ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718458

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryWorldwide almost no epidemiologic data are available on the prevalence orincidence of interstitial lung diseases (ILD) in the general population. Therefore, a registration programme of ILD-prevalence was organised by the VRGT (Vercniging voor Respiratoire Gezondheidszorg en Tuberculosebestrijding), among about 100 Flemish pneumologists since 1990.Most categories of the classification by Crystal et al. (1) were included and the diagnostic criteria (histology, laboratory tests, clinic, radiology) were registered. The present paper presents the results of 1992–1994: twenty pneumologists had forwarded the summary files of 237 patients to the central office in 1992 (n=68), 1993 (n=90) and 1994 (n=79).The diagnoses that were most frequently made were: sarcoidosis in 27%, idiopathic pulmonary fibrosis in 20%, hypersensitivity pneumonitis in 14% (of which 68% by birds) and collagen-vascular disease in 10% (of which 54% in rheumatoid arthritis). Less frequent causes were eosinophilic pneumonia (4%), inhalation of inorganic material (4%, anthracosilicosis being excluded), histiocytosis X (3%), drugs (3%), angiitis and granulomatosis (2%), pulmonary hemosiderosis (1%), lymphocytic infiltrative lung disease (1%) and lymphangioleiomyomatosis (1%). The order of relative frequencies of the different categories of diseases was the same in the 3 registration years. In 9% of the patients the diagnosis was confined to“undefined fibrosis”. The diagnosis was confirmed by histology in 63% of the cases. The overall male-female ratio was nearly one, with, however, a male preponderance in hypersensitivity pneumonitis (22/12), UIP(8/3) and“undefined fibrosis”(14/7). All age groups were represented but 65% of the patients were over 50 years old. Analysis of the postal codes showed following regional distribution (for the whole study period): 51 patients lived in Flemish Brabant, 111 in Antwerp, 31 in Limburg, 24 in East-Flanders, and 13 in West-Flanders.Although this registration undoubtedly underestimates the real prevalence of interstitial lung diseases and may contain some bias due to different approaches among the participating centers (despite the instructions in the protocol), it provides important information on the relative frequency of the different forms.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718459

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryCampylobacter jejuniandSalmonellaspp are the most frequently cultured micro-organisms in infectious gastroenteritis among patients hospitalized at the departments of gastroenterology and geriatrics. As a whole, the hospitalized patient population withCampylobactergastroenteritis is a younger one, compared to theSalmonella-inTcclcdgroup. Both pathogens can be associated with a biochemical pancreatitis, which is usually without clinical importance. However, serious complications can occur, with a predominance of visceritis for C.jejuni,and renal function impairment forSalmonellaspp. Finally, an asymptomatic carrier state is well known in theSalmonellainfection spectrum, whereasC. jejunimight cause a recurrent disease in some patients.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718460

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryThein vitroactivity of the combination piperacillin/tazobactam has been compared to that of piperacillin, ticarcillin/clavulanatc, cefotaxime, ceftazidime, imipenem and ciprofloxacin against 678Enterobacteriaceae,173 nonfermenters, 185 staphylococci, 96E. faecalis,217S. pneumoniae,202H. influenzaeand 178M. catarrhalisisolated from hospitalized patients. Piperacillin/tazobactam was similar in activity to third generation cephalosporins, imipenem and ciprofloxacin, and more active than piperacillin alone and ticarcillin/clavulanate.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718461

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryA residual mass after treatment of Hodgkin’s disease points to the diagnosis of fibrotic residue or of persistent disease. Radiological and radionuclide imaging, although helpful, cannot differentiate between both conditions with absolute certainty. Thus, residual masses are followed up: stable or regressive masses strengthen the hypothesis of fibrotic residue, while enlarging masses evoke relapsing disease. We report on a patient with an enlarging residual mass after completion of therapy, which proved to be a benign thymic hyperplasia after histological analysis. Previously reported similar observations are reviewed.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718462

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryCyclosporasp. is a coccidian (protozoan) thai has been incriminated in cases of diarrhoea in particular among travellers. We report two cases of intestinalCyclosporainfection in immunocompetent Belgians, who travelled to Indonesia. Although the diarrhoea persisted for several days recovery seemed to occur spontaneously.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718463

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryThe authors report an observation of Wegener’s granulomatosis with pulmonary, bronchial, renal, cutaneous and sinusal involvement. Five years ago, the patient was referred to us because of bilateral diffuse pulmonary infiltrates of unknown origin. A cortico therapy was introduced at that time and a complete clearance of the pulmonary infiltrates was noted. Nineteen months after the treatment’s withdrawal, the disease recurs with the reappearance of pulmonary infiltrates. Beyond these unusual clinical aspects, histological examination of the bronchial biopsies were of diagnostic value.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718464

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryWe describe the case of a 72-year-old man who developed unilateral digital necrosis, four years after diagnosis of chronic myeloid leukemia (CML). The etiology of this paraneoplastic phenomenon appears multiple. The digital necrosis responded well to an aggressive varied treatment. The unusual association of CML with digital necrosis and the etiology of this rare paraneoplastic complication are discussed.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718465

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryThe authors report the case of a 68-year-old woman who suffered from an acute massive pulmonary embolism. The common electrocardiographic findings were not observed, but rather an extreme QT prolongation. The patient has been successfully treated by thrombolysis. After a few days, the electrocardiogram normalized. These electrocardiographic changes have not yet been described in the medical literature.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718466

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

SummaryWe present two patients with moderate left ventricular dysfunction, who developed a pleural effusion after coronary artery bypass grafting (CABG). The effusion was proven to be an exsudate of tuberculous origin. This illustrates that not all pleural exsudates developing after CABG are due to a post-pericardiotomy syndrome. Therefore microbiological examination of pleural fluid and if necessary pleural biopsy should be performed in all patients with an unresolving pleural effusion following CABG.

ISSN:1784-3286    

DOI:10.1080/17843286.1995.11718467

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor