摘要:

SummaryPresentation of six clinico-pathologic cases of bacterial endocarditis with secondary uremia. Description of the several lesions amongst which th'j most frequent are the focal glomerulonephritis, probably immunological, and the embolic lesions. Difficulties in diagnosis are stressed, they result from the changing aspect of the disease, the predominance of the renal manifestations and the modifications of certain signs of the endocarditis by uremia.

ISSN:1784-3286    

DOI:10.1080/17843286.1969.11716716

出版商:Taylor&Francis    

年代:1969

数据来源: Taylor

摘要:

SummaryThe authors have described six recent cases of pulmonary aspergillomas, reviewed the present methods of diagnosis and emphasized the interest of immunologic reactions of this mycosis which has become more frequent. A classification consisting of three subdivisions is proposed : localised aspergillomas, diffuse aspergillosis, allergic aspergillosis. The pathological mechanisms and the therapeutic possibilities of this different forms of pulmonary aspergillosis are discussed.

ISSN:1784-3286    

DOI:10.1080/17843286.1969.11716717

出版商:Taylor&Francis    

年代:1969

数据来源: Taylor

摘要:

SummaryOn admission in diabetic keto acidosis (glycemia 350 mg/100 ml, alkali reserve 4,4 mEq/L), a young non obese soldier was found to have an important hyperlipemia : lactescence of the plasma, triglycerides 23,600 mg/100 ml, cholesterol 1,020 mg/100 ml, phospholipides 1,500 mg/100 ml. The diabetes was unrecognized despite typical symptoms since three months.After prompt rehydratation and insulinotherapy, all lipid fractions of the blood returned to normal along with a good equilibration of the diabetes and a normal diet : total lipids 1,000 mg/100 ml on 15th day and 600 mg/100 ml at the end of the second month.Six months after this episode, the plasma lipids were normal and the diabetes well controlled, with 50 U insulin a day. The patient was then carefully studied in a metalwlic ward during a two month period : the insulin was purposely reduced to 15 U a day and two isocaloric (2,000 G) diets were successively followed : a first one with 162 g fat and 52 g carbohydrate and a second one with 45 g fat and 422 carbohydrate. The diabetes was then poorly controlled but no ketosis developed. All lipid fractions remained practically normal.It is concluded that this hyperlipemia was of true«diabetic»nature, reflecting a deep but progressive insulin lack, developing in an otherwise constitutionally normal subject.

ISSN:1784-3286    

DOI:10.1080/17843286.1969.11716718

出版商:Taylor&Francis    

年代:1969

数据来源: Taylor

摘要:

SummaryThe authors describe and comment seven cases of ventricular fibrillation complicating acute myocardial infarction and followed by complete recovery. They insist on the frequency of dangerous arrhythmias appearing early in the course of recent infarction and on the importance of immediate admission in a coronary-care unit of all patients suffering from myocardial infarction. In most cases, the hospitalization can be short, a few days only.The careful observation of the cardiac rhythm and the judicious administration of antiarrhythmic drugs (xylocaïne, ajmaline, procainamide or propranolol) when ventricular ectopic beats appear, should prevent most cases of primary ventricular fibrillation. Should ventricular fibrillation nevertheless occur, electric defibrillation must be immediately accomplished, generally associated with external cardiac massage, artificial ventilation, intensive oxygenotherapy and with an alkaline infusion. After defibrillation, one or more antiarrhythmic drugs will he given at high doses and for several days, to prevent the recurrence of ventricular arrhythmias.

ISSN:1784-3286    

DOI:10.1080/17843286.1969.11716719

出版商:Taylor&Francis    

年代:1969

数据来源: Taylor

摘要:

SummaryIn the urine of a patient with a renal cadaveric transplantation a Salmonella typhimurium excretion persisted during 5 months. The presence of this Salmonella is seen in relation with the impaired host-defense mechanisms of these patients.

ISSN:1784-3286    

DOI:10.1080/17843286.1969.11716720

出版商:Taylor&Francis    

年代:1969

数据来源: Taylor