[Carbamazepine: serious intolerance in interstitial pneumonia, fever, exanthema and immunoglobulin deficiency].
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Biomedical subjects
Publications and source records attributed to V Madrigal Díez.
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Gastric duplications are the least frequent location for the alimentary tract duplications, these location is approximately 8%. We present a case of gastric duplication in a neonate, who had a palpable abdominal mass and feeding intolerance. Barium study of upper gastrointestinal tract and ultrasound showed an extrinsic compression of antrum and cyst abdominal mass. The surgical procedure consisted of total excision without violation of the gastric lumen. Gastric mucosal was found by hystological study. Heterotopic pancreatic tissue was also found on the major omentum closely gastric cyst duplication.
A retrospective study of pneumococcal meningitis was carried out. This study included 22 cases of this illness that occurred in 17 pediatric patients in Cantabria between 1977 and 1990, inclusive. Three children suffered from recurrent meningitis. The age range of the patients was 0.3-14 years, with a mean age of 4 years. Of these cases, 77.4% occurred in the winter or spring. In 14 cases of meningitis (63.6%), corresponding to 9 patients, underlying pathology was observed: cranial fracture, occipital dermoid cyst, splenectomy, congenital cardiopathy, epilepsy and gastroduodenal "situs inversus". The isolated pneumococci were found to be resistant to penicillin and chloramphenicol in 4 cases. One patient suffered from septic shock. The outcome was complete recovery in 19 cases (86.4%), recovery with sequelae (deafness and epilepsy, respectively) in 2 cases (9.1%) and death in another 2 cases. CSF protein levels elevated above 150 mg/dl and the absence of glucose in the CSF were found to be the most useful analytical indicators of the seriousness of the illness.
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The case of an eight year old boy affected by a meningoradiculitis in the prodromic phase of an acute hepatitis A is described. The diagnostic was confirmed (ac. anti-HAV-IgM). We point out the finding of this association which hasn't been described up to now.
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