Frosted branch angiitis caused by Varicella Zoster virus in an immunocompetent patient

Introduction: Frosted branch angiitis(FBA) is a panuveitis with sheating of all retinal vesssels. Case presentation: Herein we report an immunocompetent person who presented with fever, headache, atypical rash, and hazy vision. Ophthalmoscopy of both eyes revealed perivascular sheathing with frosted branch angiitis pattern in veins, patchy retinal hemorrhages. Aqueous PCR analysis turned positive for VZV. Discussion: This case illustrates that VZV should be considered in the differential diagnosis of retinal perivasculitis. Since a rapid and accurate diagnosis is crucial for prompt administration of antiviral therapy, PCR-based analysis of aqueous humor is a valuable tool for detecting viruses. © 2015, IRAN. J. MICROBIOL. All rights reserved

A Case Report of Eosinophilic Gastroenteritis Presenting with Abdominal Pain and Ascitis

AbstractBackground and Objectives: Eosinophilic gastroenteritis is a heterogeneous disorder affecting both children and adults, and is characterized by the presence of an intense eosinophilic infiltrate on histopathology of one or multiple segments from the esophagus to the rectum. Eosinophilic gastroenteritis which may involve more than one layer of the gastrointestinal tract. Clinical features depend on the layer and location to be involved. Involvement of the serosal layer occurs in 10% of cases of eosinophilic gastroenteritis and is typically presented as ascites. The patient in our report was as likely as those who refer with full thickness involvement and presenting ascite, and was completely improved after steroid treatment.Case ReportThe patient was presented a 14-year-old boy that referred to the physician with progressive abdominal pain and ascites. َAfter recognition of eosinophilia in blood and ascite fluid, he was suspected to have Eosinophilic gastroenteritis. Ultimately, following serial examinations and after laparascopic full thickness biopsy Eosinophilic gastroenteritis was closely diagnosed. The patient was treated with prednisolone. The abdominal pain and ascites subsided soon after initiation of steroid treatment. Keywords: Gastroenteritis; Ascites; Prednisolone

An 11 kg Malignant Fibrous Histiocytoma in a 54-Year-Old Patient: A Case Report

Background and Objectives: Malignant fibrous histiocytoma (MFH) is a soft tissue sarcoma of undifferentiated mesenchymal cell origin which is considered the most common soft tissue sarcoma in adults. It commonly occurs in the 5th and 6th decades with a 2-to-1 male to female ratio. It most frequently occurs in the extremities and retroperitoneum. Most of it is derived from soft tissues and some of it from bone tissue. In this study, we introduce a patient who had MFH in retroperitoneal area and at the time of diagnosis the tumor size and weight had reached a significant level.Case Report: The patient is a 54-year-old male that referred to the hospital with complaints of pain and fullness in the abdomen. His pain had started from two years ago and had been accompanied with early satiation, bloating, weight gain and hypertension. On physical examination, asymmetric enhancement was visible. After diagnosis of mass and investigation of its development in abdomen and pelvic with CTscan, the patient was underwent operation and a mass with about 11kg of weigh was resected. During pathologic investigation, high grade spindle cell sarcoma and malignant fibrous histiocytoma were reported. After resection of tumor, the abdominal pain of patient disappeared and additionally his blood pressure came back to normal levels

Dissecting intramural hematoma of esophagus after thrombolytic therapy: A case report

Esophageal hematoma is a relatively rare event. We report a case of severe chest pain associated with myocardial infarction and recurrent chest pain after administration of a thrombolytic agent. The chest pain was different from the presenting symptom and accompanied by 2 episodes of hematemesis. Esophageal hematoma was confirmed after endoscopy and computed tomography. Esophageal hematoma is a relatively rare event after thrombolytic therapy. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav

Colonoscopic Diagnostic Findings in Patients Undergoing Colonoscopy In Qom Hazrat-e-Masoome Hospital During 2007-2008

Background and Objectives: In recent years there have been noticeable changes in diagnosis and treatment of colon disorders by colonoscopy and direct vision. Along with its international development, this useful equipment is being used in Iran to treat various disorders. It should be mentioned that there are no exact statistics of these disorders to date. This study was done with aim of evaluating the diagnostic findings in patients undergoing colonoscopy in Qom during 2007-2008.Methods: This descriptive-cross sectional study was done on 500 patients having referred to colonoscopy ward of Hazrate-e-Masoome Hospital in Qom. After colonoscopy, patient data were entered into a special questionnaire and then pathologic findings were added to it. The data were taken for statistical analysis.Results: Out of 500 patients undergoing colonoscopy 279 were male (55.8%) and 221 female (44.2%). In all groups and both sexes the most common reason for carrying out colonoscopy was abdominal pain (46.6%) rectorrhagia (41%). As regards diagnosis, a total of 199 cases (39.8%) of all 500 colonoscopies had normal colonoscopy,124 cases (24.8%) had hemorrhoid, 64 cases (12.8%) had polyp, 55 cases (11%) had inflammatory bowel diseases (IBD), 30 cases (6%) had tumor, 17 cases(3.2%) had diverticulosis and 12 cases (2.4%) had solitary rectal ulcer. There was a significant relationship between abdominal pain and tumor, polyp and diverticulosis. (p<0.001) There was also a significant relationship between age and the aforementioned disorders. (p<0.001)Conclusion: Based on the findings of this study, the prevalence of cancer and IBD is higher in men diverticulosis is higher in women. The highest prevalence of IBD was in the age group of 21-30 years. With an increase in age, the incidence rate of this disease decreases