No abstract available.
Ductus Arteriosus, Patent* ; Endarteritis*

No abstract available.
Diagnosis ; Ductus Arteriosus, Patent ; Endarteritis ; Pulmonary Embolism

Infective endarteritis in the pulmonary artery is unusual. However, congenital heart disease such as patent ductus arteriosus (PDA) could be a predisposing factor of infective endarteritis. We report a patient with PDA complicated by infective endarteritis and large pulmonary artery vegetation. After three weeks of antibiotic treatment, the patient underwent surgical closure of the PDA and removal of the vegetation.
Ductus Arteriosus, Patent ; Endarteritis ; Heart Diseases ; Humans ; Pulmonary Artery

Percutaneous arterial closure devices allow earlier mobilization and discharge of patients after arterial catheterization than manual compression for achieving puncture site hemostasis. Our case is representative of Perclose(r) associated infections; our patient had a delayed presentation of a staphylococcal arterial infection that required arterial debridement and reconstruction. Physicians should be aware of this uncommon, but serious complication to expedite the evaluation and treatment of patients with suspected infections that can arise from using these devices.
Catheterization ; Catheters ; Coronary Angiography* ; Debridement ; Endarteritis* ; Hemostasis ; Humans ; Punctures

Staphylococcus lugdunensis (S. lugdunensis) is an unusually virulent coagulase-negative staphylococci (CNS) and uncommon cause of infective endocarditis (IE) involving mainly native left sided valves. S. lugdunensis IE, which was described previously as "surreptitious" and "wolf in sheep's clothing", runs an aggressive course with a high rate of severe in-hospital complications. Therefore, early surgical treatment has been considered for the treatment of S. lugdunensis IE. However, we experienced a case of S. lugdunensis pulmonary endarteritis which was cured with antibiotic therapy alone.
Ductus Arteriosus, Patent ; Endarteritis ; Endocarditis ; Humans ; Pulmonary Artery ; Staphylococcus ; Staphylococcus lugdunensis

Abortion, Induced ; Adult ; Chorionic Villi ; blood supply ; Endarteritis ; pathology ; Female ; Humans ; Pregnancy ; Pregnancy Complications ; pathology ; Stillbirth

The main pathogenesis of osteoradionecrosis is the initial radiation cellular kill, plus the progressive tissue hypoxia owing to endarteritis, plus late expressions of lethal mutations in stromal cells. Its treatment comprised (1) avoidance of local physical, chemical & biological irritants, (2) wound irrigation, (3) antibiotics & analgesics, (4) superficial sequestrectomy, (5) hyperbaric oxygen therapy, (6) resection and reconstructive surgery, and (7) supportive therapy for systemic condition. Because of the cumulative effect of radiation therapy, it is important to manage the osteoradionecrosis conservatively & continuously, with emotional & physical support. The authors think that conservative care is more essential to the patient of poor systemic condition, than the aggressive resection & reconstructive surgery. We report two cases of pathologic fracture by osteoradionecrosis of mandible that were cared conservatively in the department of dentistry, Wonju Christian Hospital. The contents of treatment are continuous wound dressing, medications (antibiotics and analgesics) in acute infection, incision and drainage on new abscess, emotional support (stress management), proper nutritional and physical supports (exercise and physical therapy). The prognosis of continuous conservative care is relatively favorable.
Abscess ; Analgesics ; Anoxia ; Anti-Bacterial Agents ; Bandages ; Dentistry ; Drainage ; Endarteritis ; Fractures, Spontaneous* ; Gangwon-do ; Humans ; Hyperbaric Oxygenation ; Irritants ; Mandible* ; Osteoradionecrosis* ; Prognosis ; Stromal Cells ; Wounds and Injuries

Percutaneous suture closure device is known as relatively safe and convenient tool, which can decrease not only bed rest period of patient but also time consuming effort of manual compression of doctor after femoral artery puncture. However [C1], there are also some reports on complication of its use. We report a 62-year-old male patient who had femoral artery endarteritis [0] with pseudoaneurysm as a complication of percutaneous suture closure device after percutaneous coronary angiography [C2]. He was treated successfully by appropriate antibiotics and vessel reconstruction using autologous saphenous vein patch.
Aneurysm, False ; Angioplasty, Balloon, Coronary ; Anti-Bacterial Agents ; Bed Rest ; Coronary Angiography ; Endarteritis* ; Femoral Artery ; Humans ; Male ; Middle Aged ; Punctures ; Saphenous Vein ; Sutures*

BACKGROUND: Infective endarteritis of the pulmonary artery is an unusual event. While congenital heart disease (CHD) is a risk factor, pulmonary endarteritis as a complication is a rare occurrence especially in the era of antibiotic therapy.
CASE PRESENTATION: We present a case of a 43-year-old female who initially sought consultation due to fever. Physical examination revealed a continuous murmur at the second intercostal space left parasternal border. There was no petechiae or any other skin lesions noted. Transthoracic two dimensional echocardiogram showed eccentric left ventricular hypertrophy with an ejection fraction of 65%. She had a patent ductus arterioscus as well as a bicuspid aortic valve. Further interrogation revealed a vegetation at the main pulmonary artery. Patient was initially started on ceftriaxone and gentamycin. Blood cultures were positive for coagulase negative Staphylococcus aureus. Ceftriaxone was then shifted to vancomycin, which was completed for 28 days.
OUTCOME: Clinical improvement was accompanied by the disappearance of the vegetation and negative blood cultures. Patient was maintained on enalapril and advised closure of the patent ductus arteriosus. She opted medical management for the time being and was discharge stable and improved.
CONCLUSION: Pulmonary endarteritis is an uncommon complication of CHD. A high index of suspicion must prompt careful evaluation, combining clinical, laboratory and echocardiographic modalitites in order to provide early diagnosis and effective treatment.

Human ; Female ; Adult ; Anti-bacterial Agents ; Coagulase ; Ductus Arteriosus, Patent ; Echocardiography ; Endarteritis ; Heart Defects, Congenital ; Heart Valve Diseases ; Hypertrophy, Left Ventricular ; Pulmonary Artery ; Risk Factors ; Staphylococcus Aureus ; Vancomycin

Complications related to tuberculous menngitis (TBM) is frequently encountered in medical field during, just after treatment and long time later. Hypothalamo-pituitary dysfunctions such as diabetes incipidus, dwarfism, hypogonadism, growth failure, and hypopituitarism are one of rare complication secondary to TBM and of which obesity with hypogonadism is most commonly documented. Several pathologic mechanics like a granuloma in hypothalamus, or pituitary stalk, organization and progressive scarring of the purulent exudate in the basal cistern or progressive obliterative endarteritis that supplying the hypothalamo-hypophyseal system is well-defined in hypothalamopituitary dysfunction in neurotuberculosis. We recently experienced a diabetic patient with short stature and sexual infantilism who shows polyuria and polydipsia. Detailed endocrinological evaluation showed partial hypopituitarism and central diabetes incipidus secondary to tuberculous meningitis. Polyuria and polydipsia was improved with dDAVP and height increased 5 cm for 11 month with HGH, libido increased with oxadrolone but his extemal sexual characteristics was not changed until now. We present this case with a review of literature.
Cicatrix ; Deamino Arginine Vasopressin ; Diabetes Insipidus, Neurogenic* ; Diabetes Mellitus ; Dwarfism ; Endarteritis ; Exudates and Transudates ; Granuloma ; Humans ; Hypogonadism ; Hypopituitarism* ; Hypothalamo-Hypophyseal System ; Hypothalamus ; Libido ; Mechanics ; Obesity ; Pituitary Gland ; Polydipsia ; Polyuria ; Sexual Infantilism ; Tuberculosis, Meningeal*