An analysis is presented, of the experience acquired in the II-nd Surgical Clinic of Cluj-Napoca in connection with 150 cases of postthrombotic syndrome followed and treated over the last 5 years (1983-1987). Considerations are made concerning terminology, and evaluation of diagnostic and therapeutic means applied. The post-thrombotic syndrome develops in a variable interval after the thrombophlebitis (months and even years). A series of factors prevent of enhance the development of the syndrome (98% diagnostic errors and therapeutic failures). Phlebography is mandatory in cases where surgery is considered. Noninvasive explorations (Doppler, plethysmography) limit the use of phlebography. The most efficient treatment is prophylaxis (consisting in the prophylaxis and the correct treatment of thromboembolic disease). The usual treatment is mainly medical and conservative (59.4%). Surgery is carried out in cases where the superficial, the communicating and the deep venous systems are involved.

Adult↗

PubMedDate not supplied

[Observations on 35 cases of strongyloidiasis hospitalized at a clinical digestive disease unit].

After a short presentation of the etiopathogenesis of this parasitosis, the authors report their observations on 35 cases of strongyloidiasis followed in the recent years. On the basis of the epidemiologic and clinical analyses of these cases, the authors show that some data, i.e. those on the environment to which the patients belong, or their occupation, and also some clinical manifestations (clinical polymorphism) may suggest the diagnosis of strongyloidiasis in the immunosuppressed in about 30% of the cases. An associated blood eosinophilia may be a more possible for the diagnosis of strongyloidiasis. The positive diagnosis has to take into consideration, beside the repeated diet exam, the method of cultures and also jejunal biopsies, which may also verify the efficiency of the treatment recommended. The authors recommend the treatment with Mintezol and, with lower results, Vermigal and Mebendazol.

Adult↗

PubMedDate not supplied

[Elevated eosinophilias (30-90%) and their place among parasitic and nonparasitic diseases (personal observations)].

The 237 cases of hypereosinophilia studied, ranging from 30 to 90% showed that, except for two cases that were not confirmed by the repeated blood leukograms, 22 had a parasitic origin, 6 appeared in certain pathologic states, or various severe diseases, 5 had an undetermined etiology and 2 were off the record. The authors draws the attention on the value of various methods of investigation which he used especially in the diagnosis of the parasitic diseases met with.

Diagnosis, Differential↗

PubMedDate not supplied

[Several cases of "common" parasitoses with unusual clinical course].

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Adult↗