A case of Serratia granuloma in the soft tissue around the left kidney: a role of PTHrP in the formation of Serratia granuloma.

Serratia marcescens is an ubiquitous, saprophytic gram-negative bacillus that is associated with infections such as bacteremia, pneumonia and osteomyelitis. However, it has not been known to form granulomas. A 72-year-old man with a history of tricuspidal insufficiency, mitral insufficiency and ureterolithiasis presented with lumbago on the left side.

[Case of complete androgen insensitivity syndrome].

Androgen insensitivity syndrome, gonadectomy, estrogen supplementation a 23-year-old single female visited our gynecological clinic because of primary amenorrhea. The patient's breast development was good. However the patient had thin pubic hair and blind-ending vagina.

[Aortic dissection associated with traumatic pericardial rupture].

We report a case of a 76-year-old man with traumatic aortic dissection complicated with cardiac herniation due to traumatic pericardial rupture. He was involved in an automobile crush and was transferred to our hospital. His vital signs were stable except for atrial fibrillation.

[Case report of acute death on the 7th day due to exposure to the vapor of the insecticide chlorfenapyr].

We present the case of a 55-year-old male agricultural worker who complained of severe general fatigue and hyperperspiration after exposure to an insecticide vapor. He worked in a tea plantation and used chlorfenapyr, a broad spectrum for harmful insects, without any protective mask or clothes. After one day of insecticide spray work, he gradually began to complain of general fatigue, hyperperspiration, nausea and vomiting.

Leukocytoclastic vasculitis after pneumococcal pneumonia in an elderly adult.

Hypersensitivity vasculitis (HSV) has been used to describe several forms of vasculitis of small blood vessels, including Henoch-Schönlein purpura (HSP), mixed cryoglobulinemia, and allergic vasculitis, etc. HSP is a disease occasionally seen in childhood, and is characterized by dermatological and abdominal symptoms. Here, we report a rare case of HSV which showed a clinical course similar to HSP after pneumococcal pneumonia in an elderly adult.

[Case report of disseminated nocardiosis complicated in an elderly person with pneumoconiosis].

Nocardia is typically regarded as an opportunistic infection, with pulmonary nocardiosis frequently disseminated to organs hematogenous by, and nearly half of these cases resulting in complicated nocardia brain abscess. Disseminated nocardia has a dismal prognosis with high mortality, and should be checked for multiple organs including the brain when nocardiosis is diagnosed. We describe the successful treatment of nocardia brain abscesses in an immunocompetent older people with pneumoconiosis by combining trimethoprim-sulfamethoxazole and ciprofloxacin.

[Stanford type A aortic dissection with occlusion of the brachiocephalic artery; report of a case].

A 73-year-old female was referred to our hospital because of pain in the right upper extremity, left hemiparesis and syncope. Computed tomography (CT) of the head showed no active lesion, but chest CT showed Stanford type A aortic dissection with occlusion of the brachiocephalic artery. Carotid ultrasonography showed occlusion of the right common carotid artery.

Emergent mitral valvuloplasty with an autologous pericardial patch in an octogenarian with active infective endocarditis.

An 83-year-old woman with suppurative spondylitis was referred to our hospital due to active infective endocarditis with an expanding mobile vegetation and a high echoic mass on the posterior mitral leaflet. During the operation, the high echoic mass was found to be a chronically organized abscess, which was located at the base of the vegetation on the posterior leaflet and extended toward the annulus. The patient underwent a successfully emergent resection of the vegetation and mass, and valvuloplasty using an autologous pericardial patch with an excellent outcome.

Characteristic changes in cerebral perfusion during on-pump and off-pump coronary artery surgery.

Objective: We investigated the cerebral perfusion status during on-pump or off-pump coronary artery bypass grafting (CABG).

Methods: We monitored somatosensory evoked potential (SEP) and regional cerebral oxygen saturation (rSO2) as parameters of cerebral perfusion in an on-pump group (n=10) and an off-pump group (n=16). The percent changes from control values were calculated before, during, and after aortic clamping, and after weaning from cardiopulmonary bypass, in the on-pump group.

Bilateral coronary arteriovenous fistulas with an oversize left coronary aneurysm.

We experienced an interesting case of bilateral coronary arteriovenous fistulas with coronary aneurysms (50 mm in the left and 10 mm in the right) developed in a 66-year-old woman. The pathological findings of both left and right aneurysms were quite similar. Etiological and surgical considerations about coronary aneurysm based on this case are discussed.

Immunohistochemical examination of mucinous cystadenoma of the testis.

A case of mucinous cystadenoma of the testis in a 55-year-old man is reported. The tumor was confined to the testis and was clearly separated from the epididymis. There was no connection between the tumor cyst and the rete testis.