RESUMEN
Thirty-two mothers with thalassemia, more than half of whom had hemoglobin H disease with or without other forms of thalassemia or hemoglobinopathies along with their 46 children were evaluated. The mean maternal hematocrit was 22.2% and the mean maternal body mass index was 18.7. The majority of women were not transfused during pregnancy. Eight point seven percent developed toxemia of pregnancy. All had spontaneous labor, 69.5% had a normal vaginal delivery and 23.9% had a cesarean section. The mean infant birth weight was 2,542.2 grams. Low birth weight was found in 34.7%; no extremely low birth weights occurred.
RESUMEN
A 67-year-old Thai female with alcoholic cirrhosis presented with fever and abdominal pain for 5 days. On examination, there was marked ascites with generalized abdominal tenderness. The result of ascitic fluid analysis showed yellow turbid fluid, a WBC count of 6,100 cells/mm3 with polymorphonucleocytes predominant. Blood cultures yielded non-O1/ non-O139 Vibrio cholerae. The patient improved gradually and recovered fully after 1 week of parenteral antibiotic.
Asunto(s)
Anciano , Antibacterianos/uso terapéutico , Bacteriemia/complicaciones , Femenino , Humanos , Cirrosis Hepática Alcohólica/complicaciones , Peritonitis/tratamiento farmacológico , Vibrio cholerae/clasificación , Vibrio cholerae no O1/clasificaciónRESUMEN
Twenty-five patients with eosinophil counts > 1,000/mm3 of unknown etiology were treated with albendazole 400 mg twice daily for 7 days were compared with 25 eosinophilic control patients who were not treated. The average eosinophil count in the treated group was 2,079/mm3 (range 1,002-7,629/mm3) and in the control group was 2,047/mm3 (range 1,002-6,468/mm3). One month later the eosinophil counts of both groups were re-evaluated. Effective treatment was defined as an eosinophil count < 1,000/mm3. In the treatment group, 80% had a reduction in the eosinophil count to < 1,000/mm3 while only 12% of the control had a reduction to this level. No side effects were observed in either group. In conclusion, albendazole was found to be highly-effective in the management of patients with eosinophilia without obvious causes.
Asunto(s)
Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Albendazol/administración & dosificación , Antihelmínticos/administración & dosificación , Eosinofilia/sangre , Eosinófilos/efectos de los fármacos , Femenino , Humanos , Recuento de Leucocitos , Masculino , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
A 40-year old Thai male presented with epigastric discomfort and weight loss without fever for 2 months. On examination, there was no hepatosplenomegaly or lymphadenopathy. His ultrasonogram showed multiple lesions in the spleen with enlarged abdominal lymph nodes. Pathology revealed caseating granulomas of the spleen and lymph nodes. No AFB were seen but PCR was positive for M. tuberculosis complex. The fever resolved within 3 days of surgery and the patient was treated with antituberculous drugs.