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Tytuł oryginału: Non-valvular isolated pulmonary artery vegetations.
Autorzy: Farsak Bora, Yilmaz Mustafa, ™c Mehmet, ™zkutlu Sheyla, Demircin Metin
Źródło: Med. Sci. Monitor 2002: 8 (4) s.CS39-CS41, il., bibliogr. 9 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • pediatria
  • kardiologia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • niemowlęta
  • płeć męska

    Streszczenie angielskie: Background: One of the serious potential complications of complex congenital heart defect (CHD) is bacterial endocarditis. Right sided endocarditis accounts for 5-10 p.c. of all cases of infective endocarditis, with the tricuspid valve more frequentlly affected than the pulmonary valve. Pulmonary artery involvement in bacterial endocarditis is very rare, but when it exists it is almost always associated with endocarditis of the pulmonary valve: isolated pulmonary artery vegetations have not previously been reported before. Case Report: A 6-year-old boy with atrial septal defect (ASD), ventricular septal defect (VSD), coarctation of the aorta (CA), persistent ductus arteriosus (PDA) and pulmonary hypertension, who had been operated for closure of PDA, correction of CA and pulmonary artery banding, was readmitted with bacterial endocarditis. In surgery, the VSD was closed with a Dacron patch using interrupted pledget buttressed sutures, and the ASD was closed using primary sutures. After debanding, while pulmonary arteriotomy was performed for patch angioplasty, we observed that the entire pulmonary artery trunk, right and left pulmnary artery branches, were filled with a solid mass, which was successfully treated by surgical excision. Conclusion: With ongoing improvements in diagnostic tools, especially in echocardiography, antibiotic therapy and surgery, CHD can now be treated successfully in early infancy or childhood.

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    Tytuł oryginału: Acute intermittent porphyria with acute pancreatitis and liver dysfunction.
    Autorzy: Saruc Murat, Turkel Nurten, Yuceyar Hakan, Ayhan Semin, Demir Mehmet Akif, Can Mine
    Źródło: Case Rep. Clin. Pract. Rev. 2002: 3 (4) s.234-238, il., tab., bibliogr. 8 poz.
    Sygnatura GBL: 313,612

    Hasła klasyfikacyjne GBL:
  • gastroenterologia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • płeć męska

    Streszczenie angielskie: Background: We reported a case with acute intermittent porphyria who demonstrated acute pancreatitis and liver dysfunction. Case report: A 44-year-old white male with type II diabetes mellitus presented with colicky right upper quadrant and epigastric pain, nausea and vomiting during last two days. Two weeks prior to these complaints, he had and upper respiratory tract infection and used some drugs including terfenadine and co-trimoxazole. Physical examination revealed that he was mentally confused and he had jaundice. Abdominal examination revealed diffuse tenderness. Clinical, laboratory findings, liver histology, pancreas cytology and CT scan showed the presence of acute pancreatitis, mild liver failure and pleural effusion. His urine color was pink-purple and got darker in urine collection bag. Porphyrin studien revealed markedly elevated urine porphobilinogen, aminolevulinic acid, coproporphyrin, and uroporphyrin which suggested the diagnosis of acute intermittent porphyria. All these studies established the diagnosis of acute intermittent porphyria causing acute pancreatitis, mild hepatic failure pleural effusion and neurological signs. The patient was kept at rest and treated with total parenteral nutrition without allowing oral food intake. Large amount of glucose given by central venous route. A broad spectrum antibiotic was administered. Liver function, as well as clinical and laboratory finding of pancreatitis improved after two weeks of hospitalization. He has now been on follow-up for 6 months and he has not had any complaints. Conclusion: When a clinician...

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