Biomedical subjects
Publications and source records attributed to H Miegoć.
Central pontine myelinolysis is sporadically diagnosed disease. The disease has fulminant course and fatal prognosis. Myelinolysis is known for 40 years, but its cause remain still unclear and therapy is not established. A case of 18 year old woman hospitalized in the Department of Infectious Disease Medical Academy of Bialystoku is an example of such a difficulties.
In humans Mycoplasma pneumoniae is mostly responsible for severe diseases of respiratory system, but it can also cause symptoms from other organs. Two cases of Mycoplasma pneumoniae infection are described in this paper. Additionally the differences between clinical courses and diagnostic difficulties were also discussed.
Everyday contact of the workers of Białowieza sanctuary with animals may create a risk of infection by microorganisms attacking animals. The reported study was undertaken for carrying out an epidemiological analysis of tularemia and toxocarosis in this group of workers. Tularaemia infection was not found in then. In 12% of these workers antibodies to Toxocara canis were found, and fire workers had articular borreliosis. Antibodies to taxocara were disclosed in 10% of the Białowieza population not employed in the sanctuary and 30% of the population of the village Kruklanka in the Pisz Forests. The workers of the Białowieza Sanctuary are not exposed to Toxocara canis infection more than the remaining population of Białowieza and the population in the Kruklanka village in a region far from Białowieza.
A case of tropical malaria imported from Kenya was described. Plasmodium falciparum (an etiological agent of this disease) is often drug resistant, therefore pharmacological treatment of the patients was supplemented with plasmapheresis. Full recovery has been achieved. It is suggested that plasmapheresis may be recommended for a complex therapy of severe forms of tropical malaria.
Four patients with severe form of trichinellosis were treated with plasmapheresis. We noticed clinical improvement and favourable alterations in laboratory profiles (morphology and immune response parameters in the blood). The effect of plasmapheresis therapy in patients with trichinellosis was considered beneficial. No major complications of plasmapheresis were observed.
Lyme Borreliosis is a serious diagnostical and therapeutical problem in regions with high exposure of residents to ticks, which are Borrelia burgdorferi vectors. The aim of this study was to estimate occurrence of specyfic antibodies and symptoms of Lyme Borreliosis in Białowieza area, as a region of potential endemic presence of this disease. Antibodies against B. burgdorferi were found, with an immunoenzymatic assay, in 71 from among 143 of examined persons (49.7%). Diagnosis of Lyme Borreliosis was established in 54 persons (37.7% of examined population) according to criterions of Lyme Disease Foundation and Centers for Diseases Control. Symptoms of joints involvement (polyarticular or restricted to knee joints) and peripheral nervous system involvement (predominantly radiculalgia lumbosacralis) were most frequently observed in clinical picture. These results motivate to recognize Białowieza region as an endemic area of Borrelia burgdorferi infections.
The purpose of the study was evaluation of laparoscopy in the diagnosis of cirrhosis and chronic hepatitis. The studied material comprised 197 cases of cholestasis in which for diagnostic-prognostic purposes laparoscopy was done. During visual observation of the abdominal cavity in 81 cases cirrhosis and in 25 chronic hepatitis was diagnosed. The reliability of the laparoscopic diagnosis was verified by the microscopic verification of the material obtained by guided biopsy of the liver or during operation. Among 81 cases of cirrhosis diagnosed during laparoscopy histological confirmation was obtained in 68 cases (83.9%). In the group of 25 cases with laparoscopic diagnosis of chronic hepatitis the diagnosis was confirmed histologically in 21 (84%) cases. The authors believe that laparoscopy extends the diagnostic possibilities in liver diseases. However reliable diagnosis can be obtained by microscopic examination of liver fragments obtained by guided biopsy or operation.
Morphologic changes of the duodenal mucous membrane were studied in 50 patients (20 with post-alcoholic liver cirrhosis and 30 non-alcoholic with postinflammatory liver cirrhosis). The macroscopic condition of the duodenal mucous membrane was evaluated during endoscopic examination; evaluation of the histopathologic changes in the biopsy specimens of the duodenal mucous membrane was carried out according to the criteria of Whitehead et al. (Digestion, 13 (1975) 129). Endoscopic examinations showed changes of chronic inflammatory process of the duodenal mucous membrane in 60% of the patients in both groups. The microscopic studies did not show essential differences in the intensity of histopathological changes of the duodenal mucous membrane between both groups, i.e, alcohol is not a decisive factor evoking or intensifying pathological changes of the duodenum.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.