Nonvalue of antigen quantitation in diagnosis of Haemophilus meningitis.
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Biomedical subjects
Publications and source records attributed to W Handrick.
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In a boy aged 9 years and 11 months pain developed in the left upper abdomen following Salmonella enteritis infection. Purulent splenitis was diagnosed by sonography. Ultrasonically guided percutaneous puncture and drainage, and appropriate chemotherapy led to a marked improvement in the clinical picture and finally to complication-free remission. In a review of the literature the problems associated with purulent splenitis and the possibility of treating it by percutaneous puncture are pointed out. Purulent splenitis should be considered in all patients with temperatures and unexplained abdominal pain.
Bacterial endocarditis belongs to the rare diseases in childhood. It occurs usually as a single episode and almost exclusively in children with congenital heart disease. In recent years, however, an increased number of renewed endocarditis after the first episode were reported, especially in drug addicts. We present a case of renewed subacute infective endocarditis 3 years and 9 months after complete recovery from the first one. Furthermore, using the available literatures, the role of risk factors, the change in spectrum of the infecting organisms, the diagnostic and therapeutic approach in cases with renewed infection are discussed.
BCG-osteomyelitis is a rare complication of BCG-vaccination. By means of a case report clinical and immunological findings are discussed. Contrary to the undramatic clinical symptoms the x-ray showed pronounced osteolytic lesions in the sternum. The bacteriological examination demonstrated mycobacteria of BCG-type. Immunological investigations presented normal humoral and cellular immunity. The therapy (curettage, antituberculous drugs) was effective. In spite of this complication the BCG-vaccination is furthermore recommended.
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Urinary tract infections (UTI) are common in childhood. About 10% of children with UTI develop renal scars. Main risk factors for development of pyelonephritic scarring are obstructive malformations, vesicoureteric reflux, young age and delayed or insufficient therapy. Thus, in infants with fever one should always think of pyelonephritis. The most important objective in the management of children with UTI is the prevention of kidney damage. An early and correct diagnosis is necessary. The localisation of UTI and search for risk factors by imaging diagnostic techniques is the basis for specific therapy and follow-up. The present paper gives recommendations for the diagnostic procedure in children with UTI.
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