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Biomedical subjects

E Engels

Publications and source records attributed to E Engels.

12 recordsLinked to original sources

Usefulness of bone marrow examination in the evaluation of unexplained fevers in patients infected with human immunodeficiency virus.

The diagnostic usefulness of 69 bone marrow examinations (BMEs) performed for evaluating unexplained fever in 65 persons who were infected with human immunodeficiency virus was retrospectively compared with the usefulness of other diagnostic modalities used to investigate the cause of fever. An etiology for the fever was identified by BME in 22 of the 69 cases (diagnostic yield, 32%). In 19 of these 22 cases, the same diagnosis had been made by another diagnostic modality, but the diagnosis was made by BME as rapidly or sooner in 10 of the 19 cases and was made exclusively by BME in the three other cases. We suggest that BME is indicated when a diagnosis is urgently sought or when an evaluation with other diagnostic modalities has been unsuccessful.

Bone Marrow↗

[Use of dopamin (hydroxytyramine) in urosepsis of septic shock (author's transl)].

Gram negative sepsis is still a very serious disease with a very high mortality. The effect of Hydroxytyramine was tested in ten patients with urosepsis. Hydroxytyramine had a specific beneficial on the renal function during shock and eight of ten patients with severe urosepsis survived. The additional use of hydroxytyramine in the treatment of urosepsis seems to improve the prognosis of this life threatening condition.

Aged↗

[Bleeding from hiatal hernia (author's transl)].

Report on 7 cases of massive hemorrhage from hiatal hernias. In all cases diagnosis was made before operation by oesophago-gastroscopy and/or by selective angiography. Early operation is the only successful therapy. The procedure depends on the kind of lesion and the type of hernia. In sliding hernia a Nissen fundoplication, in the paraesophageal type a fundoplication combined with gastropexy is performed. In cases of hyperacidity a combination with vagotomy and pylorplasty is necessary. Ulcers should be excised or resected by a Billroth-I-type gastrectomy. All seven patients could be cured.

Adult↗