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Results 251 - 300 of 346
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de Peretti F - - 1993
Thirteen subjects were randomly selected and embalmed according to Winckler's technique. After removal of the vertebral column and the head in one block the specimens were frozen. Transverse transpedicular cuts were performed at C6, T1, T6, L1, L3, and L5. After enlargement photography, the surface area of the vertebral foramen ...
Tang C - - 1993
The case of a 63-year-old man who developed Candida albicans osteomyelitis is reported. Because of renal impairment, fluconazole was chosen as treatment rather than amphotericin B. The patient made a full recovery. This is the first report of the successful use of fluconazole in the treatment of candidal osteomyelitis.
D'Hoore K - - 1993
A case of Aspergillus osteomyelitis of the spine is presented and the world literature is reviewed, for a total of 32 cases. Aspergillus osteomyelitis is rare, but the spine is most frequently affected. It can be induced hematogenously, by contiguity or by direct inoculation. Up to now medical treatment has ...
Shabb N - - 1993
Twenty-seven patients with eosinophilic granuloma (EG) of bone seen at our institution between 1979 and 1991 underwent fine-needle aspiration (FNA) with or without concurrent Tru-Cut biopsy. The 16 males and 11 females ranged in age from 2 1/2 to 61 years (median, 10 yr). Twenty-four patients had monostotic lesions. The ...
Finkelstein R - - 1992
Bone involvement in patients with Gaucher's disease is common, and some of its clinical manifestations may resemble acute osteomyelitis. In addition, many studies have emphasized the high risk of secondary infection when surgical procedures are performed at the site of the involved bone. Nevertheless, these infections have never been well ...
Colak A - - 1992
Cranial chondrosarcomas are rare. The majority of cases arise from the base of the skull and are most common in adult life. In this report, an infant with a chondrosarcoma of the temporal bone is discussed. We are not aware of a previously reported case of chondrosarcoma of the temporal ...
Farr R C - - 1992
This is the second case report of a temporal bone osteomyelitis caused by Blastomyces dermatitidis, which presented as a chronic serous otitis media. The presenting serous otitis media was refractory to conventional medical and surgical management and progressed to a temporal bone osteomyelitis prior to diagnosis. B. dermatitidis is a ...
Koorbusch G F - - 1992
A retrospective review and analysis of the management of osteomyelitis in 35 patients at a major hospital complex has been made. In this patient population sample, trauma and odontogenic sources were determined to be the most prevalent causes of osteomyelitis of the jaws, which in the vast majority of cases ...
Konagaya Y - - 1992
A young woman with slowly progressive muscular weakness and atrophy localized in both thighs is reported. Laboratory, electromyographic and histological findings suggested that the patient suffered from chronic myositis with a background of autoimmune disorder. Quadriceps myositis is a rare condition. The previously reported cases of this disease in the ...
Geissler W - - 1992
A one-year-old child with BCG osteomyelitis of the upper spine is reported. The child was admitted because of viral infections of the upper respiratory tract. A lateral x-ray examination of the lung showed what was thought to be a mediastinal tumor. The preoperative diagnostic problems are discussed, because the etiology ...
Fukuda J - - 1992
A case of tuberculous osteomyelitis of the mandible in a 76-year-old woman is reported. The patient sought treatment for a periostitis of the left side of the mandible. A purulent discharge was evident. Roentgenographic examination of the mandible revealed bone destruction from the midmandible to the ramus on the left ...
Asmar B I - - 1992
Osteomyelitis in the neonate has distinct physiologic and clinical features that are reviewed in this article. Most cases are the result of hematogenous dissemination, but direct inoculation and extension of infection from surrounding soft tissue occur. The outcome is dependent on several factors and generally difficult to predict at the ...
Reuland P - - 1992
We report the case of a young boy referred to our Department of Nuclear Medicine under the suspicion of a malignant tumor. The leading clinical symptoms were pain in the joints and loss of weight and vitality. Radiographic findings were suggestive of osteogenic sarcoma, but bone scans showed multiple increased ...
Singh N - - 1992
Anaerobic gram-negative cocci of the genus Veillonella are generally normal flora of the oropharynx and upper respiratory tract. When isolated in clinical specimens, these bacteria are usually regarded as commensal organisms rather than as pathogens. We report a case of spinal osteomyelitis in which Veillonella parvula was isolated in pure ...
Coppola M - - 1992
Auricular pain, redness, and swelling are usually the result of infectious cellulitis. However, relapsing polychondritis is another cause of this symptom complex and is the result of an autoimmune phenomenon. It presents with inflammation and destruction of both articular and nonarticular cartilage, with the external ear and joint cartilage most ...
Walker W A - - 1991
We report 2 cases of primary sternal osteomyelitis caused by Aspergillus; previously reported cases have been complications of sternotomy. Both patients were healthy young men with recent intravenous drug abuse. No other focus or predisposing factors were found. Both were treated with partial sternectomy and chondrectomy; 1 received long-term amphotericin ...
Hayes T G - - 1991
Osteomyelitis of the carpal bones is extremely uncommon. We here report a case of Staphylococcus aureus osteomyelitis involving the wrist in a patient with Hodgkin's disease, and review the existing literature on this subject. The case illustrates the importance of considering pertinent clinical evidence in a patient with disseminated malignancy.
Laurin J M - - 1991
A 65-year-old man with 9 months of radicular lower back pain was admitted for treatment of presumed malignancy of the lumbar spine. Lumbar radiographs showed destruction of the L4-L5 endplates and obliteration of the disc space, which was more compatible with an infectious process. After 2 different closed biopsy specimens ...
Eisenberg B - - 1991
Use of In-111 oxine labeled leukocytes in the detection of osteomyelitis of the peripheral skeleton usually presents few problems. However, the diagnosis of osteomyelitis is more difficult in marrow-bearing areas because uptake of indium is normal. Sixty-one In-111 labeled leukocyte scans, that had been performed to exclude osteomyelitis of the ...
Chen C W - - 1991
We report 2 cases of gas-forming vertebral osteomyelitis in diabetic patients. Both were caused by gram-negative bacilli, Escherichia coli and Klebsiella pneumoniae respectively. Both ran a fulminant course to death despite appropriate parenteral antibiotics. We suggest that early surgical intervention may be needed in cases with gas-forming vertebral osteomyelitis.
De Bock R R Department of Haematology, Universitair Ziekenhuis Antwerpen, - - 1991
We report on a patient with aplastic anaemia and an invasive aspergillosis of the lung with subsequent osteomyelitis of the ribs. Diagnosis was made by puncture of the soft tissues and isolation of Aspergillus fumigatus. Treatment with amphotericin B induced renal function disturbances. It was successfully replaced by AmBisome. Healing ...
Schneider L C - - 1990
Florid osseous dysplasia (FOD) is confused in the literature with chronic diffuse sclerosing osteomyelitis. Two cases of each condition are presented to demonstrate the differences between them. In FOD, there are multiple lobulated sclerotic masses in several quadrants of the jaws, usually in black females. In some cases, the sclerotic ...
Dodes L M - - 1990
In many cases addictive behavior serves to ward off a sense of helplessness or powerlessness via controlling and regulating one's affective state. Addicts have a vulnerability to feelings of powerlessness, which reflects a specific narcissistic impairment. The drive in addiction to re-establish a sense of power is, correspondingly, impelled by ...
Elbeshir E I - - 1990
Spontaneous regeneration of the mandible following hemimandibulectomy is rarely reported. The main source of osteogenesis seems to be the periosteum. The critical elements being a pre-existing chronic infection and the age of the patient with immobilisation playing an insignificant role. This paper reports such a regeneration following hemimandibular resection for ...
Lichtenwald D J - - 1990
Pretibial epidermolysis bullosa is a rare variant of hereditary epidermolysis bullosa that is characterized by the delayed onset of a blistering eruption limited to the pretibial area. We present a case in a 48-year-old woman. Immunofluorescence mapping demonstrated blister formation below the basement membrane. This was confirmed by ultrastructural investigations ...
McCarthy B - - 1990
Pubic osteolysis is now recognized as a distinct diagnostic entity. It is characterized by roentgenographic findings of rapidly progressing destructive changes in the pubic rami, pubis, or pubic symphysis. A soft-tissue mass with calcification may be present. Overlapping roentgenographic and even histopathologic features with chondrosarcoma may lead to erroneous diagnosis ...
Crim J R - - 1990
Enchondroma protuberans has been defined as an exophytic enchondroma of a long bone. We contrast a case of enchondroma protuberans with two cases of coincident enchondroma and osteochondroma. Our cases and the previously published ones lead us to believe that enchondroma protuberans is probably an enchondroma variant and that its ...
Parrish L C - - 1989
Correctly differentiating between periodontal abscess (localized, acute suppurative infection of the periodontium) and osteomyelitis (the extension of an infection into the bone medullary cavity) is crucial since the former may not require antibiotics for resolution, while the latter will. Initial assessment and treatment of osteomyelitis should be based on clinical ...
Grobman L R - - 1989
Most cases of osteomyelitis of the skull base occur as a result of inadequately treated localized malignant otitis externa. We present four patients with osteomyelitis of the skull base who did not present initially as malignant otitis externa. Increased morbidity may occur when these atypical cases are not promptly recognized ...
Bannatyne R M - - 1989
Osteomyelitis caused by Candida albicans is a rare condition. The authors report its occurrence as an infective complication in the fractured phalanx of a 3-year-old boy. The infection was first thought to be due to Staphylococcus aureus, but a course of cloxacillin was unsuccessful, and when cultures of the injured ...
Finkelstein R - - 1989
The occurrence of nine cases of Pseudomonas septic arthritis and osteomyelitis within a 12-month period may be considered an uncommon experience even in a large, tertiary referral center. These cases are reported here and the various clinical patterns and therapeutic implications associated with Pseudomonas bone infections are discussed. Epidemiologic serotyping ...
Højgaard A D - - 1989
In a 23-year-old woman, an intramuscular abscess of the ventral abdominal wall in the right iliac fossa was found to have an extraperitoneal fistula to a focus of asymptomatic osteomyelitis of the iliac ala. Pelvic osteomyelitis should be suspected in cases of abdominal wall abscess without pathologic intra-abdominal findings.
Berg E - - 1989
We summarize indications, contraindications, and therapeutic guidelines for the use of adjunctive hyperbaric oxygen therapy (HBO) in problem wounds and selected orthopaedic infections. Three typical cases that all were successfully treated with HBO are presented: a chronic osteomyelitis which was a sequela to an open tibia fracture, a second- and ...
Manson D - - 1989
Chronic recurrent multifocal osteomyelitis is a recently recognized disease characterized by remissions and exacerbations of multiple bone lesions which radiographically and pathologically have the appearance of hematogenous osteomyelitis. No consistent etiology can be identified, and antimicrobial agents seem to have no beneficial effect. A review of the appearances on imaging ...
Westermeyer J - - 1989
The monoamine oxidase inhibitors are increasingly prescribed for several disorders today, after a hiatus of nonuse lasting a decade. One case of excessive MAOI use and two cases of MAOI withdrawal are reported in the literature. This case report adds a fourth instance and suggests patient characteristics which should alert ...
Mensah G A - - 1988
Numerous complications have been associated with cardiopulmonary resuscitation. Acute purulent staphylococcal mediastinitis and sternal osteomyelitis are, however, unusual and do not appear to have been reported previously in association with closed chest resuscitation. Sternal fracture during chest compressions and subsequent hematogenous seeding of the resultant retrosternal hematoma with Staphylococcus aureus ...
Yang E C - - 1988
Pseudomonas aeruginosa osteomyelitis and epidural abscess of the cervical spine developed in a previously healthy, 73-year-old man who was not an intravenous drug abuser. In the recent literature, Pseudomonas cervical osteomyelitis has been reported only in intravenous drug abusers or in otherwise healthy individuals after a tooth extraction. In the ...
Powell J M - - 1988
The skeletal manifestations of malignant carcinoid seem not to have been reported in the orthopedic literature. Bronchial and hindgut carcinoid tumors are less numerous than midgut tumors but metastasize to bone much more frequently. Carcinoid skeletal deposits are usually osteoblastic and most commonly affect the axial skeleton. The radiologic appearance ...
Brown T - - 1988
Chronic recurrent multifocal osteomyelitis is a recognized condition that usually affects children and adolescents. It generally has a self-limited course, causing significant symptoms but leaving few, if any, residual changes in most cases. The authors undertook a retrospective review of the radiographs and medical records of 11 patients with chronic ...
Maher D P - - 1987
Cervical osteomyelitis, an uncommon disease, is rarely associated with Pseudomonas organisms in non-drug-users. This report describes a case of cervical vertebral osteomyelitis associated with Pseudomonas aeruginosa pneumonia following panfacial trauma and closed head injury. Delays in diagnosing vertebral osteomyelitis are common because of the nonspecific nature of the history and ...
Ingram C W - - 1987
We report the 11th human case of bloodstream infection with Plesiomonas shigelloides. This was the first case without any apparent underlying immunocompromising disease, and the patient was the first adult to survive the infection. We review all the extraintestinal cases associated with this organism, giving special attention to the clinical ...
Schwartz J G - - 1987
The occurrence of human nocardiosis is increasing in both immunocompetent as well as immunosuppressed patients. A 63-yr-old male construction worker presented with complaints of left hip pain and rapidly enlarging masses on his left neck and chest. He had been treated for a pneumonia of unknown etiology 3 mo prior ...
Cronin E B - - 1987
Tertiary syphilis is an unusual entity. We have encountered a case of tertiary syphilis of the liver and bone demonstrated by scintigraphy. With liver involvement, the liver scan showed focal defects due to gummas, and distortion due to scarring. Bone involvement was shown as increased cortical activity from periostitis, focal ...
Miller L K - - 1987
An unusual case of pelvic osteomyelitis complicating granulomatous ileocolitis is herein reported. Computed tomography of the abdomen was crucial in detecting osteomyelitis of the right iliac wing as well as the associated fistulous tracts and abscesses adjacent to the involved bone. Clinical and radiographic features of this rare complication of ...
Thornton Y S - - 1987
Myositis ossificans progressiva is a rare autosomal dominant disorder characterized by a progressive ectopic ossification of the connective tissue of the voluntary muscles and ligaments with associated debilitation and characteristic skeletal malformations. There have been less than 600 cases in the literature. This is the first reported case of a ...
Gunge M - - 1987
The rare case of osteomyelitis of the mandible in a 4-year-old boy is reported. The literature of osteomyelitis in children is reviewed and discussed. Osteomyelitis in children is mainly affected in the mandible. In childhood, mandibular structure is so immature that the inflammation of the mandible extends easily and rapidly ...
Naidu M R - - 1987
Osteomyelitis of the skull is an uncommon disease in the present days, mainly due to the advent of modern and more effective antibiotics. Hematogenous osteomyelitis is very rare. Osteomyelitis of the skull is usually not associated with sclerosis which is commonly seen in the rest of the skeleton. There are ...
Gamble J G - - 1986
We reviewed the cases of five children with the diagnosis of chronic recurrent multifocal osteomyelitis (CRMO) and compared and contrasted them to 11 cases of subacute osteomyelitis. Significant differences were found between these two groups in the number of cases with positive biopsy cultures, number of clinical episodes, and number ...
Ehrlich M G - - 1986
Thirty-eight cases of musculoskeletal pain in a pediatric population that defied diagnosis are reviewed. The time between the onset of symptoms and the final diagnosis averaged 11.4 months, but in many cases was greater than 1 year. The most common diagnoses included reflex sympathetic dystrophy, osteoid osteoma, osteomyelitis, intraarticular hemangiomata, ...
De Luca J - - 1986
Nocardia asteroides osteomyelitis has previously been described only in acutely ill patients. It may occur as an isolated event or part of the disease spectrum of disseminated nocardiosis. An 84 year old immune competent man with N. asteroides right tibial osteomyelitis had an unusual presentation, presumed mechanism of disease and ...
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