Beckwith-Wiedemann syndrome Hypoglossal nerve injury ... - MDC

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Autopsy Findings in Children with Hand, Foot, and Mouth Disease (etwa wie Maul und Klauenseuche) From May 2008 through July 2010, an epidemic of hand, foot, and mouth disease occurred in Guangxi, China. During the epidemic, some children died of progressive cardiorespiratory failure. Postmortem pathological examinations were performed for 14 patients. Reversetranscriptase–polymerase-chain-reaction assays of various specimens (throat swabs or stool samples) were performed to detect enterovirus 71, coxsackievirus A17, and pan-enterovirus messenger RNA. Assays for enterovirus 71 were positive in 12 patients. Assays to detect coxsackievirus A17 were positive in 1 patient, and assays to detect other enteroviruses were positive in 1 patient. Sections of brain-biopsy specimens were stained with hematoxylin and eosin. A photomicrograph at low magnification (Panel A) shows neuronal necrosis and softening in the brain stem (arrow), and higher magnification (Panel B) reveals the neuronophagia phenomenon (blue arrow) and colloid (black arrow) in the brain stem. A photomicrograph at low magnification (Panel C) shows perivascular cuffing in the brain stem (arrow). A view of the medulla oblongata at low magnification (Panel D) shows hemorrhage (arrow).
A 68-year-old man complained of urinary frequency and hypogastric discomfort. He was a smoker and had hypertension. Digital rectal examination showed a painful prostate but he had no fever. Urine analysis showed a pyuria and a bacteriuria of enterococcus species. The patient was treated with amoxicillin. 2 days after his admission, he suddenly developed acute right flank pain with hypotension. (A) Axial non-contrast-enhanced <strong>MDC</strong>T of the abdomen showing retroperitoneal haematoma (asterisk) surrounding a fissured infrarenal abdominal aneurysm (arrowheads). Contrast-enhanced <strong>MDC</strong>T angiography in axial (B) and sagittal (C) reformation with maximum intensity projection algorithm; CT angiogram shows anterior rupture from the wall of the abdominal aortic aneurysm (arrow), with massive intraperitoneal bleeding (contrast extravasation).
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Beckwith-Wiedemann syndrome Hypoglossal nerve injury ... - MDC

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