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Results 451 - 500 of 521
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Findler G - - 1981
The characteristic presentation of meningococcal meningitis is acute and clinically dramatic. This article describes an infant who presented with a bulging fontanelle and left arm weakness, but no signs of infection. Routine CT scan clearly showed hydrocephalus, but did not reveal the underlying ventriculitis which was subsequently disclosed by contrast ...
Levy D R - - 1981
Because the symptomatology of meningitis in infancy frequently is nonspecific, interns and residents staffing a busy pediatric hospital emergency room are encouraged to perform lumbar punctures at the slightest suspicion of meningitis. The effects of this policy were investigated with regard to the number of lumbar punctures done, number of ...
Odunfa S A - - 1981
Root exudates of cowpea and soybean were collected in aerated water cultures. The ability of these exudates to support nitrogenase activity of R. japonicum was studied on defined media. When a complete nitrogenase-inducing medium was supplemented with concentrated root exudate, there was an increased nitrogenase activity. When the cowpea root ...
Schaad U B - - 1981
Moxalactam, a new parenteral 1-oxa-beta-lactam antibiotics, is highly effective in vitro against gram-negative enteric bacilli, including isolated from neonates with meningitis. Studies with moxalactam in experimental coliform meningitis demonstrated favorable penetration, bioavailability, and antibacterial activity in CSF. The potential value of moxalactam for therapy of gram-negative enteric meningitis of infancy ...
Miller C A - - 1981
A case of hemophagocytic lymphohistiocytosis with central nervous system involvement in an infant is presented. Marked demyelination of cerebral and cerebellar white matter is associated with an intense histiocytic infiltrations and astrogliosis. Histiocytes phagocytic of erythrocytes and lymphocytes are noted in a meningeal, subependymal, and perivascular distribution. Severe depletion of ...
Horbar J D - - 1980
Application of the Ladd fiberoptic sensor to the anterior fontanel of the human newborn has been used as a method for monitoring intracranial pressure noninvasively. This study measures the effect of varying the force with which the sensor is applied to the fontanel. The Ladd sensor readings of five preterm ...
Brook I - - 1980
A neonate monitored with scalp electrodes during delivery presented with a scalp abscess, osteomyelitis and bacteremia. Bacteroides fragilis was recovered from the blood culture, and polymicrobial aerobic and anaerobic flora were isolated from the aspirated purulent material. Attention should be paid to the possibility of such complications in infants requiring ...
Ichord R - - 1980
An 8-week-old infant presented with Arizona hinshawii meningitis and bacteraemia. The child responded well to the administration of parenteral ampicillin and chloramphenicol. However, chloramphenicol was discontinued after one day of therapy, and A. hinshawii was recultured from the cerebrospinal fluid on the fifth day. Chloramphenicol therapy was restarted and the ...
Yogev R - - 1980
Infant rats with bacteremia and meningitis induced by ampicillin-resistant Haemophilus influenzae type b were treated with ampicillin and nafcillin, alone or in combination. Neither ampicillin alone (in 19 animals) nor nafcillin alone (in 20 animals) sterilized the blood or cerebrospinal fluid of any treated infant rat. When the combination of ...
Baker C J - - 1980
Admission specimens of CSF, serum, and urine from 67 patients with proved group B streptococcal (GBS) bacteremia and/or meningitis were evaluated by countercurrent immunoelectrophoresis (CIE). Group B and type-specific antigens were detected in 81% of CSF, 63% of serum, and 96% of concentrated urine specimens by CIE. Each of 26 ...
McCracken G H GH - - 1980
In a multicentre controlled trial in the U.S.A. and Latin America 52 infants with meningitis and ventriculitis were randomly assigned to receive either systemic ampicillin and gentamicin or intraventricular gentamicin plus systemic antimicrobial agents. The aetiological agents most often encountered were Escherichia coli in the U.S. infants and Salmonella spp. ...
Probst F P - - 1980
The case of an infant with a dermal sinus tract, recurrent meningitis, ascending myelitis and a fatal outcome is described. The extraordinary extent of the cord affection with abscesses up to the level of the lower brainstem, and the presence of squamous epithelium within them, is difficult to explain on ...
Boeckx R L - - 1980
We measured cerebrospinal fluid glutamine concentration in a reference group of 85 newborn to 30-month-old infants. All of the spinal taps were performed for the diagnosis of illnesses unrelated to hyperammonemia or hepatic encephalopathy. We also analyzed samples from patients with meningitis or cerebral hemorrhage, or who were receiving total ...
Webb B J - - 1980
The usefulness of Phadebact streptococcus reagents for the detection of group B streptococcal antigen in cerebrospinal fluid was evaluated in 54 infants with meningitis and in 22 normal infants. Antigens was detected by slide coagglutination in 19 (82.6%) and by countercurrent immunoelectrophoresis in 20 (87.0%) of 23 cerebrospinal fluid specimens ...
Pavel S - - 1980
Lumbar cerebrospinal fluid (CSF) was obtained from healthy newborns, infants, and children of both sexes between 23-777 days of age. Bioassay of the CSF revealed relatively high antidiuretic and hydroosmotic activities. Rat uterine activities could be detected only in the CSF of newborns, and these activities were increased in the ...
Whitney R R - - 1980
Procedures for evaluating the efficacy of chemotherapeutic agents in an infant rat model of Haemophilus influenzae meningitis were developed. The results of efficacy studies with ampicillin, chloramphenicol, cefamandole, cefoxitin, and SQ 13,426 were compared to activity in vitro. While most of the drugs tested were very active against the two ...
Maguire G F - - 1979
Organisms causing community-acquired meningitis in the first four months of life were reviewed. Species of Streptococcus and Enterobacteriaceae were preponderant in the neonatal period, whereas S pneumoniae and Haemophilus influenzae were preponderant after the first month of life. The Enterobacteriaceae, other than Salmonella, were not associated with meningitis after one ...
Stechenberg B W - - 1979
Countercurrent immunoelectrophoresis was used for the detection of group- and type-specific antigens in the body fluids of 61 infants from St. Louis and Indiana with group B streptococcal infections. Urine concentrated using an Amicon filter yielded the highest percentage of positive results; 81% were positive in the St Louis group. ...
Hoekelman R - - 1979
The potential consequences of bacteremia are considerable in all infants but particularly in those from 3 to 24 months of age with temperatures of 38.3 degrees C or more. Physicians have been advised to scrutinize these patients carefully with a variety of diagnostic tests and to treat their conditions vigorously ...
Gelmers H J - - 1979
The adverse side effects in a series of 439 myelographies with metrizamide were analyzed. The most frequent side effect was headache, which could be differentiated as early onset headache, related to hydrodynamic modifications in the spinal fluid following lumbar puncture, and late onset headache related to a metrizamide effect. The ...
Schreiner R L - - 1979
The incidence of non-traumatic, traumatic and unsuccessful lumbar punctures in 181 neonates was similar whether a needle with a stylet, a butterfly needle without stylet, or a standard venipuncture needle without stylet was used. Comparison of 20 lumbar puncture pairs in 17 patients showed that traumatic lumbar puncture does not ...
Siemes H - - 1979
CSF of a 4-month-old boy with prolonged, meningococcal meningitis revealed oligoclonal immunoglobulin G about 10 weeks after hospital admission. These proteins persisted for at least 4 months. In contrast to this child, a further 10 infants and young children with bacterial meningitis, whose CSF was examined between 4 weeks and ...
Sharma A K - - 1979
Spermatocrit values of the epididymal fluid were determined in 8 buffalo-bulls by micropuncture technique. The spermatocrit index in caput and cauda epididymidis was 42.63 +/- 0.79 and 56.13 +/- 0.94 per cent respectively. Based on this study it was calculated that 13.5 per cent of the fluid is resorbed between ...
Greene G R - - 1978
A 4-month-old female infant with meningitis caused by Haemophilus influenzae type f had a hospital course complicated by sterile subdural effusions and persistent neurologic abnormalities. One year later she was normal in all respects. The infant's mother had serum bactericidal antibodies to H. influenzae type b but not to type ...
Quinn R J - - 1978
This report describes a case of meningitis caused by a Lancefield group C streptococcus (Streptococcus dysgalactiae) in a 9-week-old infant. Bacteria of this group rarely cause serious infections in man. The organism was identified as a member of Lancefield group C by the acid extraction method and as S. dysgalactiae ...
Chesney P J - - 1978
Meningitis due to Candida albicans was successfully treated in a 1.1 kg premature infant using combined antifungal therapy of amphotericin B for three weeks and 5-fluorocytosine for four months. Hydrocephalus and profound psychomotor retardation were present one year later. Psychomotor retardation, aqueductal stenosis and hydrocephalus were found to be common ...
Adams H - - 1978
The clinical presentation, bacteriological results, treatment, and outcome of Listeria monocytogenes meningitis in a newborn infant are described. The neonatal listeriosis was of the late-onset variety, and the infant survived the infection, but hydrocephalus, which necessitated operative relief, developed. Although 2 cases of Listeria meningitis have previously been described in ...
Wilfert C M - - 1978
It is clear from the preceding material that bacterial infection is a significant threat to the newborn infant. The most common gram-negative organism causing meningitis in the neonate is E. coli, and the invasive capacity of this organism is correlated with its polysaccharide antigen, K1. Careful studies of supportive care ...
Lilien L D - - 1978
Candida albicans meningitis was diagnosed in a 45-day-old premature infant whose birth weight was 1,616 gm. Symptoms consisted of poor weight gain and poor suckling. The combined use of amphotericin B and 5-fluorocytosine (5-FC) resulted in negative CSF cultures after 12 days of therapy. Amphotericin B was given for 45 ...
Takashima S - - 1978
Using microangiography combined with benzidine stains, we studied the development of vessels in the meninges, cortex, and white matter in 30 neonates, 16 infants and children, and eight neonates with periventricular leukomalacia. The vessels of the deep white matter, especially the ventriculofugal arteries, are useful as an index of cerebrovascular ...
Lee E L - - 1977
All of 16 infants with neonatal meningitis treated during a 30-month period were found to have accompanying ventriculitis at the time of the initial ventricular puncture. Fifteen of these infants were caused by gramm-negative organisms. All infants received antibiotics systemically and intraventricularly via an implanted ventriculostomy reservoir or by direct ...
Keller M A - - 1977
A 4 1/2-month-old male infant with systemic candidiasis had anuria secondary to Candida albicans fungus balls impacted in the renal pelves. The patient was treated with temporary urinary diversion, amphotericin B, and flucytosine. Six weeks after therapy had been concluded, the patient had C albicans arthritis of the right hip ...
Goldwater P N - - 1977
An epidemic of echovirus 19 infection in Auckland, New Zealand, during the summer of 1975-76 is reported. Echovirus 19 was recovered from 33 patients, 70 percent of whom had upper respiratory tract involvement, 55 percent presented with meningitis and 33 percent exhibited a rash. Gastroenteritis was diagnosed in 9 percent. ...
Goldacre M J - - 1977
Some of the main features of neonatal meningitis, studied in a defined population of infants, are reviewed. The incidence rate was twenty-six cases per 100 000 live-births. The case fatality rate was 43%. Gram-negative intestinal bacilli were the commonest infecting organisms. Streptococci accounted for an important minority of cases. It ...
Kume K - - 1977
Specific pathogen-free chickens (bursectomized and x-irradiated (SBx-X), thymectomized and x-irradiated, x-irradiated, as well as nontreated) were inoculated (in the right tibiometatarsal joint) at the 4th week after hatching with a synovitis-derived Mycoplasma synoviae strain. Differences were not observed in recovery rate of mycoplasmas from tissues among these groups. The SBx-X ...
Gilles F H - - 1977
We reviewed autopsies of neonates who had died of meningitis. Plexitis and ventricular exudate were usually present. While the pathogenetic relationship between these two phenomena is uncertain, it is possible that the glycogen-rich choroid plexus of the lateral ventricles not only facilitates local bacterial growth but also acts as a ...
Baltimore R S - - 1977
We report three mildly ill infants who had meningococcal bacteremia and in whom meningitis or fulminant septicemia never developed. The infants were observed during a three-month period. Two of these infants had pneumonia, as evidenced by infiltrates on chest roentgenogram. The serogroups of the organisms isolated were B, Y, and ...
Glode M P - - 1977
Human neonates are uniquely susceptible to serious infections due to Escherichia coli. Investigation of the serotypes of E. coli isolated from neonates with meningitis revealed that greater than 80% of the isolates possessed the capsular polysaccharide antigen designated K1. Cultures of stool from healthy infants, children, and adults have shown ...
Roberts K B - - 1977
Sixty-one febrile infants in the first eight weeks of life were evaluated for serious, treatable illness. Infants with bacteremia could not be distinguished from non-bacteremic infants by height of fever, white blood cell count, absolute number of juvenile or mature polymorphonuclear leukocytes, or the presence of a focus of infection ...
Tetzlaff T R - - 1977
Cases of otitis media in infants under 12 weeks of age were reviewed to delineate the frequency, clinical features, and etiologic agents involved. Tympanocentesis was performed in 42 infants, 0 to 5 weeks of age, and in 17, from 6 to 11 weeks of age. The most common symptoms were ...
Lewis B R - - 1977
A retrospective study of neonatal meningitis for a period of 6 years (1970 to 1975) is described. It was found that though the survival rate had increased since the introduction of the aminoglycosides, it was at the expense of major neurological sequelae in the survivors. It is suggested that breast ...
Azimi P H - - 1977
Two newborn siblings, one with meningitis and one with sepsis due to Listeria monocytogenes, were born to a healthy, 33-year-old woman. She had had a spontaneous abortion prior to the birth of these infants. In spite of negative cultures, persistence of this bacterium in the mother's genital tract and perinatal ...
Scurlock J M - - 1977
This paper presents four cases of fulminating neonatal sepsis with meningitis. In each infant, there was evidence of an infected circumcision wound. Two infants had Escherichia coli and two had Group B haemolytic streptococcus cultured from the cerebrospinal fluid. One infant died. The risk of introducing infection through iatrogenic portals ...
Moxon E R - - 1977
Abnormalities in cerebrospinal fluid associated with meningitis due to Haemophilus influenzae type b were characterized in infant rats. After intranasal inoculation of bacteria, the development of intense bacteremia (greater than 10(4) colony-forming units/ml) correlated with cultures of cerebrospinal fluid positive for H. influenzae, with pleocytosis, and with hisotologic evidence of ...
Helms P J - - 1977
A male infant of 32 weeks' gestational age who presented with recurrent apnoea on the second day of life was shown to have an Escherichia coli K1 antigen meningitis. Relapse occurred 6 days after an adequate systemic course of gentamicin and chloramphenicol and intrathecal gentamicin. This was successfully treated with ...
Edwards K - - 1977
Four infants with group B streptococcal meningitis had a delayed response to antibiotic therapy. Resolution of cerebrospinal fluid infection and/or pleocytosis occurred only after prolonged and intensive antimicrobial management. In this respect, these infants were similar to infants with gram-negative enteric meningitis. It is suggested that infants with group B ...
Windorfer A - - 1977
The serum half-life of cephacetrile and its penetration from the serum into the cerebrospinal fluid (CSF) was determined in 33 premature and full-term neonates. On an average the serum half-life was 3.6 hours in children with a birth weight above 1,500 g; in children with a birth weight below 1,500 ...
Lepkifker E - - 1976
A simple, semiquantitative paper chromatographic method was used to identify samples of cerebrospinal fluid containing elevated concentrations of myo-inositol. All patients whose CSF inositol concentrations were greater than 70 mug/ml (as determined by S. carlsbergensis microbiological assay) showed disturbances of the state of consciousness, reported as stupor, coma or confusion ...
Philipp-Dormston W K - - 1976
Prostaglandin concentrations of cerebrospinal fluid (CSF) of 38 febrile patients (from infants up to adults) were compared with those of 19 afebrile adult control persons. CSF samples were extracted and the prostaglandins groups of the extract separated by column chromatography. Concentrations of prostaglandins of the E and F series were ...
Myerowitz R L - - 1976
Experimental endogenous endophthalmitis was produced in infant rats by either intranasal or intraperitoneal inoculation with Haemophilus influenzae type b and 5 days of age. The ocular disease occurred in about 50% of bacteremic animals who survived to age 12 days and probably represents metastatic bacterial infection secondary to hematogenous seeding. ...
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