Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Jan 2025
Case Reports[Atypical spontaneous bacterial peritonitis linked to streptococcal toxic shock syndrome].
A 59-year-old female patient with an unremarkable medical history presented with watery diarrhea, severe lower abdominal pain, and fever for approximately 7 days. Physical examination revealed a distended abdomen, bowel sounds were absent, and there was an acute abdomen with generalized guarding and significantly elevated inflammatory markers. ⋯ Primary spontaneous bacterial peritonitis caused by Streptococcus pyogenes is a rare cause of acute abdomen. An early diagnosis and immediate antibiotic therapy are crucial for prognosis.
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The examination of urine and its evaluation are central components in the diagnostic pathway for kidney diseases. Essential to this process is the correct analysis and interpretation of the urine sediment. A nephritic sediment indicates glomerular kidney disease with high specificity. This article explains the diagnosis, evaluation, and implications of a nephritic sediment.
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The number of people living with or after cancer is steadily increasing due to an ageing society and improved cancer treatment. However, once treatment has been completed, the consequences of the disease are often felt for a long time. These affect many different areas of life and often lead to a high level of suffering and need for care. Psycho-oncological support offers effective support for many of those affected.
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Dtsch. Med. Wochenschr. · Jan 2025
Case Reports[Arthropathy as the first manifestation of undiagnosed hemochromatosis: a case report on an unusual course].
A 54-year-old man presented with increasing arthralgia and swelling of the metacarpophalangeal (MCP) joints II and III for approximately 2 years. He also reported morning stiffness and joint pain in both knees and feet. Both MCP joints II and III and the proximal interphalangeal joints II and III were tender without visible swelling. ⋯ During the hospital stay, the patient received physical and occupational therapy. Hepatology specialists will manage further treatment at a university center, and the outcome remains to be seen. Symmetrical involvement of the MCP joints II and III should raise suspicion of hemochromatosis.