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R Baier

Publications and source records attributed to R Baier.

53 records · Page 3Linked to original sources

[Infections caused by Yersinia enterocolitica: bacteriological, serological, epidemiological and immunological findings in 51 cases (author's transl)].

Within two years 51 infections caused by Yersinia enterocolitica were diagnosed by bacteriological and (or) serological tests (Yersinia enterocolitica Serovar 03 in 48, Serovar 09 in two and Serovar 04 in one). The latter was isolated from the discharge of a badly healing superinfected wound. In the other 50 there was feverish enteritis, in 12 with arthritic complaints. Of the latter 12 nine had the antigen HLA-B27. This investigation demonstrated a slight increase in cases during the cold months. Men were more frequently affected than women and 38 were older than 16 years. In-vitro sensitivity of the isolated Yersinia strains against various chemotherapeutic agents was also tested.

Adolescent↗

[Enteritis due to yersinia enterocolitica in children (author's transl)].

1922 stool specimens of children aged less than 14 years were screened for enteropathogenic bacteria over the past two years. In 24 cases Yersinia enterocolitica serovar 03 and 09, respectively, was identified. 16 of them suffered from acute gastroenteritis, 8 showed symptoms of pseudoappendicitis. All patients exhibited high agglutinin titers against the respective reference strains which were maintained for up to 4 months. All isolated strains had identical sensitivity patterns against the chemotherapeutics tested. Other enteropathogenic bacteria isolated at the same time are mentioned.

Adolescent↗

[Antimycotic sensitivity of yeast from clinical specimens (author's transl)].

The sensitivity against 5 antimycotics was examined with 353 yeast strains of 13 species from clinical material. The tests were carried out by means of the disc diffusion test on Bacto yeast morphology agar under standardized conditions. 33 (6.3%) of the isolates were resistant against 5-fluorocytosine, 11 (2.1%) strains showed no sensitivity against the imidazolyl antimycotics clotrimazole or miconazole. The resistant strains belonged to the species Candida albicans and Candida tropicalis. All of the isolates were sensitive to the polyene antimycotics nystatin and pimaricin (natamycin).

Clotrimazole↗

[Frequency and drug sensitivity of "Klebsiella oxytoca" in human clinical material (author's transl)].

962 Klebsiella strains were isolated from a total of 15422 clinical samples. 782 of these were characterized as the species Klebsiella pneumoniae, 170 as "Klebsiella oxytoca" and 10 as Klebsiella ozaenae. 95 of the Klebsiella oxytoca strains originated from samples of the respiratory tract, 13 from purulent materials, 1 from blood and 61 from urine samples. Among further biochemical criteria indole formation, lacking gas formation at 45 degrees C in lactose peptone water medium and delayed gelatine liquefaction were used to differentiate Klebsiella oxytoca from other enterobacteriaceae. In addition the drug resistance patterns were determined.

Culture Media↗

[Septicaemia caused by Yersinia enterocolitica (author's transl)].

Yersinia enterocolitica (serotype 3 of Winblad, or O-group 1 of Knapp) was isolated from two blood cultures of a 52-year-old patient with chronic hepatitis, pancytopenia and paroxysmal nocturnal haemoglobinuria who had been hospitalised because of septic temperatures and chills. The serum-agglutinin titre was 1:10.000 both against the isolated strain and a reference strain (MyO; serotype 3). The titre had decreased to 1:2.500 and 1:640, respectively, in serum samples taken ten and 40 days later. The causative organism was not isolated from stool specimens, but the patient had been treated with antibiotics. Strains identical biochemically, serologically and by lysotypi-g were found in the stool specimens of the patient's wife and dog. The agglutinin titres were 1:320 in the wife and 1:20 in the dog. A son, who was living in the same house, had a negative stool culture and serology.

Anemia, Aplastic↗

Human umbilical cord. A new source for vascular prosthesis.

Reconstructions were performed to the popliteal, tibial, and peroneal arteries employing a modified umbilical cord vein prosthesis. The latter was obtained from human cords and was made available as an onshelf graft for surgery following glutaraldehyde tanning. The early patency and limb salvage rates are equivalent to those obtained with autogenous saphenous veins. Additional benefits include significant decreased operative time and morbidity. It is also probable that this new graft may be resistant to biodegradation and therefore may obviate many of the causes for late failure that occur with the use of living biologic tissues or collagen tubes. Long-term follow-up and study are essential to validate the results obtained thus far and to assess the potential of this new graft in a variety of vascular reconstructions.

Aged↗

[Isolation of Yersinia enterocolitica in acute ileitis].

2246 stool specimens were specifically testet for Yersinia enterocolitica during 1973/74. In one case it was possible to isolate a strain of Yersinia enterocolitica (0-group I of Knapp/Serotype 3 of Winblad) from the feces of a patient suffering of acute ileitis. A high agglutinine-titer was serologically detected against a bacterial suspension of the isolated strain as well as of a reference strain (Serotype 3 of Winblad). The antibody-titer was 1 : 3200 by the first examination and dropped to 1 : 160 after two months. A reisolation attempt was unsuccessful.

Acute Disease↗

Binding of progesterone to the proteins of the uterine luminal fluid. Identification of uteroglobin as the binding protein.

1. The uterine luminal fluid of rabbits treated with estradiol and progesterone contains a protein factor with high affinity for [3-H] progesterone which is not present in the uterine secretion of control rabbits treated with estradiol. 2. This progesterone dependent factor is shown by gel filtration and polyacrylamide gel electrophoresis to be identical with the uterus specific protein uteroglobin, which seems to be required during the preimplantation phase. Uteroglobin specific antiserum, prepared in guinea pigs, completely inhibits the progesterone binding activity of the proteins of the uterine fluid. 3. Progesterone binding to uteroglobin is dependent upon millimolar concentrations of dithioerythritol. At saturation, one molecule of progesterone binds per uteroglobin molecule and the apparent association constant is 2 x 10-6 M-1 at 0 degrees C. 4. The progesterone binding species of uteroglobin exhibits a molecular weight of around 12 000 on polyacrylamide gels containing dodecylsulfate, and of 15 000 upon gel filtration, indicating a non-globular shape. This molecule is compased of two subunits of similar molecular size which are held together by a disulfide bridge among other forces.

Animals↗

Intestinal ischemia associated with cardio-pulmonary-bypass surgery: a life threatening complication.

Intestinal ischemia following open heart surgery is rare but nevertheless extremely dangerous and the causes are still unclear. The purpose of this study was to evaluate the factors influencing the occurrence and outcome of patients with this complication. At our institution between 1985 and 1989 1712 patients underwent open heart surgery and 4 female patients suffered from intestinal ischemia. The early mortality was 2.5% for the whole group and 100% for the group with intestinal ischemia. All these 4 patients were elderly and had a history of hypertension and hyperlipoproteinemia. Three of the four patients with intestinal ischemia had various risk factors for thromboembolic events such as pre-existing occlusive arterial disease and cardiac dysrhythmias or had a complicated postoperative course. In two patients an enormous increase in serum lactate to over 10 mmol/l occurred prior to the intestinal ischemia. We therefore consider advancing age, female gender and a susceptibility for thromboembolic events as important risk factors for the development of intestinal ischemia. A serum lactate over 10 mmol/l should lead to an aggressive diagnostic and therapeutic approach including exploratory laparotomy.

Aged↗