Issue - Southern Medical Association

Editorial

MUNCHAUSEN'S SYNDROME A THIRTY‐YEAR HISTORY OF PEREGRINATION PAR EXCELLENCE

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.

Primary Article

Serious Systemic Infection Associated with the Use of Indwelling Intravenous Catheters

Primary Article

Septicemia Associated with Scalp‐Vein Needles

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…

Case Report

Retained Vaginal Tampon A Unique Cause of Acute Abdomen

Primary Article

Protein‐Losing Enteropathy in Children

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…

Case Report

Chronic Postrheumatic Arthropathy (Type Jaccoud) Report of Two Cases and a Review of the American Literature

The authors review an entity not often recognized as such in this country.

Case Report

Speed Kills Fatality from the Self‐Administration of Methamphetamine Intravenously

This case report illustrates the capability of methamphetamine to cause fatal cerebral hemorrhage.

Primary Article

Diabetic Keto‐Acidosis Complicated by Disseminated Intravascular Coagulation

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.

Primary Article

Clinical Features Associated with the Chromosomal Deletion Syndrome Manifested by an 18 Ring (46,18r)

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…

Primary Article

Some Clinically Important Interactions of Psychotropic Drugs

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…

Primary Article

Transient Congenital Idiopathic Hypoparathyroidism

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…

Primary Article

Clinical Correlates of the Polyphasic Spike Phenomenon

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…

Primary Article

Superior Vena Caval Syndrome Response with Initially High Daily Dose Irradiation

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.

Primary Article

Adenoacanthoma and Ulcerative Colitis Case Report and Review of the Literature

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…

Case Report

“Cruciate Paralysis” A Complication of Surgery

Primary Article

Fungal Endophthalmitis

Primary Article

Chemotherapy and Hormone Therapy in Gynecologic Cancer

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…

Primary Article

Gonococcal Arthritis in Pregnancy

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…

Primary Article

A Poliomyelitis Immunity Survey in Hillsborough County, Florida

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…

Primary Article

Abnormalities of Liver Function in Acute Pancreatitis

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.

Primary Article

Fatal Staphylococcal Food Poisoning

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…

Primary Article

Anorectal Gonorrhea Presenting as Ulcerative Proctitis

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…

Review Article

Pathophysiologic Roles of Prostaglandins and the Action of Aspirin‐like Drugs

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…

Current Concepts

Current Concepts in Therapy Drug‐Induced Malabsorption—A Review

Case Report

Multiple Carcinoid Tumors of Stomach

Case Report

Transient Electrocardiographic Changes of Left Atrial Hypertrophy Following Successful Cardioversion for Atrial Fibrillation

Case Report

Ovarian Pregnancy

Case Report

San Antonio—“Land of Yesterday and Manana”

Southern Medical News

GENERAL ANNOUNCEMENTS

Book Review

Zinsser Microbiology

Book Review

Asthma and Hay Fever

Book Review

Clinical Pharmacology

Book Review

American College of Physicians Medical Skills Library

Book Review

Pathology

Book Review

The Psychiatric Programming of People

Book Review

Hereditary Retinal and Choroidal Diseases

Book Review

Recent Advances in Studies of Alcoholism An Interdisciplinary Symposium