Paciente mujer de 58 años de edad, fue traída por presentar miclonías, convulsiones tónico-clónicas, con antecedentes de hipertensión, diabetes mellitus, hipotiroidismo, secuela de infarto cerebral. A la exploración clínica se le halló soporosa, pupilas isocóricas, hiporreactivas, hemiparesia derecha. El estudio tomográfico cerebral sin contraste mostró calcificaciones cerebrales y cerebelosas. Se discute sobre los conceptos de enfermedad o síndrome de Fahr.

A 58-year-old female patient was brought in for myclonies, tonic-clonic seizures, with a history of hypertension, diabetes mellitus, hypothyroidism, cerebral infarction sequelae. Clinical examination was found soporous, isochoric pupils, hyporeactive, right hemiparesis. The no-contrast brain tomographic studyshowed cerebral and cerebellar calcifications. It is discussed about the concepts of Fahr disease or syndrome.

Paciente mujer de 95 años de edad, con disnea nocturna, tos seca y fiebre de 39,2 °C por seis días y antecedentes de reacción adversa a paracetamol y claritromicina; hipertensa y se controla con losartán. Al examen: PA 100/60 mm Hg, frecuencia cardiaca 90 latidos/min, frecuencia respiratoria 22 excursiones/min. Edema de miembros inferiores. Pulmones: murmullo vesicular disminuido en ambas bases. Cardiovascular: ruidos cardiacos rítmicos, de baja intensidad. Resto del examen normal. La radiografía de tórax reveló una imagen nodular densa, homogénea, ovalada en el hemitórax izquierdo. La tomografía mostró una efusión pleural en la cisura oblicua izquierda. Se le trató como insuficiencia cardiaca descompensada. Cinco días, la radiografía de tórax no evidenció imagen nodular descrita por lo que se confirmó el diagnóstico de tumor fantasma del pulmón.

 A 95-year-old female patient with nocturnal dyspnea, dry cough and 39.2 °C fever for six days and a history of adverse reaction to acetaminophen and clarithromycin; hypertensive and controlled with losartan. On examination: PA 100/60 mm Hg, heart rate 90 beats/min, breathing rate 22 excursions/ min. Lower limbs oedema. Lungs: vesicular murmur decreased at both bases. Cardiovascular: rhythmic, low-intensity heart sounds. Rest of the exam was normal. Chest x-ray revealed a dense, homogeneous, oval nodular image in the left lung. The CT scan showed a pleural effusion in the left oblique fissure. It was treated as decompensated heart failure. Five days, the chest x-ray showed no nodular image described so the diagnosis of phantom tumor of the lung was confirmed.

A 14-year-old woman who developed diarrhea with blood and abdominal pain located in the lower left quadrant, intermittent, colic type. Unimportant background. She was found hypotensive, complaining, with increased bowel sounds, pain to palpation on the left flank and left iliac fossa. The imaging study suggested a sigmoid colon neoplasm that infiltrated the mesentery and free cavity liquid. Colonoscopy showed a proliferative, stenosing lesion and the surface with multiple ulcerations with fibrin attached. As pain increased, she underwent surgery as an acute abdomen. She had a sigmoidectomy plus end-to-end coloncolonic anastomosis. The histopathological study was consistent with sigmoid colon ameboma, with the presence of Entamoeba histolytica trophozoites.