Medicine and Public Health

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Journal: Medicine and Public Health

Cytomegalovirus infection - the need for detailed differential diagnostics

Lidia Stopyra , Katarzyna Angiel , Katarzyna Niedrygas

Language: EN | Published: 31-01-2025 | Abstract | 1–8

Background:
Cytomegalovirus infection represents the most common congenital and acquired infection. The symptomatology is very broad and usually non-specific, ranging from asymptomatic forms to status with organ damage or even to severe systemic infection. This makes CMV infection mimic other disorders and diseases.

Material and methods:
Here we report two cases of CMV infection diagnosed after the second month of life in children who were referred to the infectious disease ward for extended diagnosis. Despite the late identification of infection, the clinical manifestation (psychomotor retardation, hearing loss, lenticulostriate vasculopathy) suggested a diagnosis of congenital infection was highly probable.

Results:
The further diagnostic process led to the correct diagnoses of congenital heart defect and cystic fibrosis, and administration of adequate specialist treatment.

Conclusions:
CMV infections are common and it is worthy to remember that the diagnosis of CMV infection can be not the only one in multisymptomatic infants so the thorough differential diagnostics is necessary.

2025-01-31



Journal: Medicine and Public Health

Haematoma, soft tissue, or bone tumor? Differential diagnosis of an iliac crest mass in a child

Krzysztof Solecki , Krzysztof Miklaszewski

Language: EN | Published: 17-04-2023 | Abstract | 1–3

A differential diagnosis of a right iliac crest mass in a 15-year-old boy is shortly discussed.
The importance of cancer awarness and adequate diagnostic procedures are underlined.

2023-04-17



Journal: Medicine and Public Health

Acute appendicitis within an Amyand’s hernia: a case report and literature review

Anita Krowiak , Karolina Krowiak , Anna Maryńczak , Jakub Mendocha , Krzysztof A. Korneta

Language: EN | Published: 30-09-2025 | Abstract | 1–8

Background:
We present a clinical case of Amyand’s hernia complicated by acute appendicitis.
Material and methods:
A 71-year-old male presented with an incarcerated right inguinal hernia. Intraoperatively, a gangrenous, perforated appendix with associated purulent collection was identified, consistent with a type three Amyand’s hernia.
Results:
This case highlights the diagnostic and therapeutic challenges of Amyand’s hernia. Due to its rarity and nonspecific presentation, the diagnosis is often made intraoperatively. Timely intervention and appropriate surgical strategy are essential to prevent complications.
Conclusions:
Amyand’s hernia should be considered in the differential diagnosis of complicated inguinal hernias. Surgical management must be adapted to the intraoperative findings.

2025-09-30