Current practices in transfusion medicine.
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Biomedical subjects
Publications and source records attributed to A Borker.
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Bromine-82 as ammonium bromide (0.6 muCi/kg) was administered orally to 86 children with neurologic manifestations of tubercular meningitis (TBM). The cerebrospinal-fluid-to-plasma activity ratios were obtained at 48 hr. A serum-to-CSF ratio below 1.9 was highly specific for TBM (40 of 42 patients), and only 4 of 44 patients with neurologic disorders other than TBM had ratios below 1.9. An attempt to simplify the diagnosis of TBM was carried out in 44 of the 86 patients by obtaining external counts over the head, heart, and thigh at 4, 24, and 48 hr after Br-82 administration, but these external counts did not distinguish TBM patients from the other patients in our series.
This report describes a rare case of multiple intracranial, extradural chloromas. A five year old African American male presented with headache, fever, and vomiting. The peripheral blood smear showed myeloblasts with Auer rods. The CTscan of the brain showed three intracranial, epidural lesions as well as soft tissue masses in the retroorbital region and sphenoid sinuses. CTscan of the chest showed two paraspinal epidural thoracic masses. Pathology of the epidural intracranial mass revealed a granulocytic sarcoma. Cytogenetic analysis showed simultaneous occurrence of t(8;21) and trisomy 8. Following induction therapy, he is now in complete remission.