Renal abscesses are uncommon in adults and are typically caused by gram-negative bacteria such as Escherichia coli, Proteus mirabilis, or Staphylococcus aureus. Nontyphoid Salmonella abscesses are infrequent. We discuss the case of a 27-year-old previously healthy female who developed a renal abscess due to Salmonella enterica. Abdominal computed tomography (CT) revealed a left renal abscess (size 11.6 cm × 8.2 cm) and 1.9 cm cyst in the right kidney. The urine and abscess aspirate cultures indicated the presence of gram-negative bacilli and lactose-negative Salmonella. A presumptive diagnosis of the left renal abscess was made. A urologist was consulted, and the patient was prepared for a left-sided nephrectomy. The patient's condition improved following treatment with a combination of piperacillin/tazobactam and moxifloxacin. Based on our experience, prompt recognition of nontyphoidal Salmonella as a potential cause of a renal abscess is important to prevent complications such as the extension of the abscess and the spread of the pathogen to adjacent structures.
BACKGROUND. Among oncological diseases, prostate cancer is the second leading cause of death in men. Despite the latest diagnostic achievements, there is no precise method for differentiation of clinically significant malignant alterations of the prostate from insignificant changes to avoid undertreatment or overtreatment of such patients. OBJECTIVES The present study aimed to (i) identify the dependence of prostate tissue resolution on infrared wavelength, (ii) differentiate malignant tissue from benign prostatic hyperplasia, and (iii) develop diagnostic software for processing the obtained infrared images. METHODS The postsurgical biomaterials of the prostate gland were distributed among two groups. Group 1 consisted of 78 samples of prostate cancer tissue obtained after radical prostatectomy, and group 2 consisted of 48 samples of benign prostatic hyperplasia obtained by transvesical prostatic adenomectomy. The infrared images of retained biomaterials were processed by special diagnostic computer software.
RESULTSThe highest resolution of prostate tissue was obtained in the range of 840-860 nm wavelength of the infrared specter. The intensity of the infrared images ranged from 0.039550 to 0.293524 for prostatic cancer, and from 0.3245699 to 0.992317 for normal prostatic tissue. CONCLUSIONS Infrared imaging is an effective method of differentiation of prostatic cancer from benign prostatic hyperplasia. KEYWORDS Benign prostatic hyperplasia; infrared imaging; prostatic cancer.
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