Poncet’s Arthritis: diagnosis or myth?

Secția de medicină internă, IMSP SCM BălțiReactive arthritis in tuberculosis (TB) is known as Poncet’s disease, a rare aseptic form of arthritis observed in patients with active TB, which also is treated as a type of paraspecific reactions in case of TB. The clinical presentation of the disease is quite diverse, descriptions are rare, no diagnostic criteria are presented. We report a case of Poncet’s disease in a 31-year old woman whose reactive arthritis and fever overshadowed other clinical symptoms of TB resulting in delayed diagnosis and treatment. Diagnosis of tuberculosis is often complicated and hematologists, rheumatologists treat this patients by mistake. Thus, taking thorough medical history as well as performing relevant examinations and investigations for possible TB will help expediate the diagnostic process

Fisher-Evans Syndrome in a 24-year-old patient

Secția de medicină internă, IMSP SCM BălțiThe following features were contemplated as consideration to present this clinical presentation: signs and symptoms dynamics, clinical and paraclinical evolution as reflection of administered treatment. Also complications were considered – hemolytic flares, massive bleeding – with severe outcomes impacting the organism as a whole

Tachyarrhythmias in pregnancy, case report

Disciplina Cardiologie, Clinica Medicală nr.3, Departamentul Medicină Internă, Catedra Obstetrică şi Ginecologie FCMF USMF „Nicolae Testemiţanu”,IMSP Institutul Mamei şi CopiluluiSinus tachycardia (TS) is a heart rhythm disorder characterized by the acceleration of sinusal rhythm, 100 beats / minute. TS is a physiological response to effort, stress, pregnancy, and in diseases: hyperthyroidism, myocardial infarction, pulmonary artery thromboembolism, infections, anemia, bleeding, neuroses, etc.. During pregnancy the heart rate increases by 25%, thus TS, especially in the third trimester, reaches an incidence of 50% (non-sustained arrhythmia) and sustained tachycardias have a lower frequency – 2 - 3 to 1000 pregnant. We present the clinical case of a pregnant of 28 years with sinus tachycardia clinically and electrocardiographicaly manifested, with adequate response to treatment. Tahicardia sinusală (TS) este o tulburare de ritm cardiac caracterizată prin accelerarea ritmului sinusal, peste 100 bătăi/minut. TS se declanşează ca răspuns fiziologic la efort, stres, sarcină, dar şi în patologii: hipertiroidism, infarct miocardic, trombembolia arterei pulmonare, infecţii, anemie, hemoragii, nevroze etc. La gravide ritmul cardiac creşte cu peste 25%, astfel, TS, în special în al treilea trimestru, atinge o incidenţă de peste 50% (aritmie non-durabilă), iar tahicardia susţinută are o frecvenţă mai joasă – 2 - 3 la 1000 însărcinate. Prezentăm cazul clinic al parturientei de 28 ani cu TS manifestată clinic şi electrocardiografic, cu răspuns adecvat la tratament administrat