[Letter: Liver involvement during typhoid fever].
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Biomedical subjects
Publications and source records attributed to D Fritel.
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The information provided by parathyroid arterigraphy and staged venous sampling with parathormone estimation is essentially related to localisation and is of little diagnostic value. It is not justifiable on a routine basis before all operations. These techniques are particularly useful in patients with practically definite hyperparathyroidism and who have already undergone a negative exploratory operation or surgery with insufficient excision.
The authors relate their experience in the study of chloremia, phosphatemia and their relationship in the diagnosis of parathormonal hypersecretion states, 31 cases of parathyroid adenoma are compared to 26 cases of hypercalcemia depending on other mechanisms. The studied relationship appears to be interesting in the diagnostic work-up of parathyroid adenoma as well as in appreciating the mechanism of hypercalcemia during the course of other neoplastic disorders.
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The authors report a case of anuria which lasted 3 months in a patient with sub-acute streptoccocal endocarditis. The investigations led to the discovery, at the level of the kidneys, of arterial aneurysms, renal infarction and diffuse endo-capillary proliferative glomerulonephritis, with deposits of complement and immunoglobulin and finally, interstitial nephritis, perhaps of metastatic origin, which was probably the lesion responsible for the renal failure. Renal function progressively improved and hemodialysis was stopped at the 6th month after correction of the mitral and aortic valve disease.
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