ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718500

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryThe article presents the clinical profile of 72 patients with somatization seen by a psychiatric team at the request of somaticians in a emergency service in St Luc hospital (Brussels-Belgium). These include 37.5% of mood disorders, 11 % of psychotic disorders and 20% of serious anxiety disorders. The psychiatric antecedents of these patients are very poor. Only the combined intervention of the somatician and the psychiatrist can improve the compliance and the level of psychiatric care which is very low.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718501

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryA total of 624 respiratory specimens from 543 patients (418 Belgian, 110 Rwandan, and 15 Colombian patients) were tested for the presence ofMycobacterium tuberculosisby the Mycobacterium Tuberculosis Direct Test (MTDT, Gen-Probe). Compared to culture, the MTDT on 497 samples of sputum or broncho-alveolar lavage from Belgium had a sensitivity, specificity and positive and negative predictive value of 86.4%, 96.0%, 50.0% and 99.3% respectively. The pooled results for Rwanda (112 specimens) and Colombia (15 specimens) were 97.8%, 65.7%, 88.2%, 92% respectively. After resolution of discrepant results by taking into account the clinical data, the results for the Belgian patients were 86.9%, 96.2%, 52.6%, 99.3% respectively, and for the Rwandan-Colombian patients 98.1%, 100%, 100% and 92% respectively.Results could be improved by testing more than one specimen from each patient and the inclusion of an internal control to detect inhibitors of the reaction. Culture remains necessary for drug susceptibility tests and the isolation and identification of non-tuberculous mycobacteria.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718502

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryThe“Belgian TB Multidrug Resistance Working Group”determined in collaboration with 28 laboratories carrying out antibiograms for mycobacteria, the prevalence and incidence of multidrug resistance in Belgium in 1992–1993.During this period, respectively 14 (1.1%) and 17 (1.3%) cases of multidrug resistance (i.e. resistance to at least isoniazid and rifampicin, according to the W.H.O. definition), were detected by these laboratories.Since 9 new cases of multidrug resistance were detected in 1992 and 10 in 1993, the incidence of multidrug resistance in Belgium can be estimated at 0.1 per 100.000 inhabitants.Among these 19 new cases, 2 are confirmed as primary resistance cases.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718503

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryThe ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain. Diagnosis is based upon a typical clinical triad and relief of pain by injection of a local anaesthetic. In the present study we assessed the value of abdominal muscle electromyography in 41 patients with a clinical syndrome suggestive of ilioinguinal-iliohypogastric nerve entrapment.Electromyographic abnormalities were detected in 15 of 25 cases (60%) with definite diagnosis and in 6 of 16 (37%) of those with probable diagnosis of ilioinguinal-iliohypogastric nerve entrapment syndrome.The rather low sensitivity and the clinical value of this technique are discussed.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718504

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryWe report a case of acute pleuropulmonary nocardial infection in a 24-year-old woman suffering from systemic lupus erythematosus. In most instances,Nocardia asteroidesis an opportunistic pathogen. In our patient, the infection was facilitated by systemic lupus erythematosus and chronic use of corticosteroids and immunosuppressive drugs.N. asteroideswas cultured from both pleural effusion and blood. No extra thoracic location was found and the patient improved upon intravenous antibiotics and pleural drainage. Owing to the poor tolerance of trimethoprim/sulfamethoxazole, the patient was treated successfully with imipenem. The predisposing factors, the clues to the diagnosis and the therapy of nocardiosis are briefly reviewed.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718505

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryThe papillary carcinoma is the most common cancer of thyroid but its presentation may be unexpected. In the first case, a 18-year-old girl complained of a painful enlargement of the right thyroid lobe. Upon the basis of a CT scan revealing punctuate calcifications suggesting psammoma bodies and a right-sided cold nodule on thyroid radioiodine scanning, the patient had a thyroidectomy. The second case was a discovery of papillary carcinoma in a 49-year-old woman who had a thyroidectomy for Graves’disease. This association may not be fortuitous. The cancer could be more aggressive in this group of patients, as TSI play a pathogenic role.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718506

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryThe authors report a case of Guillain-Ban-6 syndrome occurring after a hip replacement associated with hyponatremia due to a syndrome of inappropriate secretion of antidiuretic hormone (SIADH). They describe and review the literature about this syndrome’s etiology, and its association, relatively rare, with SIADH. The diagnostic reasoning and the therapeutic possibilities are described.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718507

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryLung abscess due to nontyphoidSalmonella(NTS) with or without other intestinal or extra-intestinal involvement is very rare. A literature review (Medline®search) revealed only 20 cases including ours with this extra-intestinal manifestationoiSalmonellainfection.The case of a 49-year-old, HIV-positive man from Zaire is reported. Diagnosis was established by direct transthoracal CT-guided puncture of the abscess, a hitherto not reported procedure in this setting. Treatment with oral ciprofloxacin resulted in clinical and radiographic improvement Underlying immunodeficiency seems to play an important role, but the real pathophysiological mechanisms remain unsolved. It is particularly seen in HIV-positive patients with impaired cellular immunity sinceSalmonellais an intracellular pathogen whose eradication involves natural killer cells and antibody-induced cellular cytotoxicity. A possible explanation is thatNT-Salmonellabacteraemia is much more frequent in AIDS-patients as compared to the general population.Salmonellabacteremia can then spread to other tissues and organs such as the lungs, but why only the lungs are involved in some cases remains unclear. The characteristics ofSalmonellalung abscess is discussed and the literature reviewed.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718508

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

SummaryTramadol is a weak opioid with effects on adrenergic and serotonergic neurotransmission that is used to treat cancer pain and chronic non malignant pain.This drug was initiated in association with paroxetine and dosulepine hydrochloride in a tetraparetic patient with chronic pain. Fifty-six days after initiation of the treatment the patient presented hallucinations that only stopped after the withdrawal of psycho-active drugs and tramadol.The case report questions the long term use of pain killers combined with psycho-active drugs in chronic non malignant pain, especially if pain is under control.

ISSN:1784-3286    

DOI:10.1080/17843286.1996.11718509

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor