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Biomedical subjects

R Quiñones-Soto

Publications and source records attributed to R Quiñones-Soto.

2 recordsLinked to original sources

Cefamandole in the treatment of soft tissue infections.

27 male adult patients with acute soft tissue infections including cellulitis, abscesses, ulcers and wound infections were treated with a dose of 2-4 g/day of cefamandole nafate by the intravenous route for a minimum of 10 days. Most patients were seriously ill with underlying conditions like diabetes mellitus, alcoholism and congestive heart failure and required hospitalization and parenteral antibiotics. Gram-positive cocci (predominantly Staphylococcus aureus) and gram-negative bacilli were recovered on pretreatment cultures from 81% of the patients. Clinical and bacteriologic response was excellent. Disappearance of the signs of infection occurred by the 7th day of treatment, by day 3 of treatment fever was down to normal, and by day 5 of treatment the WBC count was below 8,000. There were very few side effects noted, and there was excellent tolerance to the intravenous drug administration. Cefamandole nafate is a safe, effective and well-tolerated agent in the treatment of skin and soft tissue infections of adult patients caused by susceptible organisms.

Adult↗

Granulomatous hepatitis.

According to the literature on the subject, hepatic granulomas are present in 2.4%-10% of the liver tissue specimens examined in general hospitals. The pathogenesis and pathological importance of these lesions remain unclear in many cases. Hepatic granulomas have been associated with a wide variety of diseases, among which sarcoidosis, followed by tuberculosis, figure most prominently. The etiology remains undetermined in less than or equal to 36% of reported cases. In some instances the lesions are found by chance, and in other cases they are associated with a prolonged course of fever of undetermined origin, which may or may not resolve spontaneously. In the present article, the histopathogenesis and appearance of these lesions are described; the associated diseases are reviewed with detailed emphasis on the clinical manifestations, pathology, and diagnosis of those diseases most commonly responsible for the lesions; and, finally, some comments are offered on the diagnostic work-up and controversial management of undiagnosed cases.

Bacterial Infections↗