Spontaneous hemothorax in a 20-year-old boy was caused by rupture of an immature teratoma of the mediastinum. The tumor bled spontaneously into the right pleural space. This lifethreatening complication necessitated emergency surgery. The unusual cause and the interesting clinical course of spontaneous hemothoraxare described. (Internal Medicine 38: 726-728, 1999)
While traveling in India, a previously healthy twenty-year-old man had febrile diarrhea. The patient was prescribed medical therapy, and all symptomswere resolved. Fourteen days later, however, similar symptoms recurred. The patient was admitted to a local hospital, but was transferred to our department because of oliguria. SalmonellaparatyphiA was isolated from blood and stool specimens, and Giardia lamblia was identified in his stool. The patient's condition was complicated by acute renal failure. The patient received tosufloxacin and metronidazole. Renal function recovered completely without hemodialysis. Paratyphoid fever and giardiasis were resolved. It is suggested that giardiasis exacerbated the paratyphoid fever. (Internal Medicine 37: 489-492, 1998)
Wereport a case of localized fibrous mesothelioma (LFM) of the pleura with bronchogenic carcinoma. LFMarose in the visceral pleura of the upper lobe in the left lung, and lung adenocarcinoma was located in the ipsilateral lower lobe. LFMis a rare mesenchymaltumor of the pleura. Concomitant occurrence with bronchogenic carcinoma has not been previously reported in the English literature. (Internal Medicine 35: 808-810, 1996)
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