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Maculopapular Rash with Fever: Reporting of a Case with Imported Measles and Diagnostic Difficulties in Non-Epidemic Times

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Journal of Biosciences and Medicines 2023年第10期11卷 136-141页

作者： ermira Muco Arta Karruli Arjan Harxhi Dhimiter Kraja Department of Infectious Diseases University Hospital Tirana Albania

Background: Measles is a highly contagious infection caused by the measles virus with a worldwide distribution. Measles is one of the diseases that have been reported in our country since 1945. It is known that international travelers are an important source of infectious pathologies. Our goal is to document a case of imported Measles and the difficulty of diagnosing it, especially in non-epidemic times. Cases Presentation: We presently report a 20-year-old woman who was hospitalized at the Infectious Disease Service for fever and maculopapular rash. She had traveled outside of Albania. Measles ELISA IgM (blood) resulted positive while other serological examinations resulted negative. Our case was treated with antibiotics, multivitamins and intravenous fluids. She was subsequently discharged home in good clinical condition. Conclusions: Measles should be included in the differential diagnosis of patients with symptoms of fever and rash, in particular when they have traveled abroad. Patients who have received the Measles vaccine should not be excluded from clinical suspicion and further diagnostic tests for this disease as it can affect this group of patients as well.

关键词： Measles Travelers Imported Diseases Symptoms Serological Analysis

Is proliferative colonic disease presentation changing?

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World Journal of Gastroenterology 2012年第45期18卷 6614-6619页

作者： Vito D Corleto Cristiano Pagnini Maria Sofia Cattaruzza ermira Zykaj Emilio Di Giulio Giovanna Margagnoni Emanuela Pilozzi Giancarlo D'Ambra Antonietta Lamazza Enrico Fiori Mario Ferri Luigi Masoni Vincenzo Ziparo Bruno Annibale Gianfranco Delle Fave Department of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and PsychologySant'Andrea Hospital"Sapienza" University00189 RomeItaly Department of Public Health and Inf.Diseases Faculty of MedicinePoliclinico Umberto I"Sapienza" University00189 RomeItaly Department of Pathology Faculty of Medicine and PsychologySant'Andrea Hospital"Sapienza" University00189 RomeItaly Department of Surgery Faculty of MedicinePoliclinico Umberto I"Sapienza" University00189 RomeItaly

AIM:To compare the site,age and gender of cases of colorectal cancer(CRC) and polyps in a single referral center in Rome,Italy,during two ***:CRC data were collected from surgery/pathology registers,and polyp data from colonoscopy *** who met the criteria for familial adenomatous polyposis,hereditary non-polyposis colorectal cancer syndrome or inflammatory bowel disease were excluded from the *** of patients between the two groups(cancers and polyps) was carefully ***χ 2 statistical test and a regression analysis were ***:Data from a total of 768 patients(352 and 416 patients,respectively,in periods A and B) who underwent surgery for cancer were *** the same time periods,a total of 1693 polyps were analyzed from 978 patients with complete colonoscopies(428 polyps from 273 patients during period A and 1265 polyps from 705 patients during period B).A proximal shift in cancer occurred during the latter years for both sexes,but particularly in *** cancer increased > 3-fold in period B compared to period A in males [odds ratio(OR) 3.31,95%CI:2.00-5.47;P < 0.0001).A similar proximal shift was observed for polyps,particularly in males(OR 1.87,95%CI:1.23-2.87;P < 0.0038),but also in females(OR 1.62,95%CI:0.96-2.73;P < 0.07).CONCLUSION:The prevalence of proximal proliferative colonic lesions seems to have increased over the last decade,particularly in males.

关键词：结肠疾病增生性癌症患者结直肠癌数据收集肠道疾病统计检验回归分析

Relations between mercury fractions and microbial community components in seawater under the presence and absence of probable phosphorus limitation conditions

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Journal of Environmental Sciences 2019年第1期31卷 145-162页

作者： Igor ?ivkovi? Vesna Fajon Jo?e Kotnik Yaroslav Shlyapnikov Kristina Obu Vazner ermira Begu Stefanija ?estanovi? Danijela ?anti? Ana Vrdoljak Slaven Jozi? Mladen ?oli? Jelena Lu?i? Jere Ve?a Grozdan Ku?pili? Marin Ordulj Frano Mati? Branka Grbec Natalia Bojani? ?ivana Nin?evi? Gladan Milena Horvat Department of Environmental Sciences Jo?ef Stefan Institute Jo?ef Stefan International Postgraduate School Ecological Engineering Institute Maribor 2000 Slovenia Laboratory of Marine Microbiology Institute of Oceanography and FisheriesSplit 21000 Croatia Laboratory of Chemical Oceanography and Sedimentology of the Sea Institute of Oceanography and FisheriesSplit 21000 Croatia Laboratory of Chemical Oceanography and Sedimentology of the Sea Institute of Oceanography and Fisheries Department of Marine Studies University of SplitSplit 21000 Croatia Laboratory of Physical Oceanography Institute of Oceanography and FisheriesSplit 21000 Croatia Laboratory of Plankton and Shellfish Toxicity Institute of Oceanography and FisheriesSplit 21000 Croatia

Microbial transformations of toxic monomethylmercury(MMHg) and dissolved gaseous mercury(DGM) at the lower levels of the marine food web are not well understood, especially in oligotrophic and phosphorus-limited seas. To examine the effects of probable phosphorus limitation(~PP-limitation) on relations between mercury(Hg) fractions and microorganisms, we determined the total mercury(THg), total methylated mercury(MeHg), DGM, and microbiological and chemical parameters in the Central Adriatic Sea. Using statistical analysis, we assessed the potential microbial effects on Hg transformations and bioaccumulation. Only in the absence of ~PP-limitation conditions(^(NO–P)P-limitation) is MeHg significantly related to most chemical and microbial parameters, indicating metabolism-dependent Hg *** heterotrophic activity of low nucleic acid bacteria(abundant in oligotrophic regions)seems responsible for most of Hg methylation under ^(NO–P)P-limitation. Under these conditions,DGM is strongly related to microbial fractions and chlorophyll a, indicating biological DGM production, which is probably not metabolically induced, as most of these relations are also observed underPP-limitation. MMHg biomagnification was observed through an increased bioaccumulation factor from microseston to mesozooplankton. Our results indicate that Hgtransformations and uptake might be enhanced under ^(NO–P)P-limitation conditions, emphasizing their impact on the transfer of Hg to higher trophic levels.

关键词： Mercury speciation Methylmercury Probable phosphorus limitation Microbial community

Mediterranean Spotted Fever Complicated with Thrombosis of the Left Central Retinal Vein: A Case Report and Literature Review

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Journal of Biosciences and Medicines 2018年第4期6卷 69-75页

作者： ermira Muco Arta Kushi Neada Hoxha Anila Monka Ali Tonuzi Majlinda Kota Artan Bego Dhimiter Kraja Department of Infectious Diseases University Hospital Center “Mother Tereza” Tirana Albania Department of Ophthalmology University Hospital Center “Mother Tereza” Tirana Albania Institute of Public Health Tirana Albania

We describe a case of Mediterranean spotted fever complicated with thrombosis of the left central retinal vein. A 41-year-old woman patient living in the city Scodra was referred to our hospital in October 2017 for high fever 40°C, muscular and articular pains, severe headache, maculopapular rash, chills, photophobia and visual loss in his left eye. Ocular examination showed vision acuity: OD 8/10, OS 2/10. Funduscopic examination complemented with fluorescein angiography showed: optic nerve papilla with clear contours, diffuse hemorrhages in the contest off retinal vein thrombosis, white retinal lesions, vascular sheathing and macular cystoids edema. R. conorii antibodies were identified by ELISA anti Rickettsia conorii IgM, IgG and Weil-Felix Ox-19 test. Investigation of other infective agents and the immunological panel were negative. After treatment with doxycycline 200 mg/day for 10 days vision acuity was OD: 8/10 OS: 6/10;FO: There are less hemorrhages in fluorescein angiograph and OCT showed a reduced macular cystoids edema. Mediterranean spotted fever should be considered in the differential diagnosis of a patient who presents with an acute febrile disease accompanied by maculopapular rash especially in the seasons of spring, summer or autumn.

关键词： Mediterranean Spotted Fever Rickettsia conorii Thrombosis Central Retinal Vein

A case of oesophageal ulcer developed after taking homeopathic pill in a young woman

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World Journal of Gastroenterology 2007年第14期13卷 2132-2134页

作者： Vito D Corleto Lidia D'Alonzo ermira Zykaj Antonella Carnuccio Francesca Chiesara Cristiano Pagnini Salvatore Di Somma Gianfranco Delle Fave Department of Digestive and Liver Diseases Ⅱ School of Medicine University "La Sapienza"Centro Ricerche S. PietroOspedale S. PietroRomeItaly Department of Emergency Medicine Ⅱ School of Medicine University "La Sapienza"RomeItaly Department of Digestive and Liver Diseases Ⅱ School of Medicine University "La Sapienza"RomeItaly

食道的溃疡主要由于胃食道的倒流疾病(GERD ) 发生。然而，导致药片的食道的溃疡是一个相当普通的事件。损害主要由于药片或它它的化学作文的陷阱。这份病案报告描述食道的粘膜溃疡在没有食道的混乱的以前的历史并且收到了同种疗法的药... 详细信息

食道的溃疡主要由于胃食道的倒流疾病(GERD ) 发生。然而，导致药片的食道的溃疡是一个相当普通的事件。损害主要由于药片或它它的化学作文的陷阱。这份病案报告描述食道的粘膜溃疡在没有食道的混乱的以前的历史并且收到了同种疗法的药的一个健康 35 年的老妇人发生了。现在的盒子表明药片陷阱能甚至在健康年轻个人的食道发生，那食道的粘膜溃疡能被通常任何潜在地粘膜的好攻击的效果认为缺乏的物质触发。

关键词：同种疗法丸剂食管溃疡诱发缺损病例报告

Is colonoscopy sufficient for colorectal cancer surveillance in all HNPCC patients?

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World Journal of Gastroenterology 2005年第47期11卷 7541-7544页

作者： Vito D Corleto ermira Zykaj Paolo Mercantini Emanuela Pilozzi Michele Rossi Antonella Carnuccio Emilio Di Giulio Vincenzo Ziparo Gianfranco Delle Fave Department of Digestive and Liver Diseases Ⅱ School of MedicineUniversity "La Sapienza"RomeItaly Department of Digestive and Liver Diseases Ⅱ School of MedicineUniversity "La Sapienza"Centro Ricerche S.Pietro FBFRomeItaly Department of Surgery Ⅱ School of MedicineUniversity "La Sapienza"RomeItaly Department of Pathology Ⅱ School of MedicineUniversity "La Sapienza"RomeItaly Department of Radiology Ⅱ School of MedicineUniversity "La Sapienza"RomeItaly

有有在 hMSH2 的一个变化的结肠癌衬里的世袭 non-polyposis 的 34 岁的男性被报导。尽管有常规 colonoscopic 后续，他得了包含额外的钠区域的盲肠的癌症。由于亚 occlusive 症状，病人被提交推进结肠镜检查，然而没有瘤形成的清楚的... 详细信息

有有在 hMSH2 的一个变化的结肠癌衬里的世袭 non-polyposis 的 34 岁的男性被报导。尽管有常规 colonoscopic 后续，他得了包含额外的钠区域的盲肠的癌症。由于亚 occlusive 症状，病人被提交推进结肠镜检查，然而没有瘤形成的清楚的证据。计算断层摄影术 CT 扫描此后执行了的多平面的重建揭示了的薄片透壁集中在在盲肠的阀门附近局部性的尺寸的 2.5 厘米。讨论在右边的结肠癌的很高的风险在病人的后续象对进一步的调查的需要一样在 colonoscopic 考试的可靠性上被做，例如世袭 non-polyposis 结肠癌影响的男 hMSH2 搬运人。

关键词：结肠癌直肠癌结肠镜息肉