ABSTRACT
A well-studied case of intermittent long QT syndrome in a 21-year-old female is presented. Electrophysiologic investigation repeated three times revealed changing sinoatrial and atrioventricular dysfunction and nonsustained ventricular tachycardia. The patient died 29 months after first hospitalization in a stage of electromechanical dissociation after runs of torsade de pointes although she had been treated with repeated anti-inflammatory therapy as well as high doses of propranolol. Postmortem examination demonstrated active inflammation of stellate ganglia. Myocardium appeared normal.
Subject(s)
Arrhythmias, Cardiac/pathology , Long QT Syndrome/pathology , Stellate Ganglion/pathology , Adult , Electrocardiography , Female , Humans , Inflammation/complications , Inflammation/drug therapy , Inflammation/pathology , Long QT Syndrome/complications , Long QT Syndrome/drug therapy , Prednisolone/therapeutic use , Propranolol/therapeutic use , Tachycardia/etiologyABSTRACT
The bacterial strain L.16.1 isolated from coastal waters polluted by oil-waste, close to the genus Alcaligenes, utilizes preferentially alkanes with a carbon number greater than 9. Sugars and amino-acids cannot serve as carbon source to this bacterium. Cells grown on hydrocarbon the chain length of which ranges from C10 to C18 exhibit very high yield (98%) with a growth rate of 0.47. From our studies it appears that strain L.16.1 is strictly dependent on the presence of the Na+ ion and that this Na+ dependence can be seen at each level of the physiological activity. Alkane-grown cells show morphological features namely disc shaped cytoplasmic vesicles (6-8 per cell). Such vesicles are to be regarded as a consequence of the very high lipid content (twice the standard) which characterizes these cells. Additional lipids belong essentially to the nonsaponifiable fraction (20 times more in hexadecane grown cells); on the contrary, the phospholipid content at both qualitative and quantitative points of view does not depend on the nature of the growth substrate.