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Biomedical subjects

J D Thullen

Publications and source records attributed to J D Thullen.

7 recordsLinked to original sources
PubMed1988

Management of hypernatremic dehydration due to insufficient lactation.

Critical malnutrition and hypernatremic dehydration resulting from inadequate breast-feeding have previously been reported; the finding of elevated sodium concentration in expressed samples of mother's milk from these infants is found concurrently. This is the first case report describing successful relactation following management of hypernatremic dehydration in a breast-fed infant. Mother's milk was of inadequate volume and had a high sodium content. Treatment of the primary cause of this disorder, insufficient lactation, was effective in allowing successful relactation; a nursing supplementer is described.

Adult↗
PubMed1980

Group B streptococcal disease: its diagnosis with the use of antigen detection, Gram's stain, and the presence of apnea, hypotension.

Antigen detection was found to be a rapid and useful technique in diagnosing group B streptococcal (GBS) infections. Of the two techniques described, latex agglutination was more sensitive than countercurrent immunoelectrophoresis. Concentrated urine was the best body fluid to test with 100% containing antigen. Though no false-positive reactions were noted, this is a potential problem. Gram-positive cocci in the gastric aspirate were associated with severe systemic infections with these organisms in almost half of the neonates with clinical signs of infection or respiratory distress syndrome (RDS). There was only a 4% infection rate in clinically similar neonates without Gram-positive cocci in the gastric aspirates. Apnea and/or hypotension was seen commonly in both early onset GBS pneumonia and RDS, making this finding alone of little clinical use.

Antigens, Bacterial↗
PubMed1976

Neonatal septic arthritis.

Neonatal septic arthritis of the knee was encountered in nine infants during a two-year period, representing an incidence of 16.5 per 1,000 admissions to a neonatal intensive care unit. The etiologic agents included Staphylococcus aureus (3), Klebsiella (1), Streptococcus, group B (2), and Candida albicans (3). Two infants with systemic fungal infection died. Arthritis was the presenting feature of neonatal septicemia in three of six infants with bacterial infection and was accompanied by osteomyelitis in two. In eight of the infants, the same organism was cultured from the skin of the umbilicus as was cultured from the joint. Umbilical catheters had been placed in all of these infants. Full recovery of joint function has been noted in the seven surviving infants.

Arthritis, Infectious↗