the clinician approaches a patient with an infectious disease

... and advances in treatment Nat Clin Pract Rheumatol 2007, 3:148-155 van Laar JA, Missotten T, van Daele PL, Jamnitski A, Baarsma GS, van Hagen PM: Adalimumab: a new modality for Behçet’s disease? ... disease and psoriatic arthritis Arthritis Res Ther 2009, 11:R17 Dik WA, Nadel B, Przybylski GK, Asnafi V, Grabarczyk P, Navarro JM, Verhaaf B, Schmidt CA, Macintyre EA, van Dongen JJ, Langerak ... Arthritis Research & Therapy Vol 11 No Kappen et al in colonic tissue of a BD patient, IFN-γ, TNF-α, and IL-1 7A appear to be key cytokines, even in a treated patient Competing interests The authors...

Ngày tải lên: 09/08/2014, 14:22

... the patient refused (4) After our attempt to remove the perfluorodecaline in the anterior chamber with a 27G needle failed, an anterior chamber wash was performed with balanced salt solution via ... Perfluorodecaline may also have a role in the etiology of some changes, such as corneal oedema and deep corneal vascularization in the area of perfluorodecaline-endothelial contact It is known that corneal ... operation (a and b) Giant retinal tear with shallow detached retina involving the macula in the right eye (c) Reattachment of retina after vitrectomy sis, but could not obtain these results as the...

Ngày tải lên: 11/08/2014, 10:23

... OPS-rich fraction (30%) Mainly two sugars, Rha and Man, were detected in the OPS-rich fraction on analysis of the sugar constituents (Table 1) The approximate molar ratio of Rha to Man was : Absolute ... showed that a glycoside is attached at O4 of residue a [26] Residue b was assigned as b-D-mannopyranose (b-D-Manp) The mannopyranosyl Fig 1H (A) and 13C (B) NMR spectra of the OPS-rich fraction ... propan-1-ol and the same acetate buffer containing 60% propan-1-ol to give the pass-through (OS-P) and retained (OS-R) fractions, respectively The OSR fraction contained LPS from the SDS/PAGE analysis...

Ngày tải lên: 31/03/2014, 23:20

... from the pressure of the prosthesis With these results, we conclude that an ambulating patient with an above knee amputation and a subcapital fracture should be operated on after appropriate planning ... lever arm, and the patient was treated nonoperatively Two studies[4,6] have shown that this an appropriate strategy for most fractures after an amputation, except displaced intertrochanteric and ... and preparation with satisfactory results A patient can return to preoperative level of ambulation and activity after rehabilitation Consent 'Written informed consent was obtained from the patient...

Ngày tải lên: 20/06/2014, 04:20

... Sauerbruch LGH, et al: Littoral cell angioma as a rare cause of splenomegaly Ann Hematol 2001, 80:45 Oliver-Goldaracena JM, Blanco A, Miralles M, Martin-Gonzalez MA: Littoral cell angioma of the ... infections, we had to exclude fungal disease, septic emboli and granulomatous diseases such as sarcoidosis and tuberculosis Associated adenopathic, pulmonary and mediastinal diseases suspecting sarcoidosis ... in a patient with severe aplastic anemia Haematologica 2003, 88:11, ECR33 18 Tan YM, Chuah KL, Wong WK: Littoral cell angioma of the spleen Ann Acad Med Singapore 2004, 33:524-526 19 Gupka MK,...

Ngày tải lên: 09/08/2014, 02:21

... irinotecan, oxaliplatin, and the fluoropyrimidines, and bevacizumab and cetuximab) have improved the median survival period of patients with unresectable colorectal cancer [10-15] Patients with ... drainage of the abscess was performed A pigtail catheter was inserted into the abscess and pus with gas and odor was drained; an infection caused by gas-producing anaerobic microorganisms was strongly ... reported case highlights the importance of the removal of the primary tumor in an aymptomatic patient as an attempt to avoid concomitant serious complications Retroperitoneal abscess and NF are rare...

Ngày tải lên: 09/08/2014, 04:21

... and approved the final manuscript ER: Designed the study, conducted the study, analyzed the data, and wrote the manuscript JH: Analyzed the data and wrote the manuscript RH: Designed the study, ... conducted the study, and analyzed the data BS: Conducted the study HA: Designed the study, conducted the study, analyzed the data, and wrote the manuscript Competing interests The author declares that ... radial arterial line and Swan-Ganz catheter Induction was uneventful with etomidate 10 mg and cisatracurium 10 mg The transesophageal echocardiography (TEE) probe was placed uneventfully The surgeons...

Ngày tải lên: 10/08/2014, 09:21

... tube by translumination and palpation of the abdominal wall Under local anesthesia, the fixture was inserted into the stomach percutaneously via the anterior wall of the stomach Through the first ... it was unclear whether there was a leak (Figure 2A) After the examination, our patient experienced sudden abdominal pain and nausea The following day, enteric drainage was again seen from the ... contributions MH was a major contribution in writing the manuscript ST developed PEG-j for the patient All authors contributed to the patient s therapy All authors read and approved the final manuscript...

Ngày tải lên: 11/08/2014, 00:22

... post-operative management of our patient and in drafting and writing the manuscript All authors read and approved the final manuscript Acknowledgements This research was supported in part by the Intramural ... metaplasia in a cartilagenous plate on the bronchial wall The bronchial cartilage is primarily responsible for maintaining the stability of the airways Metaplastic ossification happens as part ... Research Program of the NIH, NIAID and by a grant from the Bill and Melinda Gates Foundation and the Wellcome Trust through the Grand Challenges in Global Health Initiative We appreciate the...

Ngày tải lên: 11/08/2014, 12:20

... fractures of the left femur, left radius and ulna, the latter managed operatively Open reduction and internal fixation was decided for the fracture of the humerus under general anaesthesia (GA) ... operation JFH and AK revised the article for intellectual content while IR and AK carried out the literature review and the review of the patient' s medical records All authors read and approved the ... were then over-drilled with a standard drill bit to the required 3.2 mm to accept a 4.5 mm screw A standard 4.5 mm cortical tap was used, frequently reversed and withdrawn for cleaning A standard...

Ngày tải lên: 11/08/2014, 19:21

... http://www.jmedicalcasereports.com/content/2/1/283 tially treated with oral anti-diabetic medication As normoglycaemia was not being achieved using maximal oral treatment and a low caloric diet, the patient was treated with insulin The administration ... [8,9,17] In all cases, these forms of therapy were successful, but were in part associated with a restricted quality-oflife In severe cases, a solitary pancreas transplantation was the last chance to ... authors have read and approved the final manuscript Consent Written informed consent was obtained from the patient for publication of the case report and any accompanying images A copy of the written...

Ngày tải lên: 11/08/2014, 21:22

... aggressive malignant lymphomas to characterise metabolically undetermined masses, tumour staging and restaging, treatment response evaluation and radiotherapy treatment planning In fact, it allows a combination ... the patient was treated with four cycles of chemotherapy A further CT scan of the abdomen was performed at the end of the treatment and then again in June 2007; a second PET/CT study with FDG was ... combination of both anatomical and biological co-registered images acquired in the same session, with a dual gain in diagnostic accuracy Staging is crucial in the identification of the appropriate...

Ngày tải lên: 11/08/2014, 23:21

... erythema, paresthesia and increased sweating Most commonly it is associated with an intrathoracic malignancy, which can be carcinoma of the lung as well as pulmonary metastasis of other tumors and Hodgkin's ... distal one-third of the arms and legs and sometimes of the facial tissues, which may simulate acromegaly [3] and finally, neurovascular changes of the hands and feet including chronic erythema, ... osteoarthropathy was made with the prostate cancer as an "innocent" bystander Since the patient was rapidly deteriorating palliative care was given The patient died several weeks after admission Post...

Ngày tải lên: 11/08/2014, 23:21

... brain The initial CT (Figure 1) was performed hours after the collapse The hospital had access to a magnetic resonance imaging (MRI) scanner once a week and the next available slot was days later ... density changes in appearance to become isodense with brain tissue and ultimately (after at least a month) to appear as an area of low density Figure admission Computed tomography scan of the brain ... there has been no change to the probable longstanding calcification within the right basal ganglia Final diagnosis The appearances are those of extensive left MCA infarction [4] Although the first...

Ngày tải lên: 11/08/2014, 23:21

... was placed in the anatomic position Part of the native head was used as a morselised autograft at the true acetabular bed The superolateral part of the head was used as a structural graft and secured ... have addressed the hip dysplasia and secondary arthritis and stiffness which could have impeded proper weight bearing and lead to the possible mechanical failure of the implants and/or an inability ... technical difficulties of antegrade nailing due to the distorted anatomy and the limited ability of intraoperative traction and manipulation because of hip ankylosis in 15° of flexion and as a result...

Ngày tải lên: 11/08/2014, 03:20

... was placed in the anatomic position Part of the native head was used as a morselised autograft at the true acetabular bed The superolateral part of the head was used as a structural graft and secured ... have addressed the hip dysplasia and secondary arthritis and stiffness which could have impeded proper weight bearing and lead to the possible mechanical failure of the implants and/or an inability ... technical difficulties of antegrade nailing due to the distorted anatomy and the limited ability of intraoperative traction and manipulation because of hip ankylosis in 15° of flexion and as a result...

Ngày tải lên: 11/08/2014, 06:23

... position The angiogram revealed an mm giant aneurysm of the proximal left anterior descending artery and an mm aneurysm of the proximal left circumflex coronary artery tall T waves on precordial leads ... literature, several different therapeutic approaches have been advanced for the management of myocardial infarction in patients with BD These may include primary percutaneous transluminal coronary ... fibrosis and thus weakens and predisposes the arterial wall to aneurysm formation that eventually ruptures [9] In our patient, angiography was performed for evaluation of coronary anatomy Coronary angiograms...

Ngày tải lên: 11/08/2014, 14:20

... pathogenic antibodies with plasmapheresis, as the activity of the disease correlates with the antibody level The latter has drastically improved the prognosis and outcome in patients with Goodpasture's ... gas analysis and liver enzymes were normal A chest X-ray was consistent with pneumonia after aspiration Cranial computed tomography was normal Cerebral magnetic resonance imaging (MRI) revealed ... MR-morphological alterations resolved during plasmapheresis A bacterium causing the pneumonia could not be isolated ANCA: anti-neutrophil cytoplasmic antibodies; antiGBM: anti-glomerular basement membrane;...

Ngày tải lên: 11/08/2014, 17:21

... contributions NM was involved in the management of the patient while in hospital, wrote the manuscript, collected all relevant data, and finalized the manuscript for submission to the journal, ML was involved ... be regarded as a cutaneous marker of systemic disease It has been associated with malignancies in about 20 to 25% of patients [6] Most malignancies are hematopoietic, especially myelodysplastic ... Crohn's disease, and should be differentiated from other more frequent inflammatory diseases that accompany Crohn's disease, like erythema nodusum, pyoderma gangrenosum and leukocytoclastic vasculitis...

Ngày tải lên: 11/08/2014, 21:22

... Goto H, Takahashi K, Makino A, Ishigaki H, Nakayama M, Okamatsu M, Takahashi K, Warshauer D, Shult PA, Saito R, Suzuki H, Furuta Y, Yamashita M, Mitamura K, Nakano K, Nakamura M, Brockman-Schneider ... Sakai-Tagawa Y, Noda T, Sakabe S, Imai M, Hatta Y, Watanabe S, Li C, Yamada S, Fujii K, Murakami S, Imai H, Kakugawa S, Ito M, Takano R, IwatsukiHorimoto K, Shimojima M, Horimoto T, Goto H, Takahashi ... rendering analytical approaches difficult Despite the mathematical complexity, goals (a) and (b) can be more readily understood from empirical data during early epidemic phase than can goal (c), because...

Ngày tải lên: 13/08/2014, 16:20