摘要:

&NA;A case ofListeria monocytogenessepticemia in a patient with a poor reproductive history is presented. The clinical aspects and implications of this infectious disease during pregnancy are discussed, and the role ofListeriaas a cause of recurrent pregnancy wastage is summarized.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;The responses of plasma testosterone to gonadotropin stimulation (HCG), estrogen and dexamethasone suppression, and clomiphene citrate therapy were studied in 4 patients with virilization. The pattern of response in 1 patient with an ovarian tumor (arrhenoblastoma) aided in tumor localization. Dexamethasone administration in another patient with an adrenocortical carcinoma caused paradoxical elevation of plasma androstenedione, while plasma testosterone was suppressed. In 1 patient with probable polycystic ovarian disease, HCG stimulation increased plasma testosterone levels, while cyclical clomiphene citrate produced normal levels. In 1 patient with virilization and primary amenorrhea (benign adrenal hyperplasia), no alteration in plasma testosterone occurred during stimulation or suppression studies; however, after ACTH administration, urinary 17‐ketosteroids were disproportionately increased relative to 17‐OH steroid excretion. During clomiphene therapy, plasma testosterone remained unchanged.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Two women developed total urinary retention following vaginal operations for benign conditions. Unsuccessful treatments included continuous catheter drainage, cholinergic drugs, and intermittent self‐catheterization. Retention persisted for 9 years in 1 patient and for 10 weeks in the second. Vesical hypotonicity was demonstrable in both cases. Neither had visible bladder outlet obstruction. Neurologic derangement was excluded by the presence of vesical sensation, intact anal reflexes, and normal perineal sensation. Y‐V cystoplasty resulted in the return of spontaneous voiding in each patient. The operation, which interposed a broad‐based V‐shaped flap of bladder muscle between the distracted edges of the transected bladder neck, is described in detail. Followup in excess of 2 years in each case indicates no loss of efficient voiding. Urinary retention following vaginal operations is attributed to loss of bladder outlet elasticity and secondary detrusor hypotonicity resulting from overdistention.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID