摘要:

Three cases of rhinosporidiosis in Americans who had not traveled abroad are reported. We believe this is the largest cluster of indigenous cases reported in the United States. The three patients had lived in rural northeast Georgia all of their lives. One had a polypoid conjunctival lesion, and the two others had nasal polyps. In each case, the diagnosis was made by demonstrating morphologically distinctive fungal elements in histopathologic sections. Clinically, rhinosporidiosis had not been suspected

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Isolation of the etiologic organism and monitoring of serum bactericidal titers are considered necessary in oral antibiotic therapy for osteomyelitis. Over a 5-year period, 26 pediatric patients with hematogenous osteomyelitis were treated with sequential parenteraloral therapy. No organism was isolated in 9 cases, and bactericidal titers were determined in only 7 cases. All patients did well, raising questions about the conventional prerequisites invoked for oral treatment of skeletal infections

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Measurement of body temperature in the postanesthesia care unit (PACU) is an important parameter in patient management. Failure to reach minimal acceptable body temperature standards has been associated with physiologic derangements, the application of additional therapy, and prolonged PACU stays. Newer methods to monitor temperature introduced into the PACU have been touted to be adequate for detecting clinically significant changes in temperature. In this study, skin core-temperature-corrected liquid crystal thermography (LCT), axillary (AT) electronic, and infrared tympanic membrane (ITT) temperatures were compared with oral thermistor thermometry (OT) in 205 PACU patients. Regression analysis suggests that when compared with the oral method, ITT tends to overestimate and AT and LCT tend to underestimate oral temperatures. Mean temperatures obtained by LCT (35.5 ± 1.0°C), AT (35.1 ± 0.9°C), and ITT (36.3 ± 0.8°C) differed significantly from OT (36.0 ± 0.7°C) mean temperatures. We applied Bayesian analysis to assess the sensitivity and specificity of each method, using a hypothermia reference of <36°C. Results suggest that the definition of hypothermia may depend on the modality used to assess body temperature in the PACU

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Osler-Weber-Rendu disease remains a challenging clinical management problem. We have found the potassium-titanyl-phosphate laser (KTP/532) for photocoagulation of intranasal telangiectases to be useful in controlling epistaxis refractory to traditional surgical therapy. We present the case of a patient who had Osler-Weber-Rendu disease previously treated with partial septectomy, turbinectomy, and intranasal dermoplasty. A technique using the KTP laser for photocoagulation of intranasal telangiectases is described. This technique has resulted in reducing the frequency of epistaxis, decreasing the need for transfusions, diminishing hospital admissions, and improving quality of life for this patient. The KTP laser plays an important role in the management of recurrent epistaxis in patients with Osler-Weber-Rendu disease

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

We describe here painless thyroiditis during interferon (IFN) therapy in a 65-year-old man with chronic active hepatitis C. The patient had hypothyroidism in the late stage of a 24-week course of treatment with IFN-α. After cessation of the treatment a small, firm goiter was noticed, and chronic focal thyroiditis was diagnosed histologically. Analyses of the stock serum samples drawn before, during, and after IFN-α therapy revealed transient hyperthyroidism followed by transient hypothyroid states with aggravation of antithyroid hormone antibody titers. These findings suggest that long-term IFN-α therapy caused painless thyroiditis with aggravation of autoimmunity in our patient with preexisting chronic thyroiditis

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Amiodarone, a widely used antiarrhythmic drug, is associated with pulmonary toxicity, with an estimated mortality of 1% to 33%. Standard treatment for amiodarone pulmonary toxicity (APT) has been discontinuance of the drug and steroid therapy. We report a case of APT that recurred after withdrawal of steroids and failed to respond to reinstatement of steroid therapy. Recurrent APT is a rare clinical entity that has been reported only twice in recent literature

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Infectious peritonitis is a common complication of continuous ambulatory peritoneal dialysis (CAPD). Only one case of CAPD-related peritonitis due toPenicilliumsp has previously been reported. We present a second case in which fungal colonies were observed on the inner surface of the CAPD catheter. The infection was successfully treated with catheter removal and intravenous amphotericin B

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Moyamoya disease, or idiopathic progressive arteriopathy, is a vascular occlusive disease that results in stenosis of the internal carotid arteries, stimulating the development of 1 collaterals and telangiectatic vasculature from basilar and leptomeningeal arteries. Within the past several years, several reports have suggested that children with Down syndrome can develop moyamoya vasculopathy. We present the first reported magnetic resonance angiographic diagnosis of moyamoya disease in an adult with Down syndrome. This was also confirmed by conventional cerebral angiography

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1996

数据来源: OVID