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M Pantaleoni

Publications and source records attributed to M Pantaleoni.

30 records · Page 2Linked to original sources
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[Acute suppurative thyroiditis in a patient with prior subacute thyroiditis].

Acute suppurative thyroiditis is an uncommon thyroid disorder usually caused by bacterial infection. The most common route of infection is a fistula that originates from the fundus of the pyriform sinus. Pre-existing thyroid disease, most commonly nodular goiter, has been reported to be present in acute suppurative thyroiditis. A 44 year old man presented a subacute thyroiditis, resolved by nonsteroidal antiinflammatory treatment. One year later, the patient abruptly complained of fever and painful swelling in the thyroid region. A relapse subacute thyroiditis was diagnosed and prednisone treatment was started. A few days later owing to a worsening of the pain and of the clinical features the patient was referred to our department. He presented dysphagia and he was feverish, the overlying skin of the neck swelling was erythematous and warm. There was a neutrophilia (83.7%). Plasma FT4, FT3 and TSH were normal. Anterior neck region ultrasonography showed an enlargement of the left thyroid lobe with poorly defined shapes and inhomogeneous parenchyma while the right lobe of the gland was normal. The 131-I thyroid scan showed a large cold area in the upper part of the left thyroid lobe and preserved radionuclide uptake in the residual parenchyma. The RAIU was normal. We diagnosed acute suppurative thyroiditis and started antibiotics treatment. The day after the patient was still feverish and he gave out from the mouth a great quantity of sero-purulent material with a swelling reduction and improvement of the neck pain. Barium swallow examination did not show any fistula in the cervical esophagus. The fistula opening was demonstrated by indirect laryngoscopy in the postero-lateral side of hypopharynx.(ABSTRACT TRUNCATED AT 250 WORDS)

Abscess↗
PubMedDate not supplied

[Changes in the blood levels of adrenal hormones after prolonged physical activity].

In order to evaluate the effect of prolonged physical activity on the adrenal cortex we have measured the plasma blood level of dehydroepiandrosterone sulphate (DHEAS), androstenedione (A) and cortisol (C) in ten moderately trained male subjects an hour before and 5-10 minutes after an hour of swimming. Mean plasma levels of DHEAS after physical activity were significantly higher respect to pre-exercise levels. The mean plasma levels of A pre- and post-exercise also demonstrated a significantly difference. Cortisol levels did not increase significantly after this kind of physical activity. These results suggest that prolonged exercise determines an independent activation of the cortical zona reticularis as to that of the zona fasciculata.

Adrenal Cortex↗