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Biomedical subjects

E Steyn

Publications and source records attributed to E Steyn.

8 recordsLinked to original sources

Abdominal tuberculosis: still a potentially lethal disease.

The findings in a 4-yr survey of 82 patients with abdominal tuberculosis are described and compared with those encountered in previous surveys. Fourteen cases of intestinal, 11 of mesenteric-lymphnodal, and 57 of peritoneal tuberculosis were identified. The disease occurred essentially in patients living under worsening socioeconomic conditions, and 51 of them had associated pulmonary tuberculosis. Symptoms and clinical findings were again nonspecific, but newer imaging, endoscopic, and other invasive procedures were helpful in establishing a definite diagnosis. In addition, adenosine deaminase determination showed great promise as a noninvasive diagnostic procedure in patients with tuberculous ascites. The six hospital deaths in the series highlight the hazard of potentially lethal delays in early diagnosis and treatment, even in centers with a high awareness of the disease.

AIDS Serodiagnosis↗

A survey of the intestinal nematodes of Bushmen in Namibia.

Studies in Namibia revealed prevalence rates of 63% for hookworm and 35% for Trichuris in 31 Bushmen, 4-65 years of age, who were encamped in the Kaudom Game Reserve. The study also revealed prevalence rates of 85% for hookworm, 25% for Strongyloides, and 1% for Trichuris in 103 children, 6-17 years of age, attending 5 schools in Bushmanland. The 25% Strongyloides infection rate is one of the highest prevalences recorded in southern Africa. The Trichuris infections in the Kaudom group appeared to be autochthonous, and this population did not harbor Strongyloides. Regular contact with pans in summer and boreholes at any time probably facilitated the acquisition of infections in wet and fecally polluted sites. Thirteen spurious Physaloptera infections were recorded.

Adolescent↗

Dry beriberi: unusual complication of prolonged parenteral nutrition.

An adult with Crohn's disease on home total parenteral nutrition (TPN) for 8 months presented with peripheral neuropathy and ataxia. The patient was found to be deficient of thiamine. A prompt symptomatic response to intravenous thiamine suggests that the patient had the chronic form of dry beriberi. To our knowledge, this variety of beriberi in a patient on TPN has not previously been reported.

Adult↗