September 22nd, 2012
Medications included clopidogrel 75 mg per day, insulin (neutral protamine Hagedorn: 16 U every morning and 14 U every night; Humulin-R [Eli Lilly Canada Inc]: 8 U to 15 U every morning and 8 U to 14 U every night) and losartan 25 mg per day. Her past surgical history was significant for resection of an ovarian fibroma, an iliac vein thrombectomy, caesarian section and appendectomy.
One week before admission, she was diagnosed with bronchitis and treated with an oral antibiotic — buy antibiotics online. She subsequently developed nausea, vomiting, bloating, abdominal distension and tenderness. She was admitted to the surgical unit for a small bowel obstruction that was confirmed radiologically. Read more »
September 21st, 2012
HSV cytopathic atypia and HSV IHC staining was confined to myofibrocytes and mesothelial cells without involvement of epithelium. HSV was isolated in bronchial secretions postoperatively by direct fluorescence antibodies. To our knowledge, this is the first documentation of the distribution of HSV cytopathic changes in the ileum of a patient with symptomatic disseminated HSV infection complicating type I diabetes. Our case portends that disseminated HSV infection can have a viral cytotropism differing from that of a localized epithelial HSV gastrointestinal tract infection. Read more »
September 20th, 2012
Gastrointestinal herpes simplex virus (HSV) infection is predominantly a disease of the esophagus in immunodefi-cient patients. Patients are usually asymptomatic but may experience odynophagia, retrosternal chest pain or fever. Reported cases of disseminated HSV infection in immunocompetent patients are commonly complications of pregnancy . However, rare anecdotal case reports describe HSV viremia, proctocolitis and hemorrhagic cystitis in patients with diabetes mellitus. Read more »