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Biomedical subjects

L K Tingsgaard

Publications and source records attributed to L K Tingsgaard.

3 recordsLinked to original sources

Enhanced visualisation of acute macular neuroretinopathy by spectral imaging.

PURPOSE: To report photographic findings from a case of acute macular neuroretinopathy. METHODS: Fundus photography on color transparencies, red-free digital CCD-recording, and laser-scanning ophthalmoscopy with monochromatic red and blue illumination. RESULTS: The visibility of the retinal lesions was markedly enhanced by narrowing the illumination bandwidth and by the stray light suppression of the confocal laser scanning ophthalmoscope. CONCLUSIONS: The diagnosis of acute macular neuroretinopathy, and possibly other chorioretinal diseases as well, can be facilitated by multispectral imaging and stray-light reduction optics.

Adult↗

[Fatal pancreatitis associated with valproate therapy].

We report a fatal case of haemorrhagic pancreatic necrosis in a 15-year-old mentally retarded epileptic male who had been taking sodium valproate (VPA) in the recommended dosage for one and a half years. The patient was admitted to hospital because of acute abdominal pain, with nausea and vomiting. Serum amylase was 609 U/l (normal range 100-360 U/l). Two exploratory laparotomies were performed. The second revealed haemorrhagic pancreatitis with areas of necrosis. VPA therapy was discontinued after the second laparotomy, but the patient died 25 days after admission. Autopsy showed extensive haemorrhagic pancreatic necrosis. Non-specific vomiting and abdominal pain occur frequently during VPA therapy, but VPA-related pancreatitis should be considered when there is severe abdominal pain with nausea and vomiting. Awareness of this problem and early discontinuation of VPA therapy may prevent serious reactions.

Acute Disease↗

Self-induced bacteremia. Case report.

We describe a patient with perforated appendicitis who postoperatively suffered repeated episodes of shaking chills and temperature spikes. Initial blood cultures yielded growth of Flavobacterium meningosepticum, Pseudomonas putida and Pseudomonas paucimobilis, and succeeding blood cultures growth of Pseudomonas acidoverans. These bacteria in combination led to a suspicion of self-inoculation of contaminated water through an intravenous catheter. Antibiotic treatment had no effect on the symptoms, which only ceased when the intravenous catheter was removed.

Adult↗