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Heinz M - - 2000
Presented here is a case of septicemia caused by an uncommon, multiresistant, gram-positive microorganism (Pediococcus acidilactici) after long-term antibiotic treatment. Pediococcus spp. are rarely cultivated from clinical specimens, and species differentiation is difficult due to the paucity of phenotypic traits. In this case, a polyphasic approach consisting of phenotypic and ...
Snyder R J - - 2000
Calciphylaxis is an uncommon phenomenon usually observed in patients with chronic renal failure who are on dialysis and who have secondary hyperparathyroidism. Treatment is multifocal and may include wound debridement, wound excision, and various methods of achieving closure. Removal of the parathyroid glands often is advocated, but this option remains ...
VandeCreek L - - 2000
This article reviews the legal and ethical issues that arise in the treatment of patients who may pose a threat to harm themselves or others. The recent practice of developing empirically validated treatments has not yet been applied to the diagnosis and treatment of patients who present an imminent danger ...
Tadross T S - - 2000
Two cases of distal tibial metastases are presented, and a suggestion is made for a method of treatment.
Davis G - - 2000
BACKGROUND: Vulvar intraepithelial neoplasia (VIN) generally can be classified into viral and nonviral etiologies. The histopathologic diagnosis is often separable into basaloid and warty types. A large percentage of VIN lesions have been shown to harbor human papillomavirus (HPV), principally type 16. Imiquimod, an immune response modifier, has been shown ...
Cicchetti S - - 2000
Vinorelbine tartrate (Navelbine, Burroughs Wellcome Company, Research Triangle Park, NC, USA) is a semisynthetic vinca alkaloid approved in many countries for the first-line treatment of patients with advanced non-small-cell lung cancer. It is also used in the treatment of advanced breast and ovarian cancers and lymphoma. Like other vinca alkaloids, ...
Guttuso T J TJ - - 2000
The author describes six cases in which gabapentin treatment reduced the frequency of hot flashes. In addition, gabapentin treatment enhanced the frequency of hypothermic episodes in a separate patient with known hypothalamic dysfunction. Gabapentin may act directly upon temperature regulatory centers.
Luzzatto C - - 2000
Over a period of seven years, 15 patients (aged from birth to 15 years; median 22 months) with lymphangioma were treated with OK-432; they received a mean of three injections each. Ten received OK-432 as first line treatment; five were treated after surgery (three had a residual lymphangioma after incomplete ...
Schwab R A - - 2000
Imiquimod is a unique topical therapeutic agent useful in the treatment of external genital and perianal warts (condyloma acuminata) in adults. The authors report a case of a 21-year-old woman who experienced complete clearance of recalcitrant facial flat warts after 3 weeks of therapy with topical imiquimod 5% cream.
Boucher B A - - 2000
In 1995 the American Thoracic Society issued an official consensus statement on the treatment of hospital-acquired pneumonia (HAP). Classes of antimicrobials included in the list of antimicrobials deemed to be suitable for the empiric treatment of severe HAP were the aminoglycosides, quinolones, antipseudomonal penicillins, carbapenems, and beta-lactam/beta-lactamase inhibitor combinations. Aztreonam, ...
Barber D B - - 2000
A report of two cases of orthostatic hypotension in acute tetraplegia that were resistant to classic treatment interventions. To discuss the use of midodrine hydrochloride for the treatment of orthostatic hypotension in early tetraplegia. Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, Texas, USA. ...
Newman T B - - 2000
The publication of guidelines calling for less aggressive treatment of jaundice in newborns has been followed by a reappearance of case reports of kernicterus. These case reports illustrate important issues for writers and consumers of practice guidelines. One issue is the particular salience of identified patients with bad outcomes, and ...
Dinehart S M - - 2000
BACKGROUND: Actinic keratoses are epidermal tumors that can develop into invasive squamous cell carcinoma. Recently, some Medicare carriers have limited reimbursement for destruction of actinic keratoses. OBJECTIVE: We review treatments for actinic keratoses and the rationale for their use. METHODS: Computerized literature searches were performed in MEDLINE. The search terms ...
Ali F E - - 1999
Thyroid disorders are common in individuals with Down syndrome (DS). Hyperthyroidism occurs much less frequently than hypothyroidism in this population, but is likely to be underestimated. We report a case of an institutionalized adult male with DS and hyperthyroidism. He was treated with radioactive iodine and, when reviewed 11 weeks ...
Smeets R - - 1999
PURPOSE: To study interobserver variation in treatment decisions in a first follow-up contact after initiation of antiepileptic drug (AED) treatment. The results should aid us in the assessment of whether decision support can be of value in this situation. METHODS: Data from patient records were used to construct 270 different ...
Apak R A - - 1999
We report a 16-month-old boy with acute disseminated encephalomyelitis (ADEM) who had an early relapse despite prompt treatment with high dose methylprednisolone. The second episode responded to intravenous immunoglobulin (IVIg). This case illustrates the probability of relapses or treatment failures in ADEM after steroid treatment, and the use of alternative ...
Conforti D - - 1999
The onset of extrapyramidal symptoms has been traditionally linked to the prescription of neuroleptic treatment: there are some reports in the international literature describing extrapyramidal effects related to antidepressant. In this paper we present a case under multiple pharmacologic treatment in whom extrapyramidal symptoms developed shortly after the adjunct of ...
Buchmann T - - 1999
Despite a low incidence of botulism in the industrialized world some cases occasionally occur in Germany after eating contaminated food. Because botulism is rarely seen, most physicians are unfamiliar with its early recognition and treatment. However, immediate intensive care treatment is important. We report the case of a previously healthy ...
Ramos L M - - 1999
OBJECTIVES: Vascular anomalies in the urogenital tract are very rare and those located in glans penis are the most uncommon. There is some controversy concerning their nomenclature, diagnosis and treatment. We present an analysis of our experience and a critical review of the literature. METHODS: Three cases of vascular lesions ...
Hall J A - - 1999
The Iowa Case Management Project (ICMP) was developed to evaluate the effectiveness of a comprehensive, solution-focused model of case management with rural clients in drug abuse treatment. For this preliminary report, 483 clients who were admitted to residential or outpatient treatment at a local facility volunteered to participate and were ...
Naeyaert J M - - 1999
This paper reflects the consensus reached among Belgian professors of dermatology on the place of cyclosporin (CsA) in the treatment of atopic dermatitis (AD). Existing therapeutic modalities and ways to evaluate efficacy of treatment are reviewed briefly. Based on data from the literature and personal experience, guidelines for the use ...
Farrell S E - - 1999
Minoxidil is a potent arterial vasodilator used in the treatment of hypertension. A side effect, hypertrichosis, has prompted the marketing of a topical preparation, Rogaine, for the treatment of male-pattern baldness. Recently, a 5% solution of minoxidil became available over-the-counter as Rogaine Extra Strength For Men Hair Regrowth Treatment. We ...
Rashid H I - - 1998
Primary palmar hyperhidrosis is a disabling disorder that starts in childhood and causes physical and psychological inconvenience. Conservative treatment is not effective in severe cases. Thoracoscopic sympathectomy is the treatment of choice. It is a safe minimally invasive procedure with good results. There are few reports in the UK regarding ...
Bristot R - - 1998
The most frequent type of cerebellar astrocytoma in children is the pilocytic variety, for which the treatment of choice and prognosis are now well established. In contrast, an anaplastic lesion in this site is extremely rare. The authors present four cases of high-grade astrocytoma in a cerebellar site. They discuss ...
Anderegg C R - - 1998
This case report uses a resin-ionomer restoration as a barrier in the treatment of a Class III furcation defect. There was a reduction in tooth mobility and plaque count, no bleeding on probing, and a decrease in probing depth with the use of the resin ionomer. The study offers another ...
- - 1998
No Abstract Copyright 1998 The Association for the Study of Animal Behaviour.
- - 1998
Copyright 1998 The Association for the Study of Animal Behaviour.
Lee M W - - 1998
We report the case of a 31-year-old woman with a rare presentation of syringoma resembling confluent and reticulated papillomatosis of Gougerot-Carteaud. The lesions have been unresponsive to treatment with topical steroids and retinoic acid.
Weightman W - - 1998
Atrophoderma vermiculatum (AV) is a rare disorder leading to reticular or honeycomb scarring of the face and responding poorly to treatment. A case is now presented of the successful induction of remission in the inflammatory component of the disease following a prolonged course of isotretinoin; improvement was then maintained after ...
Kucera K A - - 1998
One of the most difficult issues a case manager has to deal with is how to stay knowledgeable and current in the face of rapidly changing medical advances. As treatment protocols for diseases change, so must the case management plans for clients. In the case of HIV/AIDS, this is especially ...
Gripp S - - 1998
BACKGROUND: Experience in the treatment of laryngeal chondrosarcoma is based on about 250 cases reported to date. The standard therapy is conservative surgery. Radiotherapy has universally been regarded as ineffective in the treatment of this disease. METHODS: A patient with a laryngeal chondrosarcoma was observed for 11 years after radical ...
Méndez-Fernández M A - - 1997
A case of persistent solid facial edema is presented to illustrate and discuss this rare, poorly understood condition. It is most frequently a sequela of acne vulgaris, but it can also be caused by other congenital, infectious, and inflammatory processes. This entity is notoriously difficult to treat. Many therapeutic modalities ...
Clavel A - - 1997
A 58-year-old man who was very fond of eating raw fish and had not left Zaragoza Province in Spain in the last 20 years excreted a short chain of gravid proglottids. Treatment with 50 mg/kg of paromomycin sulfate was divided into three doses, all given within the same day, followed ...
Spahl T J - - 1997
For over a century the complete and long term retention of orthodontic treatment results has been the "Achilles heel" of the orthodontic discipline, regardless of which particular technique was used to treat a given case nor which treatment philosophy spawned its methods. Yes, there are some cases that appear on ...
Dubousset J - - 1997
The treatment of spondylolysis and spondylolisthesis in children depends on the severity of clinical symptoms, pathologic anatomy, and prognosis. Simple spondylolysis can be cured by immobilization alone in selected cases, or by surgery when it remains symptomatic and resistant to nonoperative treatment. The majority of cases are asymptomatic and require ...
Crutchfield C E CE - - 1997
Psoriasis is a common condition which, at times, can be difficult to treat. Patients with psoriasis face many social challenges and can suffer a great deal with their disease. As a result, any new topical agent is a welcomed addition to our therapeutic armamentarium. We present here a report of ...
Becker A - - 1997
Over several decades, occasional reports of dental treatment provided by an individual practitioner to patients suffering with cleidocranial dysplasia have appeared in the literature. In the past, the main treatment was prosthetic replacement. Orthodontic treatment has only recently been considered as a serious treatment option, with success being described in ...
Zadra A L - - 1997
BACKGROUND: Lucid dreams occur when a person becomes aware that he or she is dreaming while still in the dream state. Previous reports on the use of lucid dreaming in the treatment of nightmares do not contain adequate baseline data, follow-up data, or both. METHODS: A treatment of recurrent nightmares ...
Ellitsgaard V - - 1997
Excess scarring caused by pathologically overabundant collagen deposition is a problem known by all surgeons. Such complications to wound healing known as hypertrophic scars and keloids might turn out aesthetically unacceptable to the patient and some scars might even cause anatomic dysfunction. Reviewing the literature in planning a strategy of ...
Romero Maroto M - - 1997
Two Class III cases are described which are treated first during childhood with orthopedics and later by a second stage with orthodontics using bonded braces. One case was treated solely with a chin cup and the other with a chin cup, disjunction and anterior traction. Profile and occlusion changes are ...
Nakaya M - - 1997
Delusional repetitiveness as a peculiar form of delusional remembrance is very rare in the literature and has not been considered in detail. the author presents a schizophrenic case with delusional repetitiveness and considers its features and meaning in treatment. The patient's feelings about a deadlock in treatment were substantiated in ...
Lim K F - - 1996
Proper management of a malocclusion relies on a basic understanding of the development of the dentition and the craniofacial complex. Diagnosis should only be formulated after all the relevant diagnostic records, including clinical examination and history, are reviewed. Armed with this information, the dentist forms the treatment plan. The mere ...
Merigian K S - - 1996
The brown recluse spider in commonly found throughout the midsouth region of the United States. Bites from the brown recluse occur when the spider is trapped in clothing or its nest is otherwise disturbed. The bite may be undetected by the patient until hours or days later when a characteristic ...
Muraro G B - - 1996
OBJECTIVE: We report a rare case of paraffinoma of penis. A one-stage surgical treatment achieved optimal aesthetic and functional results. METHODS: We evaluated a 32-year-old man who self injected paraffin into his penis to facilitate erection and increase potency. After two months of paraffin oil injection, sclerosis and retraction produced ...
Smith L J - - 1996
Problems such as encopresis are perceived as "normal' for some populations. For example, within the field of learning disability, little serious study has been devoted to either prevalence or aetiology of encopresis. Treatment issues have been obscured by problems of definition and aetiology. Treatment reports are rare despite the apparent ...
Achauer B M - - 1996
This case report details the successful treatment of extensive, facial traumatic tattooing in an adult male. The Q-switched ruby laser was utilized. It is demonstrated to be an excellent tool for the treatment of traumatic tattooing. The results achieved are superior to other methods and complications reported with other treatment ...
Shockledge R - - 1996
Ideally gingival degloving following a traumatic episode should be treated as soon as possible by repositioning the displaced gingivae and mucosa. The cases reported are of degloving in the primary and permanent dentition. In both cases immediate assistance was sought from health professionals but no treatment was offered. The delay ...
van Spronsen D J - - 1996
We describe a patient with severe symptomatic thrombocytopenia and haemolytic anaemia caused by cytomegalovirus (CMV) infection. As far as we know, this is the second case in the literature. Treatment with ganciclovir seemed to be more effective for thrombocytopenia than treatment with corticosteroids. The hypothetical mechanisms leading to thrombocytopenia and ...
Rodríguez-Pla A - - 1996
We report the case of a 61-year-old woman who presented bilateral blindness at the age of nineteen. Although she did not receive any treatment, she did not present any other symptoms through 40 years of follow-up. After reviewing the literature, we have not found any case of bilateral blindness as ...
Yang S P - - 1995
Lymphocutaneous sporotrichosis and chromoblastomycosis are subcutaneous mycoses caused by traumatic implantation of the fungus into the skin. Medical treatments for chromoblastomycosis has been disappointing, while lymphocutaneous sporotrichosis usually responds well to iodides. Here we present a case of chromomycosis and a case of lymphocutaneous sporotrichosis. Both patients were treated successfully ...
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