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Biomedical subjects

D Polak

Publications and source records attributed to D Polak.

16 recordsLinked to original sources

[Cerebellitis during Mycoplasma pneumoniae infection].

Mycoplasma pneumoniae is the primary cause of respiratory system diseases in school children and young adults. Most often an infection of the upper respiratory airways is in question, with or without pharyngitis, while clinically manifest pneumonia occurs in only 3-10% of patients. However, multisystemic manifestations of Mycoplasma pneumoniae infections can also occur, usually during the first 14 days after the start of respiratory symptomatology, but can also occur as isolated in some cases, with no prior respiratory illness, nor its later occurrence. In our patient there came to a development of pneumonia, exudative pleuritis, sinusitis and cerebellitis. The duration of the disease was protracted, but recovery was complete, without sequelae. The etiological diagnosis was set retrospectively on the basis of the dynamics of the titer of complement fixating antibodies. Mycoplasma pneumoniae should be considered as a possible etiological agent of various clinical syndromes.

Cerebellar Diseases↗

[Epidemiologic characteristics of human parvovirus B19. Report of an epidemic of erythema infectiosum in the area of Belgrade].

During the period 29.10.1987-10.5.1988 an outbreak of an illness with rash resembling Erythema Infectiosum occurred among school children in one part of Belgrade-Mladenovac. This is the first outbreak of Erythema Infectiosum reported in Yugoslavia and confirmed in University College of Middlesex School of Medicine, London, in November 1989. Of 720 school children exposed to infection of Human Parvovirus B 19 two hundred and eighty four (39.4%) have had clinical symptoms and 166 (58.4%) of them were in the age group 10-14. The sero-epidemiologic investigations excluded infection of Rubella virus, Cytomegalovirus and Coxsackie viruses A 9 and B 5. To detect the infection Elisa IgM antibody, complement fixation, inhibition of hemagglutination and isolation have been used. Clinical symptoms of illness have been manifested as Rubella like exanthemas on extremities in 92.5%, extremities and body in 26.5% and the phenomenon "slapped Cheek" was discovered in 76.25% of all patients. Reappearance of rash has been observed in 25% of cases.

Adolescent↗

[Unstable coronary disease--clinical course and significance of exercise tests in patients with left coronary artery stenosis].

This study aimed at evaluating predictive value of exercise tests in case of left coronary artery stenosis. The study involved 57 patients with left coronary artery stenosis, including 10 patients with isolated left main stenosis (group X), and 47 patients with left coronary artery stenosis and multivessel involvement (group Y). Unstable angina was staged according to Booth et al. classification as type I or II. Exercise tests were performed according to Bruce's protocol. Unstable angina of type I was diagnosed in 51 (89%) patients, and type II in 6 (11%) patients. Electrocardiographic evidence of myocardial ischemia both et rest and anginal pain was seen in 46 (80%) patients. Electrocardiographic recording was within normal limits in 11 (20%) patients at rest. Clinical and ECG improvement was seen in 38 (66%) patients. Exercise tests in all of these patients were positive at low load work--mean 50 W. The obtained results suggest that patients with left coronary stenosis constitute heterogenous group. Therefore, prediction of the left main stenosis on the clinical ground alone is impossible. Exercise tests producing positive results at low load indicate with high probability critical multivessel lesions and/or left main stenosis in such patients.

Adult↗