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Biomedical subjects

R Starinsky

Publications and source records attributed to R Starinsky.

28 records · Page 2Linked to original sources
PubMed1980

Intramural esophageal diverticulosis in an infant.

In the course of evaluating an infant with recurrent episodes of bronchiolitis, the esophagus was radiologically examined. A totally unexpected finding was the presence of intramural diverticulosis of the upper part of the esophagus. On reexamination four months later, the diverticula had disappeared.

Bronchiolitis, Viral↗
PubMedDate not supplied

CT of renal densities caused by intravenous infusion of antibiotics.

OBJECTIVE: Patients treated with intravenous antibiotics were seen to have increased attenuation of the renal collecting system on CT scan of the abdomen. To detect whether this was related to certain antibiotics, we undertook a prospective study on patients being treated for sepsis while receiving intravenous antibiotics. In addition, we also tested antibiotics administered to rabbits. MATERIALS AND METHODS: Fourteen patients were tested with cefazolin, gentamicin, cefotaxime, vancomycin, amoxicillin and clavulanic acid (Augmentin), and metronidazole. Ten groups of rabbits received these drugs by intravenous injection. Computed tomography scan of the kidneys was performed prior to and 2 h after intravenous injection of antibiotics. Fourteen patients who underwent CT scan of the abdomen and were treated by intravenous antibiotics were scanned without contrast agent injection. RESULTS: According to our results, cefazolin, cefotaxime, and gentamicin seemed to be the most potent antibiotics in inducing increased attenuation of the collecting system. This effect was synergistic when a combination of drugs was used. CONCLUSION: The elucidation of the potential increase in attenuation of the collecting system by antibiotics in normally functioning kidneys should help to eliminate confusion with other pathologies such as medullary sponge kidney.

Adolescent↗
PubMedDate not supplied

Surgery for rheumatic tricuspid valve disease in children.

Rheumatic valvular disease in children is common in underprivileged countries and often damages the tricuspid valve (in addition to the mitral and aortic valves). Fifteen children aged 12 to 16 years underwent tricuspid valve surgery. Fourteen were graded as Class IV disability; five were operated during rheumatic activity. The tricuspid valve was replaced in ten patients, four had annuloplastic procedures and one underwent tricuspid commissurotomy. There was one operative death and four late deaths. Eight of the ten long-term survivors are in Class I and the remainder in Class II functional ability. It may be concluded that in children who can be protected from additional bouts of carditis and thromboembolism, the surgical treatment of advanced multivalvular disease including the tricuspid valve is most rewarding, and dramatic clinical improvement with return to normal or near-normal hemodynamics may be expected.

Adolescent↗