory syncytial virus (RSV) is the most common cause of lower respiratory tract infections in children under 12 months of age. Premature children and those with chronic lung disease ...are at increased risk for severe RSV infection. In 1998, palivizumab, a monoclonal antibody was registered in the US for the prevention of RSV infections in at-risk children. Widespread use of palivizumab is limited by its high price.Conclusions. In most countries guidelines for the use of palivizumab were set at the national level according to the local epidemiological data on the epidemiology of RSV infections in premature children. At present, a prospective study on the epidemiology of RSV infections in children in Slovenia has been going on and it will be finished in 2003. Slovenian guidelines for the use of palivizumab are presented in the article – these will need to be changed according to the results of the study.
Brain abscesses are rare, especially in children, but they can be life-threatening infections. To date, dental pathology has been linked to only a small number of brain abscesses. To our best ...knowledge this is the first reported case of a brain abscess following self-extraction of a milk tooth. We are reporting on a 12-year-old previously healthy boy who developed a brain abscess in the vicinity of the left precentral gyrus. Clinical examination prior to surgery showed a severe right hemiparesis, more pronounced in his leg. We performed an ultrasonographically guided puncture and aspiration of the abscess through a small craniotomy. Immediately after the procedure he became hemiplegic. Bacteriological examination of the aspirated pus revealed Streptococcus intermedius, Streptococcus beta-haemolyticus group F, Fusobacterium species and gram-negative rods. The same species of microorganisms were identified in a smear from the vicinity of the extracted tooth. The patient was carefully screened for possible other sources of infection, but none was found. Following appropriate antimicrobial treatment he recovered completely and returned home without any neurological deficit.
Povzetek Izhodisca. Transferinski receptorji so transmembranski proteini, ki imajo kljucno vlogo v presnovi zeleza. Omogocajo transport na transferin vezanega zeleza v celice. Kadar je potreba po ...zelezu velika, celice pomnozijo transferinske receptorje. Koncentracija serumskih transferinskih receptorjev je sorazmerna koncentraciji membranskih receptorjev in odslikava celotno eritropoetsko dejavnost. Zakljucki. Topne receptorje lahko dolocamo v serumu z imunoloskimi preiskavami. Z merjenjem koncentracije transferinskih receptorjev v serumu lahko kolicinsko merimo stopnjo pomanjkanja zeleza in locimo med anemijo zaradi kronicnih bolezni in anemijo zaradi pomanjkanja zeleza. Pri stanjih s pospeseno eritropoezo lahko spremljamo aktivnost bolezni. Primerni so za spremljanje zdravljenja s humanim eritropoetinom. So zelo obcutljiv kazalec eritropoeze, pogosto lahko celo nadomestijo citoloski pregled kostnega mozga. Razlicna fizioloska stanja (nosecnost) in vnetja ne vplivajo na koncentracijo serumskih transferinskih receptorjev.