ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Large amounts of dolomite and bonemeal are being consumed, especially by nutrition-conscious persons. The mineral content of commercial samples has been analyzed by different laboratories, and significant amounts of lead, arsenic, mercury, and other potentially toxic metals, which also exist in conventional vitamin-mineral and calcium supplements, were detected. Physicians must consider the possibility of unrecognized self-poisoning from the consumption of such substances, especially in the context of unexplained neurologic, gastrointestinal, cutaneous, and hematologic disorders. The use of dolomite and bonemeal by pregnant women, chilren with suspected milk allergy, and elderly persons requires careful evaluation.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

In our 18-month experience with percutaneous nephrostomy (PCN) at Vanderbilt University Hospital and Veterans Administration Hospital (Nashville), a total of 47 PCNs were attempted with a success rate of 96%. The procedure is rapid, offers low morbidity, and has been readily accepted. Some variations of the standard procedure to avoid common technical difficulties include (1) using a combnation of real-time ultrasonography and fluoroscopy as a guidance syste, (2) maintaining the position of the Chiba needle during the entire procedure, (3) choosing the optimal puncture site, and (4) exercising care in tract dilatation.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

From 1976 to 1981Listeria monocytogeneswas second only toNeisseria meningitidisas the cause of bacterial infections of the central nervous system in adults at our hospital. None of the patients withListeriainfection was immunosuppressed or had an underlying malignancy. Ataxia was an initial feature in five of the eight patients, and in three of them it persisted beyond their discharge from the hospital. Ataxia was not a feature of the clinical picture of 14 other adult patients with meningococcal and pneumococcal meningitis. Our data indicate thatL monocytogenesshould be suspected as the etiologic agent in an adult with ataxia and infection of the central nervous system.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

To compare the clinical and epidemiologic features, we reviewed the hospital records and interviewed 18 patients with extraintestinal infections caused by three species of halophilic vibrios.Vibrio vulnificus, the organism most frequently isolated in Virginia during the six-year study period, caused primary septicemia in three patients. Fifteen patients had soft tissue infections, most of which followed injuries that were contaminated by seawater and mostly caused byV vulnificusandV parahaemolyticus.All infections occurred during the warm months of the year, and in most cases were an occupational or recreational hazard of fishing.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Infectious mononucleosis (IM) and β-hemolytic streptococcal pharyngitis may present similar clinical pictures and may occur concurrently; however, recent studies have differed sharply with older ones that cited high rates of concurrent disease. Our study of 100 consecutive new patients meeing strict criteria for a diagnosis of IM found only 4% with positive throat cultures for group A β-hemolytic streptococci at the time of diagnosis. Use of antibiotics for presumed streptococcal pharyngitis in patients with IM is unjustified. Only patients with positive cultures should be treated.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID