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Biomedical subjects

D Alvear

Publications and source records attributed to D Alvear.

2 recordsLinked to original sources
PubMed1996

PID or Not PID? That Is the Question.

A 14-year-old female was seen for acute abdominal, back, and flank pain, accompanied with dysuria, increased frequency of urination, nausea, and decreased appetite. After an initial diagnosis of pyelonephritis, a presumptive diagnosis of pelvic inflammatory disease (PID) was made. The cervical culture was positive for Chlamydia trachomatis and a pelvic sonogram demonstrated abnormal right adnexal structures and a possible mass. Exploratory laparotomy was performed, which demonstrated right-sided inflammation in the fimbria and fallopian tube as well as an ovarian cyst on the right. Her postoperative course was uncomplicated and was continued on oral doxycycline.

Journal Article↗
PubMed1985

Bacterial tracheitis, diagnosis and treatment.

During a 22-month period, 5 children, 6-13 months of age, presented with an acute obstructive upper airway infection which resembled both croup and epiglottitis. All 5 failed to respond to standard treatment for croup, including aerosolized racemic epinephrine. In all patients, direct laryngoscopy revealed minimal or no change in the epiglottis and aryepiglottic folds but severe subglottic swelling and copious purulent tracheal secretions. Gram stains of the purulent secretions revealed many polymorphonuclear leukocytes with gram-positive cocci (3 patients) and small gram-negative rods (2 patients). Cultures subsequently confirmed the presence of S. Aureus and H. Influenzae. Initial therapy for all patients included endotracheal intubation, antibiotic therapy for both S. Aureus and H. Influenzae and frequent tracheal suctioning. Hospitalization varied from one to 3 weeks. We reported findings in these patients because: the initial diagnosis was unclear due to confusion caused by clinical features common to both croup and epiglottitis and bacterial tracheitis requires a prompt accurate diagnosis and aggressive antibiotic and airway management in order to prevent unnecessary morbidity and mortality.

Airway Obstruction↗