[Clinico-bacteriological correlations in necrotizing fasciitis]. / Corelatii clinico-bacteriologice în fasciita necrozanta.

The authors analyze under the aspect of data offered by medical literature, the clinical aspects and occurrence of the microbial flora in the necrotizing fasciitis. The clinical symptoms are presented in correlation with the aerobic, anaerobic and mixed bacterial specificity with the purpose of a suitable antibacterial therapy. Further, there are presented certain aspects of cutaneous "bubbly" lesions connected with the microbial flora in the NF.

[Sudden death from coronary thrombosis and myocardial infarct correlated with blood alcohol]. / Mortile subite prin tromboza coronara si infarct miocardic în corelatie cu alcoolemia.

The authors analyze the medicolegal files including 3,786 consecutive autopsies, of which 402 sudden coronary cardiac deaths. Autopsy was completed by histologic examination and toxicologic tests (alcoholemia). In the category of coronary cardiac sudden deaths there were 53 coronary thromboses (13.2%) and 36 recent myocardial infarction (8.95%). In 1,196 (31.6%) of 3,786 alcoholemia determinations the results were positive in 111 (27.6%), the difference between the two frequencies not being statistically significant (t less than 1.96). Alcoholemia was positive in 6 of 53 cases of coronary thromboses (11.3%, p less than 0.01), and in 36 cases of recent myocardial infarction alcoholemia was positive in 7 cases (19.5%; t less than 1.96).

[Cerebrovascular disease with a fatal outcome and the recent consumption of alcohol]. / Accidentele cerebrale vasculare cu evolutie fatala si consumul recent de alcool.

The authors have investigated 19 cases of nontraumatic cerebrovascular accidents with a fatal outcome from a total of 1,627 consecutive nonselected forensic autopsies. Alcohol concentration in the blood was determined in 15 cases of which 60% (9 subjects) tested positive. The median age of the group with positive alcohol blood tests was 50.4 +/- 6.2 years. The median age of the group with negative results was 51.7 +/- 5.4 years. In the group with positive tests 4 were chronic consumers of alcohol. As compared with 1,773 determinations of blood alcohol done in the general casuistics of forensic medicine it appears that the incidence of alcohol concentrations under 1 g/thousand is greater in subjects that died with cerebrovascular accidents. In the group of subjects with alcohol concentrations in the blood between 1 and 2 g/thousand, and over, reflecting an advanced degree of inebriation, there are no significant differences between the two lots. In the authors cases the haemorrhagic forms of nontraumatic cerebrovascular accidents were predominant. Ischaemic lesions were found in only two cases.

[Renal adenoma]. / Adenomul renal

The authors present a case of renal adenoma, a benign renal tumour rarely encountered in the clinic, especially of this size (9/10 cm), and diagnosed intravitam as an obstructive urinary syndrome, with destruction of the renal parenchyma and suppression of the renal function. The patient's condition was good after nephrectomy.

[Primary malignant lymphoma of the prostate]. / Limfomul malign primitiv de prostata.

The authors present a case of primary malignant lymphoma of the prostate in a patient aged 62 years. The clinical aspect was not different from that of a common adenoma of the prostate, complicated by acute retention of urine. The patient benefited from surgery, and a classical method was applied (transvesical adenomectomy with Nowac drainage). Although the surgical treatment was nos completed with postoperative radiotherapy a remarkable survival was obtained, that went beyond 2 years, and the patient is still living in a satisfactory general condition.