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Biomedical subjects

E Biegel

Publications and source records attributed to E Biegel.

4 recordsLinked to original sources
PubMed1995

[Scintigraphic demonstration of bleeding colonic metastasis in a patient with endometrial cancer].

Detection of gastrointestinal bleeding by means of radiotracers is a non-invasive method, and should be considered when endoscopy and barium radiography have failed to identify the focus. The two most prominent tracers are 99mTc sulphur colloid and 99mTc red blood cells, and both detect lower gastrointestinal bleeding with at least the same sensitivity as angiography. A case of gastrointestinal bleeding in a 68-year old woman is presented. The bleeding source in the colon was precisely identified with the 99mTc RBC method, and was later shown to be a metastasis from her endometrial cancer.

Aged↗
PubMed1995

[Leptospirosis].

Leptospirosis is a worldwide zoonosis. When human beings are infected the clinical spectrum varies from a mild, febrile illness to severe, icteric disease with multiorgan failure and fatal outcome. The illness falls into two phases, the septicaemic and the so-called immune. The diagnosis is confirmed by culture of blood and spinal fluid during the first phase, by culture of urine during the second and by serology. It is recommended that penicillin be given as quickly as possible. Prevention is important e.g. effective rat control and individual protection such as wearing protective clothing in contaminated work areas.

Animals↗
PubMed1995

[Leptospirosis in the Ribe County 1980-1991].

Though only 4.2% of the Danish population live in Ribe County, 12 cases of leptospirosis (22% of the Danish total) were found in the county between 1980-1991. Nine cases were associated with fresh water angling or fish farming. The patients were typically young or middle-aged formerly healthy men, who suddenly became ill with acute febrile disease. Eleven patients survived, one died. Cases were most often seen in late summer and autumn. Four patients required dialysis, and these patients also had relatively high serum levels of bilirubin. Case history and simple laboratory findings are helpful in leading to the diagnosis. Three patients were admitted with the correct diagnosis, and by the third day in hospital all 12 were being treated with relevant antibiotics, eight on suspicion of leptospirosis. Three patients had positive blood cultures on day 4, 6 and 9, and nine patients had late positive serology, two of whom also belonged to the group with positive blood cultures. In two patients the diagnosis was based on clinical findings alone. For these reasons, penicillin should be commenced on clinical suspicion alone.

Adult↗