conclusions sever thrombocytopenia and bleeding may be the presentation of brucellosis. case presentation we report on an eight-year-old boy who presented epistaxis and gum bleeding. the physical examination revealed petechiae, purpura, ecchymosis, and cervical while inguinal lymphadenopathy and splenomegaly were noted. brucella agglutinin titer was positive. after five days of specific therapy...

Scrotal rupture during athletic competition is considered a rare occurrence; however, blunt trauma to the scrotum is relatively common. Protective athletic cups are strongly recommended for both children and adults engaging in contact sports as they likely limit the amount of serious injury to the scrotal contents. Nonetheless, should the on-field assessment by the athletic trainer, coach, or t...

A 67-year-old man presented to the emergency department with abdominal pain and groin bruising. He had no history of any disease or drug use. In his breaf story he had a heavy cough five days ago and bruises appeared on the abdomen skin and groin in the last two days. Ecchymosis extends in the midline from umblicus to the penis and scrotum in physical examination (Figure 1). Laboratory evaluati...

Putterman clamp, a muscle clamp, is commonly used in conjunctival müllerectomies. We report 3 cases of senile ptosis repaired with levator muscle resection using the Putterman clamp. The redundant levator aponeurosis was removed with electrocautery after clamping with the Putterman clamp. The levator muscle was refixed to the tarsus with three 4-0 Vicryl stitches after adjusting the height of t...

Few papers have been published on snake bites caused by Philodryas olfersii. We report here the first case identified at the Centro de Assistência Toxicológica do Hospital da Restauração, Recife, State of Pernambuco. This case was described based on medical protocols, interviewing the patient and identifying the animal that caused the bite. The patient presented pain, heat, erythema, edema and ...

daily for 1 week), pulse therapy with methylprednisolone (1000 mg/day for 3 days) and rituximab (100 mg/week for 2 weeks) were initially used for correcting the coagulopathy. Prednisolone (1 mg/kg/day) and cyclophosphamide (100 mg/ day) were prescribed as maintenance therapy. The coagulatory disorder improved after 2 months of treatment associated with reduction of factor VIII inhibitor to 35 B...

Many systemic diseases can manifest in the oral mucosa. Leukaemia is most common neoplastic disease of white blood cells. Common symptoms leukaemia cavity include mucosa pallor, bleeding gums, gingival enlargement, ecchymosis, infections and ulcerations. A dentist should know how to recognize first signs may be responsible for a prompt referral an adequate professional improve patient outcomes....