1/2. Gall-bladder perforation after long-term dapsone therapy.A 65-year-old man on maintenance dapsone therapy for dermatitis herpetiformis for 30 years was admitted to hospital with acute abdominal pain and vomiting. Investigations revealed a Heinz body haemolytic anaemia. Worsening symptoms prompted an emergency laparotomy that revealed a perforated gall bladder with pigmented biliary calculi. In previous reviews of the haematological abnormalities associated with dapsone therapy, life-threatening cholecystitis has not been described.- - - - - - - - - - ranking = 1keywords = anaemia (Clic here for more details about this article) |
2/2. Streptococcal pyomyositis: case report and review.pyomyositis is most often associated with staphylococcus aureus infections after trauma. We describe an unusual presentation of pyomyositis of the chest wall secondary to group A betahemolytic streptococcus infection in a 15-month-old child with acute abdominal symptoms. In addition, the patient had no history or evidence of trauma to the affected area. pyomyositis presenting in this manner secondary to group A beta-hemolytic streptococcus infection in the absence of a primary varicella infection has not been previously reported.- - - - - - - - - - ranking = 41.202715608595keywords = hemolytic (Clic here for more details about this article) |