ABSTRACT: Epidemics of yellow fever in mid-19th century America caused, in the port cities of the South, devastation and death almost unequalled in this country's history. In response to this horror, a benevolent organization of young men was formed to minister to the unfortunate victims through visitations, nursing care, supplies,…
ABSTRACTAsbestos is a versatile fibrous mineral that can cause lung disease and death. Asbestosis, benign pleural disease, lung cancer, and mesothelioma can all result from inhaling asbestos. The history of disease and exposure risks are discussed. The difficult assessment of risk and the long latency period for development of disease…
ABSTRACTAsthma affects people of all ages, and the mortality rate associated with the disease is increasing. The proper understanding of the pathogenic mechanisms, including airway inflammation and bronchoconstriction, can lead to a more logical treatment approach. Recognition of the important role of allergic triggers in influencing the sensitivity of the…
ABSTRACTFrom February 1988 to April 1990, we collected blood for hepatitis B surface antigen (HBsAg) from all women coming to the Texas Tech University Health Science Center in Lubbock for prenatal care. These patients were from rural western Texas and eastern New Mexico. They were also screened for hepatitis B…
ABSTRACTIn 1986 legislation established the Virginia Congenital Anomalies Reporting and Education System (VaCARES). The system has three goals: to collect data that can be used to evaluate possible causes of congenital anomalies, to improve diagnosis and treatment, and to let parents and physicians know what resources are available to aid…
ABSTRACTMaryland has higher mortality rates from heart disease, cancer, and stroke (HCS) than the United States as a whole. More than 50% of deaths from HCS are premature, occurring before age 75. The health care and indirect costs from these three diseases total approximately $4.4 billion annually, placing a major…
ABSTRACTPhysicians in the United States must maintain vigilance for the 25 000 annual new cases of tuberculosis, concentrated in the elderly, in immigrants, in migrant and minority populations, and in immunosuppressed patients. Tuberculosis rates in the South remain above the national average. Physicians diagnosing tuberculosis may also treat the disease,…
ABSTRACTRespiratory syncytial virus (RSV) is a common serious pathogen known to produce annual winter epidemics in young children. A 2-year study of children with significant respiratory disease during the summer revealed a 21% incidence of RSV infection. Respiratory secretions collected from ill children in the LSUMC outpatient clinics, from children…
ABSTRACTThrough 1990, 308 cases of AIDS had been reported in female residents of Georgia (aged 13 years and older); 77 (25%) were white and 228 (75%) black. The mean age of the white women (43.8 years) was greater than that of the black women (34.5 years). One hundred sixty-six women…
ANEURYSMS are blood-filled cavities that communicate with the lumen of an artery. An aneurysm is classified as “true” or “false” according to its cause and the composition of its surrounding wall. A true aneurysm contains all vessel wall layers and is generally the result of degenerative changes such as those…
BONE MARROW GRANULOMAS are seen in various infectious and noninfectious disorders. The finding of granulomas in the bone marrow of patients with inflammatory bowel disease is extremely rare and often suggests the coexistence of another systemic illness. This case report distinctly demonstrates bone marrow granulomas in a patient with Crohn's…
CHONDROBLASTOMA is a rare, usually benign primary neoplasm of bone. We present the following case of chondroblastoma in an unusual site.
FOREIGN BODIES in the urinary bladder are uncommon and in many instances are self-introduced. Objects may also enter the bladder through migration and erosion, or iatrogenically, as occurs with broken pieces of Foley catheter balloons. Reasons for self-introduction of foreign objects include eroticism, intoxication, attempted abortion, senility, curiosity, and psychologic…
GUAR GUM is a high polymer hydrophilic carbohydrate that has considerable expansion and thickening qualities when placed in water. It is used as an additive to many products, as a lipid and glucose lowering agent, and as an aid for weight loss. We present two cases describing the adverse effects…
IN APPROACHING THE SUBJECT of American Indian medicine, it is essential to establish the conceptual framework from which this medicine developed and was practiced. The development of methods of causal inference, such as the doctrine of signatures, trial and error, and serendipity, are aspects that may be kept in mind…
INTERLKUKIN-2 (IL-2), a cytokine secreted by certain antigen-activated T lymphocytes, can initiate and propagate a multitude of reactions of the immune system. It has been shown to augment the in vitro cytolytic activity of peripheral blood mononuclear cells and to induce the generation of a subpopulation of cytolytic lymphocytes termed…
INTERNAL ABDOMINAL HERNIAS are not common, but should be considered during evaluation of abdominal symptoms suggestive of intestinal obstruction. Of special note in the case presented here is the difficulty of diagnosis complicated by pregnancy, which also limits diagnostic investigation. Internal hernias, which are protrusions of a viscus through a…
KLEBSIELLA OZAENAE is a nonmotile, aerobic, encapsulated, gram-negative rod named for its association with ozena, a chronic atrophic rhinitis, even though its etiologic role in this condition is conjectural. Its significance as a human pathogen is unclear, though it has been increasingly implicated as a low virulence opportunist. K ozaenae…
POSTPARTUM HYPOPITUITARISM (Sheehan's Syndrome), first described by Sheehan1 in 1937, is characterized by various degrees of anterior and/or posterior pituitary dysfunction due to pituitary necrosis after obstetric shock or hemorrhage. The signs and symptoms of Sheehan's syndrome are of variable severity.Pregnancy seems to have a profound effect on thyroid function,…
SUMMARYI have reported the case of an umpire who had deep venous thrombosis. Specialized clothing may have been an etiologic factor.
SUMMARYLeiomyomas involving the small bowel are rare benign tumors comprising 0.2% to 1.8% of all gastrointestinal tumors. We have presented a case with the rare complication of a free perforation between the tumor and the peritoneal cavity, causing an acute abdomen.
TAKAYASU'S ARTHRITIS was named after the Japanese ophthalmologist, M. Takayasu, who in 1908 described a young woman with cataracts and wreathlike arteriovenous malformations around the optic papillae. Other synonyms are used, but the most widely accepted is “aortic arch syndrome.”
THE LONG QT SYNDROME (LQTS) is an inheritable electrical disorder of the heart that can be associated with syncope, seizures, and sudden death. This syndrome is rarely evident in the neonatal period and then manifests itself typically with bradyarrhythmias. We describe a newborn with LQTS who had ventricular tachycardia 30…
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