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Biomedical subjects

C Scurtu

Publications and source records attributed to C Scurtu.

At least 19 recordsLinked to original sources

[Electrocardiogram changes in purulent pericarditis. Report on 21 cases].

The electrocardiograms of 18 out of 21 patients hospitalized between 1964 and 1972 with purulent pericarditis presented significant changes. With the exception of three cases of primary isolated pericarditis, most of the patients presented with septicemia. Staphylococcus aureus was the predominant pathogen in 16 cases. Classical electrocardiographic evolution in four phases was recorded in six cases. Draining of the pericardial effusion in the patients without pleurisy was followed by low-voltage amelioration in half of the cases. The duration of the electrocardiographic changes was shorter in patients who underwent intrapericardial treatment. One quarter of the patients suffering from myopericarditis with conduction disturbances--Block AV 1, 2 and Wenckebach's periods--had a worse prognosis.

Adult

Epidemic outbreak of Coxsackie virus meningitis. Note I. Clinico-epidemiological features.

An epidemic outbreak of viral meningitis mainly caused by Coxsackie B3 virus is described. Characteristic of the outbreak was the involvment of a large number of infants under 1 year of age (about 1/4 of the total number of cases) and the elevated incidence of encephalitis symptoms, as compared with the meningitis outbreak caused by echovirus 4 in 1973.

Adolescent

[Acute nosocomial bacterial meningitis. Apropos 27 cases].

Our series includes 27 patients with nosocomial meningitis (22 post neurosurgery and 5 post spinal puncture) of whom 15 with stated etiology (gram-negative bacilli and staphylococcus aureus in equal shares). Under the treatment with chloramphenicol + rifampicin + gentamicin a cure was obtained in 22 cases, improvement in 3 cases and 2 patients died.

Acute Disease

[Bacterial liver abscess cured by nonsurgical treatment. Comments on 8 cases].

Eight cases (3 children aged 7-15 years and 5 adults aged 16-46 years) of hepatic abscess in whom a cure was obtained by medical therapy are presented. The abscess occurred during septicemia (2 cases), cutaneous staphylococcosis (2 cases) and pyocholecystitis (1 case). In 3 patients the abscess remained cryptogenic. The clinical diagnosis was confirmed by scintigraphy, ultrasonography and in one case by radiography with contrast substance in the abscess. The microorganisms, isolated in 3 patients from the abscess and in one patient from hemoculture, were S. aureus (3 cases) and gram negative bacilli (1 case). The systemic antibiotic therapy consisted in the administration of gentamicin and oxacillin or rifampicin in 4 cases and gentamicin and chloramphenicol or ampicillin and metronidazole in other 4 cases for an average interval of 39 days. The associated local therapy (3 cases) consisted in one or more punctures, followed by the injection of gentamicin.

Adolescent

Presence of viral and inframicrobial germs detected by immunofluorescence reaction in 0-5-year-old children with acute respiratory infections.

The presence of viral and/or inframicrobial antigens was investigated by the immunofluorescence (IF) technique in exfoliated pharyngeal cells collected from 85 children aged 0-5 years, with acute infections of the upper or lower respiratory tract. Positive IF reactions were recorded in 83% of the children with bronchopneumonia, 81.8% of those with acute pharyngitis, 77.7% of those with acute upper respiratory tract infections and 66.6% of those with acute bronchitis. In 68.75% of the IF-positive cases 2-5 different antigens were simultaneously visualized. Herpes and parainfluenza virus antigens appeared to be predominant. The proportion of positive IF reactions was much lower (20%) in a control group of 20 apparently healthy children, where a single viral antigen (parainfluenza 1) was detected.

Antigens, Bacterial