Issue 9

A 61-year-old Japanese woman was admitted to our hospital for further examination of generalized bone pain. At age 46 years, the patient was diagnosed with Fanconi syndrome associated with benign monoclonal gammopathy of undetermined significance. At age 56 years, alkaline phosphatase (ALP) increased to 448 IU/mL. A bone biopsy was performed, and osteomalacia was diagnosed.

Prophylaxis is not only about wearing masks and vaccines, because no vaccine can guarantee 100% immunity to infection. The best vaccines, based on statistical data from previous years, guarantee approximately 55% certainty of not being infected with a bacterial, viral or fungal infection.

Ectopic pregnancy is a rare female emergency that can have a serious impact on the patient and even threaten life. Retroperitoneal ectopic pregnancy as more rare ectopic pregnancy, its diagnosis and treatment are much more difficult.

Air microbubbles are common in the haemodialysis venous return line, especially in the very first minutes of HD session and with high blood flows. They might be damaging for the lungs microcirculation and stimulate the inflammation system