Supplementary Material for: Phlegmonous colitis after cold snare polypectomy in an immunosuppressed patient: A case report

Introduction: Cold snare polypectomy (CSP) is a procedure with a low risk of complications. Here, we present our experience of a rare case of submucosal abscess following CSP in an immunosuppressed patient. Case presentation: 78-year-old man underwent CSP, developing a fever, chills, and right lower abdominal pain 8 days later. Ultrasound and computed tomography revealed wall thickening of the ascending colon, presenting as whitening and thickening of the same region, and excretion of pus was observed after biopsy. The diagnosis was made as phlegmonous colitis, for which antibiotic therapy was commenced. The patient was diagnosed with chronic myelomonocytic leukemia (CMML) during admission. We considered the following reasons as possible causes of infectious complications after CSP: 1) the patient had a highly immunosuppressed state with comorbidities such as CMML as well as diabetes mellitus, and 2) disruption of the mucosal barrier occurred during endoscopic resection. Conclusion: Although CSP is generally considered safe, our case highlights the potential for serious complications in immunosuppressed patients. Therefore, the decision to perform CSP in such patients should be made with caution to avoid unnecessary interventions. In instances where treatment is essential, thorough bowel preparation and prophylactic antibiotic use may be necessary to mitigate the risks

The effect of parental consanguinity and inbreeding in Hirado, Japan

A census of Hirado, Japan in the summer of 1964 produced data on the reproductive performances of husbands and wives for 10,530 marriages where either the husband, the wife, or both were alive and residing in the city at the time of the census. Approximately one in every 6 of these marriages involves spouses who are biologically related to one another, and in some 10 per cent of marriages the husband, wife, or both are inbred. Analysis of the effects of length of cohabitation, socio-economic status, and consanguinity and inbreeding on total pregnancies, total livebirths, and “net fertility” (total livebirths minus non-accidental deaths in the first 21 years of life) revealed the following insofar as marriages contracted in the years 1920–1939 are concerned: 1. Total pregnancies and total livebirths were significantly increased with consanguinity, but “net fertility” was not when allowance is made for the role of socio-economic factors, and religious affiliation is ignored. The latter finding is thought to reflect the increased risk of death to liveborn children born to consanguineous marriages. Among Buddhists, the only religious group large enough to warrant separate analysis, total pregnancies, total livebirths and “net fertility” are all significantly and positively associated with parental relationship. However, the regression coefficient associated with “net fertility” is less than half the value associated with either total pregnancies or total livebirths.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/47633/1/439_2004_Article_BF00286995.pd