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Biomedical subjects

E Machacek

Publications and source records attributed to E Machacek.

28 records · Page 2Linked to original sources

[Clear cell carcinoma with unusual skin involvement].

Clear-cell sarcoma of tendons and aponeuroses represents a rare, malignant tumor. Its knowledge and differential diagnosis is of importance in order to initiate early treatment. A typical case and in particular the histological differential diagnosis will be discussed.

Adenocarcinoma↗

Bacterial contamination of pulmonary artery catheters.

The catheter tips of 152 patients, who were haemodynamically supervised by pulmonary artery monitoring or continuous cardiac output determination, were bacteriologically examined. 106 cultures remained sterile, 21 cultures revealed a growth of non pathogenic organisms. Staphylococcus aureus was cultured 15 times, pseudomonas aeruginosa 4 times, Citrobacter as well as Escherichia coli twice, and Klebsiella and Enterobacter once each. There was no statistically significant connection between dwelling period and contamination. Also diabetes mellitus or corticoid medication in high dosage had no significant influence on contamination rate.

Bacteria↗

[Giant prepyloric aberrant pancreas with acute gastric haemorrhage (authors transl)].

A description is given of the clinical symptoms, radiological features and pathological findings in this report of a large, pseudotumorous aberrant pancreas located in the stomach of a 52-year-old male patient. The presenting complication was a gastro-intestinal haemorrhage necessitating gastric resection. Questions pertaining to the clinical diagnosis are extensively discussed.

Humans↗

[Bacterial aortic aneurysm due to pseudomonas aeruginosa after pneumonectomy (author's transl)].

After transpericardial extrapleural pneumonectomy because of bronchial carcinoma in a 56-year old woman an infection of the thoracic cavity develops, caused by pseudomonas aeruginosa. The patient dies from this infection. At autopsy an aneurysm of the thoracic aorta is discovered close to the previous site of operation. In the wall of the aneurysm pseudomonas aeruginosa is found. Pathogenetic problems concerning the development of bacterial aortic aneurysms are discussed, and in the case presented an infection of the aortic wall from outside via the lymphatics of the adventitia and vasa vasorum is regarded as the most probably way of infection.

Aorta↗

[Granulocytic sarcoma of the breast in chronic granulocytic leukemia (author's transl)].

A 46 year old women with long lasting menstruation disturbances and amenorrhea developed a chronic granulocytic leukemia and bilateral mammary tumors after pregnancy. The histologic examination revealed a myelosarcoma of the breast. The diagnostic features and the pathogenesis of these tumors are discussed. The severe hormonal disturbances could be accepted as localizing factors.

Amenorrhea↗

[CRST syndrome and primary biliary cirrhosis].

The case of a female patient with the history of amanita poisoning, CRST syndrome and primary biliary cirrhosis (PBC) is reported. Immunological features (IgM-rheumatoid factor, antinuclear-, anticentromere- and antimitochondrial antibodies) and HLA-antigens are studied. Immunological abnormalities occurring in CRST and PBC suggest a common autoimmune base, which also makes concomitance of these two disease states more than coincidental.

Autoantibodies↗