Biomedical subjects
Publications and source records attributed to T Hemker.
A simple system is presented for the documentation of probe position in real time sonography of extremities. Manufacturers of equipment are requested to offer frequently required text lines in a menu option. A programme of this kind is presented for use in orthopaedics.
21 patients with suspected, or known, abnormalities of the feet or ankles were examined by magnetic resonance tomography. The indications were: osteochondritis dissecans of the talus (three cases), osteomyelitis (three cases), suspected tumour recurrence (three cases), undiagnosed pain (six cases) and a further miscellaneous six cases. Although most of these problems could have been solved with other imaging methods, magnetic resonance tomography did add some valuable diagnostic information. Because of its ability to demonstrate bones, synovia, tendons, vessels and subcutaneous fascia in a multi-directional manner, it is superior to all other imaging methods. It saves time by making it unnecessary to use a variety of diagnostic procedures.
A case of spondylitis due to Torulopsis glabrata and Candida tropicalis is reported. Fungal osteomyelitis should be suspected in the presence of predisposing factors, such as long antibiotic treatment or reduced immune defense.
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Candida caused osteomyelitis of the spine is a rare entity. In the literature are only 15 cases reported. An own case of Candida-osteomyelitis of the spine is demonstrated and a overview of the literature is given.
A simple system of infection control and the results of the first year of use are reported on. In comparison with a prospective control system is proved that even a simple questionnaire was not answered correctly by the doctors, nevertheless the relevant wound infections could be found out.