An 87 year old male with obstructive uropathy was initially diagnosed with acute kidney injury (AKI), a new renal mass and hydronephrosis. When transferred to a facility with a hospital medicine POCUS program, the renal mass was correctly identified as a perinephric abscess, which was percutaneously drained leading to resolution of AKI and the underlying infection. Renal POCUS is readily taught via brief educational interventions and empowers providers to identify common (hydronephrosis) and uncommon (perinephric abscess) renal pathology at the bedside.
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http://dx.doi.org/10.24908/pocus.v5i2.14430 | DOI Listing |
Pediatr Dev Pathol
January 2025
Département d'Anatomie et Cytologie pathologiques, Hôpital Menzel Bourguiba, Menzel Bourguiba, Tunisia.
The patients with Arthrogryposis-Renal dysfunction-Cholestasis (ARC) syndrome have genetic susceptibility to the opportunistic infections due to the involvement of VPS33B (vacuolar protein sorting 33 homolog B) in phagolysosome fusion in macrophages. Detailed pathologic studies in ARC patients are missing in literature due to the lack of autopsy. We described the first autopsy case of ARC syndrome in a 2-month-old male infant.
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November 2024
Urology, Division of Clinical Surgical Sciences, University of the West Indies, Saint Augustine, TTO.
Chronic bacterial prostatitis is generally difficult to treat. It may involve multiple courses of antibiotics and may be difficult to eradicate with high rates of recurrence. We present the case of a 33-year-old male patient with a previous history of renal tract calculi, stent insertions, and perinephric abscess with percutaneous drainage, which then led to a right nephrectomy.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, Mid and South Essex NHS Foundation Trust, Southend-on-Sea, GBR.
Iliopsoas abscess is a rare infection that presents with a triad of fever, back pain, and hip pain. However, due to the anatomical proximity of the psoas muscle to various structures, an abscess in this region can manifest with nonspecific symptoms, leading to potential misdiagnosis and delayed diagnosis, which can be fatal. We report a case of a 54-year-old female who presented to the emergency department with right-sided flank pain and symptoms resembling lower motor neuron disorder.
View Article and Find Full Text PDFIDCases
November 2024
Department of Pathology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, United States.
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View Article and Find Full Text PDFUrol Clin North Am
February 2025
Department of Radiology, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, Milan 20162, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Via Festa del Perdono 7, Milan 20122, Italy.
Urologic trauma encompassed a wide range of injuries affecting the urologic tract, resulting from various traumatic events or iatrogenic procedures. This review explores the clinical presentation, diagnostic strategies, and management approaches of urologic trauma, emphasizing the critical role of imaging, particularly computed tomography, in accurately assessing and guiding treatment decisions. Renal, ureteral, bladder, and urethral trauma are comprehensively discussed, including mechanisms of injury, classification systems, and therapeutic interventions.
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