Pierce the ear and stab the spleen

Splenic abscess is a rare but extremely dangerous condition generally spreading from a local, or systemic, focus of infection. We present the case of a young immunocompetent female admitted with sepsis and multiple splenic abscesses. The patient had a recent left ear piercing on the tragus complicated by an ear infection. The presence of a solitary parotid abscess, the absence of other infectious foci on computed tomography scan, the negativity of blood cultures and the absence of endocarditis vegetations led us to think that the most likely culprit was a hematogenous dissemination from the left tragus. The patient was successfully treated with intravenous antibiotics. There had been no need of splenectomy or any other procedure. This rather unique case underscores that splenic abscess should be suspected when a long-lasting fever and pain in the left hypochondrium are present, even when an apparently innocuous invasive procedure, such as a body piercing, is performed

Effect of Related and Unrelated Donor Haematopoietic Stem-Cell Transplantation on Outcome in Adults With High Risk Hematological Disease: An intention-to-treat Analysis of 410 Patients at a Single Center Institution

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Famiglia Soggetto Economico e Fattore Di Protezione Dal Rischio Di Povertà Materiale e Relazionale

Il lavoro descrive il ruolo della famiglia come soggetto economico e fattore di protezione dal rischio di povertà materiale e relazional

Microsimulation and Macroeconomic Analysis: Integrated Approaches. An Application for Evaluating Reforms in the Italian Agricultural Sector

The authors employ an integrated micro-macro simulation model to assess the impact of agricultural sector reforms and international trade agreements on Italy\u2019s rural population. The analysis shows how macro approaches based on general economic equilibrium can be compatible with micro approaches involving the simulation of individual behaviour. This chapter also provides some general insights into the statistical specifications of samples, the interpretation of data and techniques for constructing integrated micro-macro models for application in the distributive analysis of macroeconomic policies

Mössbauer study of mechanical alloying in Fe-V and Fe-C alloys

Mössbauer spectroscopy and X-ray diffraction have been used to characterize the microstructural changes which occur during ball milling of mixtures of iron and vanadium on the one hand and of iron and graphite on the other hand. The chemical compositions of the alloys are inhomogeneous during a large fraction of time of the synthesis. Almost all carbides and silicides may be synthetized by mechanical alloying