[Clinical experiences with human brucellosis].
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Biomedical subjects
Publications and source records attributed to M Lafrenz.
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A report is given on four patients with spontaneous mediastinal and skin emphysema. In three cases younger patients from 14 to 21 years were concerned, in the fourth case a 63-year-old patient was concerned. Two of the younger patients revealed a long lasting malnutrition. As favouring or triggering factor, respectively, for the pathogenesis of the mediastinal emphysema in accordance with Macklin an increase of the intrathoracic pressure by retching, pressing or vomiting is regarded. Apart from this a vasoconstriction of the alveolar vessels (due to decrease of the plasma volume) and nutritional disease might be of importance. In all patients the mediastinal and skin emphysema receded under symptomatic therapeutic measures within some days.
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A report is given on experiences with complications after antirabic treatment with hempt-vaccine gathered during 15 years (1960 to 1974). Among 4,315 inoculated persons local reactions appeared in 1.9%, a phenol shock in 0.11%, general reactions in 0.21% and neurological complications in 0.069%. In casuistic form is reported on postvaccinal neuritis, dorsolumbal myelitis and meningoencephalitis.
The human parasitoses, in which a diarrhoea can appear or is the obligatory symptom, occurring in warm countries are discussed in a survey.
Casuistic reports supplement parasitological and epidemiological references to the affection of man with Fasciola hepatica, Clonorchis sinensis and Opisthorchis felineus. Due to the increase of the tourist traffic must be reckoned with a more frequent appearance of these parasitoses little known in Middle Europe.
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