Schweizerische medizinische Wochenschrift最新文献_第2页

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

J W Bielecki

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[Concerning: Devuyst G, Bogousslavsky I. Cholesterol and risk of cerebrovascular accidant: a role for statins?]. [相关文献:deuyst G, Bogousslavsky .胆固醇与脑血管意外风险:他汀类药物的作用[j]。

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

H J Koch, P Hau, A Steinbrecher

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[Present role of continuous subcutaneous insulin infusion (CSII) by insulin pump in the treatment of diabetes mellitus]. 胰岛素泵持续皮下胰岛素输注(CSII)在糖尿病治疗中的作用

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

A Pfützner, S Berger, G Spinas

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[Evaluation of antibiotic prophylaxis in neutropenic patients with hematologic malignancies]. [血液系统恶性肿瘤中性粒细胞减少患者抗生素预防的评价]。

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

P Delarive, J D Baumgartner, M P Glauser, A Cometta

{"title":"[Evaluation of antibiotic prophylaxis in neutropenic patients with hematologic malignancies].","authors":"P Delarive, J D Baumgartner, M P Glauser, A Cometta","doi":"","DOIUrl":"","url":null,"abstract":"The benefits of oral prophylaxis for neutropenia have remained controversial up to now. We evaluated retrospectively the effect of antibiotic prophylaxis with ciprofloxacin and penicillin on the prevention of bacterial infections in 112 cases of prolonged neutropenia in adult patients treated for haematological malignancies. 41 patients received prophylaxis between December 1993 and November 1994 while 71 patients did not receive prophylaxis between December 1994 and November 1995. There were no significant differences between groups in age, sex, type or stage of haemopathy, type of chemotherapy and duration of neutropenia. The antibiotic prophylaxis reduced the number of overall infections (p = 0.05) and the number of gram-negative bacteraemias (p = 0.02). The median time to the onset of fever, the duration of fever, the duration of antibiotic treatment, the duration of hospitalization or admission to the intensive care unit, the number of serious complications or death were not influenced by antibiotic prophylaxis. The prophylaxis did not reduce the overall incidence of bacteraemia, of clinically documented infections or of fever of unknown origin. This retrospective study confirms that oral prophylaxis with ciprofloxacin and penicillin decreases the incidence of infections and, in particular, of gram-negative bacteraemia, but does not modify the overall morbidity and mortality in our patients. In view of the risk of emergence of bacterial resistance, these data do not support the routine use of oral antibiotic prophylaxis in neutropenic patients with haematological malignancies.","PeriodicalId":21484,"journal":{"name":"Schweizerische medizinische Wochenschrift","volume":"130 48","pages":"1837-44"},"PeriodicalIF":0.0,"publicationDate":"2000-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21954323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Malfunction of a unipolar pacemaker system following development of marked subcutaneous emphysema. 单极起搏器系统在发生明显的皮下肺气肿后出现故障。

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

M Schlegel, R Hörler, M Maier-Wölfle, H Rickli

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[Whipple's disease with normal intestinal histology: rarity or reality?]. [肠道组织正常的惠普尔病:罕见还是真实?]。

Schweizerische medizinische Wochenschrift Pub Date : 2000-11-25

R Hirsbrunner-Erni, M Altwegg, P A Diener, P M Villiger

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[Intraspinal meningioma at thoracic vertebrae 1/2]. [1/2胸椎椎管内脑膜瘤]。

Schweizerische medizinische Wochenschrift Pub Date : 2000-11-25

D Daentzer, D K Böker

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[Eosinophilic esophagitis associated with recurrent urticaria: is the worm Anisakis simplex involved?]. 嗜酸性粒细胞性食管炎与复发性荨麻疹有关:是否与单根异尖线虫有关?

Schweizerische medizinische Wochenschrift Pub Date : 2000-11-25

A J Bircher, B Gysi, H R Zenklusen, R Aerni

{"title":"[Eosinophilic esophagitis associated with recurrent urticaria: is the worm Anisakis simplex involved?].","authors":"A J Bircher, B Gysi, H R Zenklusen, R Aerni","doi":"","DOIUrl":"","url":null,"abstract":"Anisakis simplex, a fish parasite of the nematode family, typically infects marine mammals such as whales, dolphins and seals. Human anisakiasis, which is acquired by eating raw or insufficiently heated fish or squid, has gained world-wide importance. Infestation with living larvae caused by eating parasitised fish results in acute upper abdominal pain, nausea and vomiting and may be confused with acute abdomen due to appendicitis and other inflammatory abdominal disorders. Extraintestinal organ manifestations are rare. Endoscopically, inflammation, oedema, erosions and ulcerations may be found. The parasite can been found in up to 50% of patients. Histologically, an eosinophilic inflammation is typical. Acute anisakiasis may be prevented by thorough cooking or deep-freezing the parasitised fish for at least 48 h. IgG-antibodies specific for Anisakis simplex are thought to represent an immunological host reaction against parasitic antigens. More recently, allergic reactions to Anisakis ingestion or exposure, such as urticaria, anaphylaxis and even occupational asthma, have been reported. These allergic reactions may also occur when the fish has been properly cooked, and hence these allergens are thought to be heat-stable. Such cases may be diagnosed by skin tests and the determination of specific Anisakis-IgE. However, the specificity of IgE is low, since they may also be present in exposed asymptomatic individuals. Since the eliciting allergens are temperature-stable, prophylactic dietetic measures are indicated. We report a case from Switzerland acquired during a holiday in Portugal. The patient suffered from recurrent dysphagia and urticaria, and histologically eosinophilic oesophagitis was found. IgG-antibodies and a positive skin prick test to Anisakis simplex support its aetiologic role for the symptoms.","PeriodicalId":21484,"journal":{"name":"Schweizerische medizinische Wochenschrift","volume":"130 47","pages":"1814-9"},"PeriodicalIF":0.0,"publicationDate":"2000-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21951772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Nuts, seeds and grains from an allergist's point of view]. [从过敏症专家的角度来看，坚果、种子和谷物]。

Schweizerische medizinische Wochenschrift Pub Date : 2000-11-25

G Senti, B K Ballmer-Weber, B Wüthrich

引用次数: 0

[Ant venoms: a rare cause of allergic reactions in Switzerland]. 蚂蚁毒液:瑞士罕见的过敏反应。

Schweizerische medizinische Wochenschrift Pub Date : 2000-11-25

J D Seebach, C Bucher, M Anliker, P Schmid-Grendelmeier, B Wüthrich

{"title":"[Ant venoms: a rare cause of allergic reactions in Switzerland].","authors":"J D Seebach, C Bucher, M Anliker, P Schmid-Grendelmeier, B Wüthrich","doi":"","DOIUrl":"","url":null,"abstract":"In Switzerland, unlike other countries, allergic reactions to ants are a rare phenomenon when compared to the well known allergies to bee and wasp venom. In this report we present a series of case reports and a review of the different types of allergy to ants. Due to increased travel and heterogeneity of the population, we have observed several patients with sensitisation or allergy to the venom of imported fire ants (Solenopsis), a species of ant found in the Americas. Furthermore, allergic reactions to bites of the mound-building wood ant (Formica rufa), whose habitat is Central and Northern Europe, have been documented. Whereas reactions to fire ants can be life-threatening, reactions to mound-building wood ants have led to marked local reactions and in 2 cases to dyspnoea and wheezing. These reactions could be due either to primary sensitisation to ant venom or cross-reactivity in the presence of an allergy to wasp venom. Evaluation of patients presenting with a potential ant venom allergy includes a detailed personal history, skin testing and determination of specific IgE. However, to date only extracts from fire ants are commercially available for diagnostic tests. In the light of our observations we assume cross-reactivity between the venoms of fire ants and mound-building wood ants, and it therefore seems appropriate to use fire ant diagnostics in determining sensitisation to mound-building wood ants. In patients with severe fire ant-venom allergy we recommend desensitisation by immunotherapy, whereas in patients presenting with minor allergic reactions, e.g. after bites by mound-building wood ants, we provide the patients with emergency medication. Since current knowledge of ant allergies in Europe is limited, further studies are warranted.","PeriodicalId":21484,"journal":{"name":"Schweizerische medizinische Wochenschrift","volume":"130 47","pages":"1805-13"},"PeriodicalIF":0.0,"publicationDate":"2000-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21951771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0