ABSTRACT
Tracheoinnominate artery fistulization is a well-known complication of tracheostomy and of tracheal resection. The first known occurrence of this problem in a patient in whom no transtracheal procedure had ever been performed is reported, and high-dose radiation therapy delivered three years before for a mediastinal malignancy is suggested as the cause. No evidence of tumor was found in or adjacent to the tracheovascular communication. The tracheoinnominate artery fistula must be considered a potential complication of radiation therapy as well as of surgery.
Subject(s)
Brachiocephalic Trunk , Fistula/etiology , Radiotherapy/adverse effects , Tracheal Diseases/etiology , Brachiocephalic Trunk/radiation effects , Hemorrhage/etiology , Humans , Male , Mediastinum/radiation effects , Middle Aged , Risk , Trachea/radiation effects , Vascular Diseases/etiologySubject(s)
Epistaxis/etiology , Multiple Myeloma/complications , Rhinitis/etiology , Sinusitis/etiology , Female , Humans , Male , Maxillary Sinus , Middle Aged , Multiple Myeloma/diagnosisABSTRACT
Between 20 July and 15 Octoboer 1975, five cases of human infection with Babesia microti were diagnosed on Nantucket Island, Massachusetts. The illness was characterized by fever, drenching sweats, shaking chills, myalgia, arthralgia, extreme fatigue, and a mild-to-moderate hemolytic anemia. None of the patients had a history of splenetomy. Although all patients responded symptomatically to treatment with oral chloroquine phosphate, parasitemia and fatigue frequently persisted for several weeks to months.
