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Autopsy and Case Reports最新文献

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Hepatic alveolar echinococcosis simulating metastatic malignancy. 肝泡棘球蚴病模拟转移性恶性肿瘤。
Q4 Medicine Pub Date : 2024-02-08 eCollection Date: 2024-01-01 DOI: 10.4322/acr.2024.474
Suvradeep Mitra, Payal Charaya, Shrinath Gururaj Deshpande, Mayur Parkhi, Thakur Deen Yadav

Echinococcosis is a parasitic disease caused by infection with tiny tapeworms of the genus Echinococcus. Echinococcosis is classified as either cystic echinococcosis or alveolar echinococcosis. The common form is a zoonosis from goats and sheep that tends to cause liver lesions. The larval stage of Echinococcus multilocularis causes alveolar echinococcosis/alveolar hydatid disease. It is a zoonosis with field mice and tundra voles as intermediate and wild carnivores like foxes and wolves as definitive hosts. This zoonosis is highly uncommon compared to the other form known as cystic echinococcosis but poses a great human threat if untreated. We report the case of a young man who was working in the Kashmir Valley, North India, and presented with jaundice and right upper quadrant abdominal pain. Computed tomography revealed a large solid-cystic intrahepatic lesion measuring 125x118x123 mm, suggestive of a malignant tumor with central necrosis. A liver biopsy showed necrosis with PAS-positive membranes morphologically consistent with echinococcosis. Alveolar echinococcosis can present as a solid-cystic mass in the liver and can simulate metastatic malignancy.

棘球蚴病是一种由棘球蚴属微小绦虫感染引起的寄生虫病。棘球蚴病分为囊性棘球蚴病和肺泡棘球蚴病两种。常见的是来自山羊和绵羊的人畜共患疾病,往往会引起肝脏病变。多形棘球蚴的幼虫阶段会导致肺泡棘球蚴病/肺泡水肿病。这是一种人畜共患病,田鼠和苔原田鼠是中间宿主,狐狸和狼等野生食肉动物是最终宿主。与另一种称为囊性棘球蚴病的疾病相比,这种人畜共患疾病并不常见,但如果不及时治疗,会对人类造成极大威胁。我们报告了一例在北印度克什米尔山谷工作的年轻男子的病例,他出现黄疸和右上腹疼痛。计算机断层扫描显示肝内有一个 125x118x123 毫米的巨大实性囊性病变,提示为恶性肿瘤,中央坏死。肝脏活检显示肝脏坏死并伴有PAS阳性膜,形态上与棘球蚴病一致。肺泡棘球蚴病可表现为肝脏中的实性囊性肿块,并可模拟转移性恶性肿瘤。
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引用次数: 0
Post-mortem diagnosis of amniotic fluid embolism. 羊水栓塞的尸检诊断。
Q4 Medicine Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI: 10.4322/acr.2024.472
Andrea Gentilomo, Stefano Tambuzzi, Guendalina Gentile, Michele Boracchi, Salvatore Andreola, Riccardo Zoia
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引用次数: 0
A rare bacterial infection of the gastrointestinal tract: Clostridium ventriculi. 一种罕见的胃肠道细菌感染:腹腔梭菌。
Q4 Medicine Pub Date : 2024-02-01 eCollection Date: 2024-01-01 DOI: 10.4322/acr.2024.469
Sonali Mishra, Ashok Singh, Arvind Kumar, Ravi Hari Phulware
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引用次数: 0
Giant abdominal desmoid-type fibromatosis. 巨型腹部脱模型纤维瘤病。
Q4 Medicine Pub Date : 2024-02-01 eCollection Date: 2024-01-01 DOI: 10.4322/acr.2024.471
Saikat Mitra, Amitava Dutta
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引用次数: 0
Primary spontaneous pneumothorax. 原发性自发性气胸
Q4 Medicine Pub Date : 2024-01-25 eCollection Date: 2024-01-01 DOI: 10.4322/acr.2023.468
Yago Marcos Pessoa-Gonçalves, Ana Clara Vaz E Silva, Carlo José Freire Oliveira, Sheila Jorge Adad, Lucinda Calheiros Guimarães
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引用次数: 0
Chondroblastic osteosarcoma. 软骨骨肉瘤
Q4 Medicine Pub Date : 2024-01-08 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.466
Neha Bhardwaj, Vikas Bachhal, Uma Nahar Saikia
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引用次数: 0
Necrotizing fasciitis and fatal septic shock associated with Streptococcus constellatus. 坏死性筋膜炎和致命的脓毒性休克与星座链球菌有关。
Q4 Medicine Pub Date : 2024-01-08 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.467
Fareed Rajack, Shawn Medford, Tammey Naab

Streptococcus constellatus is usually a benign, commensal bacteria but has increased incidence in blood cultures and abscesses. This pathogenic involvement is most prevalent in individuals with underlying medical conditions, such as solid tumors and type 2 diabetes mellitus, as well as in cases of community-acquired infections. We report a 43-year-old male with a right medial thigh ulcer and necrotic scrotal skin. The wound culture from surgical debridement grew Streptococcus constellatus, and histology was consistent with stage III necrotizing fasciitis. Regardless of etiology, the mortality rate of patients with necrotizing fasciitis is greatly decreased with early intervention and thorough surgical debridement.

constellatus 链球菌通常是一种良性共生细菌,但在血液培养物和脓肿中的发病率有所增加。这种致病性参与在有基础疾病(如实体瘤和 2 型糖尿病)以及社区获得性感染病例中最为常见。我们报告了一名 43 岁男性的右大腿内侧溃疡和阴囊皮肤坏死病例。手术清创后的伤口培养液中生长出星座链球菌,组织学检查结果与 III 期坏死性筋膜炎一致。无论病因如何,只要及早干预并进行彻底的手术清创,坏死性筋膜炎患者的死亡率就会大大降低。
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引用次数: 0
Spongiform leukoencephalopathy unveiled in an autopsy of a drug abuser. 在一名吸毒者的尸检中发现海绵状白质脑病。
Q4 Medicine Pub Date : 2024-01-08 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.465
Hemlata Jangir, Govinda Balmuchu, Jhansi Lakshmi Mylapalli, Arulselvi Subramanian, Sanjeev Lalwani

Toxic leukoencephalopathy (TLE) is a rare neurological debilitating and fatal condition. It has been previously associated with exposure to leukotoxic offenders such as chemotherapy, cranial radiation, certain drugs, and environmental factors. Currently, it is a commoner white matter syndrome resulting from increased substance abuse, classically by inhaled heroin and other opioids. Herein, we report a case of fatal TLE unveiled in an autopsy of a drug abuser. A 24-year-old male was found dead on the roadside. A day before, he was located in a state of delirium. In this case, the autopsy findings and histopathology characteristics of cerebral cortex involvement particularly directed to speculate the heroine as the principal offender.

中毒性白质脑病(TLE)是一种罕见的神经衰弱和致命疾病。以前,它与接触白细胞毒性罪犯(如化疗、颅内放射、某些药物和环境因素)有关。目前,它是一种较常见的白质综合征,由药物滥用增加引起,主要是吸入海洛因和其他阿片类药物。在此,我们报告了一例在对一名吸毒者进行尸检时发现的致命性 TLE。一名 24 岁的男性被发现死于路边。一天前,他还处于神志不清的状态。在本病例中,尸检结果和大脑皮层受累的组织病理学特征特别引导我们推测海洛因是主要的罪魁祸首。
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引用次数: 0
Inclusion body fibromatosis. 包涵体纤维瘤病
Q4 Medicine Pub Date : 2023-12-15 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.462
Elgiva Iangngap, Mayur Parkhi, Aravind Sekar, Parmod Kumar, Uma Nahar Saikia
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引用次数: 0
Epididymal adrenal rest in an orchiectomy specimen with seminoma. 患有精索瘤的睾丸切除术标本中的附睾肾上腺息肉。
Q4 Medicine Pub Date : 2023-12-15 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.464
Luca Ventura, Giulia Del Rosario, Martina Di Franco, Veronica Forte, Massimo Menichini, Guido Ranieri
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引用次数: 0
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Autopsy and Case Reports
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