The possibility of a specific origin of joint infection should be considered in finding the diagnosis. This is demonstrated in a case of tuberculosis of the hip treated in the Dept. of Trauma Surgery in collaboration with the Medical Dept. of the Klinikum Minden. Microbiological and imaging examinations are essential to plan and perform a combined therapy of hip arthroplasty and concommitant medical antituberculous therapy. In accordance to a literature review, this procedure proved successful for both eliminating the local infection and the functional outcome of the operation.
A case of an unusual localization of cystic echinococcosis is presented. Initially it appeared as a retropertioneal tumor with bone involvement and the diagnosis was only recognized intraoperatively. The patient was treated by radical surgery and chemotherapy according to the guidelines of the WHO. We conclude that echinococcosis should be considered in extrahepatic cystic tumors, especially in patients from endemic areas.
We present a case of cardiac infarction after blunt chest trauma. The 49-year-old patient suffered from severe angina and the ECG demonstrated a pattern of acute anterior wall myocardial infarction. Acute coronary angiography was performed showing complete occlusion of the left interventricular coronary artery due to dissection. An attempted revascularization by percutaneous transluminal coronary angioplasty failed and the patient was then submitted to bypass surgery. We conclude that possible heart injury should be considered in patients with blunt chest trauma to lead them to adequate therapy.
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