EDITORIAL NOTE: This article was originally submitted as a case report to the Journal. It is unique in that it documents 423 admissions of the patient! Because of its interest, it is published as an editorial.
During a two and one-half year period, three episodes of bacteremia were associated with the use of scalp-vein needles. One was apparently part of the recent nationwide outbreak of septicemia due to contaminated intravenous fluid bottles. The other two occurred in patients with a paucity of peripheral veins who received…
During the past 5 years, 15 children with protein-losing enteropathy (PLE) have been seen. The findings in 5 patients illustrating the profound effect of this disease on growth are presented. The influence on growth is one of the most difficult aspects of management of this disease. More than half of…
The authors review an entity not often recognized as such in this country.
This case report illustrates the capability of methamphetamine to cause fatal cerebral hemorrhage.
This case report is the second of disseminated intravascular coagulation, probably the result of a hypercoagulable state which may occur in the ketoacidosis of diabetes mellitus. Presenting coma was the result of occlusion of the right middle cerebral artery.
A case report of an infant with an 18 ring chromosome is presented and compared with the 24 other cases of this syndrome reported in the literature. Physical features of these patients are summarized in an attempt to make available a description of this syndrome so that diagnosis may be…
Several studies including our own show 28% to 75% of psychiatric patients under care from outpatient or inpatient services to be treated with more than one psychotropic medication. Some of these combinations are not proven to increase effectiveness; others may reduce therapeutic efficacy, and still others may be deleterious to…
Two instances of transient congenital idiopathic hypoparathyroidism have been observed and considered with seven well documented cases in the literature. Hypocalcemic tetany develops after the first two days of life and persists despite dietary manipulation and calcium supplementation. Hyperphosphatemia is present. The chemical abnormality is readily corrected by parathyroid hormone…
The electroencephalographic phenomenon of polyphasic spike activity was studied in 70 children. The spikes occur predominantly in the parietocentral and midtemporal areas. Correlation was made with the clinical histories of these patients in regard to the presence of seizures, seizure frequency and type and the association of behavior disorders, learning…
The authors recommend treatment by irradiation if the symptoms warrant and the sputum cytology is positive, before a histologic diagnosis has been made. Further investigation, as bronchoscopy or biopsy, may be possible with greater safety after the obstructive symptoms are relieved.
Squamous cell carcinoma and adenoacanthoma of the colon and rectum above the anal verge are uncommon lesions. A total of 48 cases have been reported since 1907: 23 squamous and 25 adenoacanthomas, including the present case. Five of these cases occurred in patients with ulcerative colitis: the present case, one…
Significant palliation can be obtained in some patients with ovarian or uterine cancer using drug therapy, and should be tried when other modalities have failed. Gestational trophoblastic disease is curable with drugs, but requires skillful evaluation and management. The use of combination chemotherapy in cervical cancer and other advanced gynecologic…
Eleven cases of gonococcal arthritis in pregnancy were observed at Charity Hospital of New Orleans between January 1958 and January 1968. Four of the patients were admitted to the Tulane Obstetrical Service over a period of 9 months. These 4 cases are reported in detail. Of the 11 patients, 7…
A serologic survey for antibodies to poliovirus among more than 2,000 individuals was conducted in Tampa, suburban and rural Hillsborough County, Florida. The overall antibody levels were similar in the three regions, but levels for types 1 and 2 were significantly higher than those for type 3 in all age…
The author's studies show that if liver function tests are abnormal in patients seemingly to be suffering from pancreatitis, the study should be extended searching for surgically correctable lesions. Liver or gallbladder disease commonly accounts for derangement of liver function tests.
Four persons experienced the sudden onset of vomiting, diarrhea and shock approximately three and one half hours after eating a “cold plate” lunch served at a restaurant; the illness was fatal in one individual. Food specific attack rates implicated ham from which staphylococci were isolated. This report demonstrates the potential…
Rectal gonorrhea is frequently difficult to differentiate from the multiple clinical entities causing proctitis. A 21-year-old woman with asymptomatic urogenital gonorrhea who presented with symptoms of proctitis is presented. Resolution of symptoms and pathologic changes occurred following penicillin therapy. Gonococcal infection of the rectum should be considered in female patients…
Prostaglandins are a family of biologically potent lipid substances which have been investigated intensively in recent years. Although precise knowledge of the physiologic roles of prostaglandins remains uncertain, it is evident that prostaglandins exert a variety of potent pharmacologic actions on different systems of the body. Furthermore, it is considered…
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