The Johns Hopkins medical journal最新文献_第10页

Clinical conferences at The Johns Hopkins Hospital. Presbycardia. 约翰霍普金斯医院的临床会议。Presbycardia。

The Johns Hopkins medical journal Pub Date : 1981-11-01

R Abben, M L Weisfeldt

引用次数: 0

Fever, shock and chills in gram-negative bacillemia: clinical correlations in 100 cases. 革兰氏阴性杆菌血症的发热、休克和寒战:100例临床相关性

The Johns Hopkins medical journal Pub Date : 1981-11-01

W G Rector

{"title":"Fever, shock and chills in gram-negative bacillemia: clinical correlations in 100 cases.","authors":"W G Rector","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patterns of fever, shock, and chills in 100 episodes of febrile, Gram-negative bacillemia were retrospectively analyzed to determine features predictive of the site of infection, organism, and prognosis. Pneumonias most often produced morning temperature rises, whereas infections in other sites were usually associated with an afternoon or evening peak. Peritonitis (usually due to Bacteroides fragilis) tended to cause an indolent temperature rise (over a day or more), whereas pyelonephritis and cholangitis typically produced an abrupt \"spike.\" Relatively low fevers characterized Enterobacter pneumonias while very high fevers were noted in Pseudomonas aeruginosa infections in patients with leukemia. Chills occurred with unusually high frequency in cholangitis and in Klebsiella bacteremia. Patients going into shock had higher fevers than those who did not. More importantly, the development of shock was shown to be related to severity of underlying disease. Shock never developed if the disease was not serious, unless the bacteremia was caused by instrumentation, but occurred in 73% of patients with leukemia or lymphoma. The clinical setting, pattern of fever, and presence or absence of a chill can in many cases usefully guide diagnosis and therapy in patients with Gram-negative bacillemia.</p>","PeriodicalId":22609,"journal":{"name":"The Johns Hopkins medical journal","volume":"149 5","pages":"175-8"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18322236","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

On the heritability of rickets, a common disease (Mendel, mammals and phosphate). 关于佝偻病的遗传性，一种常见的疾病(孟德尔，哺乳动物和磷酸盐)。

The Johns Hopkins medical journal Pub Date : 1981-11-01

C R Scriver, H S Tenenhouse

引用次数: 0

Stanhope Bayne-Jones, 1886-1970: the story of a lifetime devoted to country and to medicine. 斯坦霍普·贝恩-琼斯，1886-1970:毕生为国家和医学奉献的故事。

The Johns Hopkins medical journal Pub Date : 1981-10-01

A M Harvey

引用次数: 0

Laryngeal and perianal tuberculosis simulating laryngeal and perianal carcinoma. 喉部及肛周结核模拟喉部及肛周癌。

The Johns Hopkins medical journal Pub Date : 1981-10-01

T J Walsh, J H Mulholland