RESUMEN
Osteomyelitis is a rare complication after varicella. It should, however, be considered in any child who develops pain in a limb during or after a varicella infection. An 18 month old boy with a five day history of varicella infection was hospitalized. Movement of his right arm made him cry intensively. Blood cultures showed growth of group A beta haemolytic streptococcus. The day after admission to hospital the bone scintigrams showed increased activity in the right humeral diaphysis consistent with osteomyelitis, and penicillin therapy was started. On radiograms of the right humerus performed on the second day, no pathological changes could be shown. Radiograms after ten days showed irregular osteolytic lesions in the upper part of the humeral diaphysis. Clinically, the boy improved rapidly and could be dismissed from hospital after 17 days. Follow-up radiograms showed slowly normalized conditions, and five months after the start of symptoms, no pathological changes should be demonstrated.
Asunto(s)
Varicela/complicaciones , Osteomielitis/microbiología , Infecciones Estreptocócicas/etiología , Streptococcus pyogenes , Varicela/inmunología , Varicela/microbiología , Estudios de Seguimiento , Humanos , Húmero/diagnóstico por imagen , Húmero/patología , Lactante , Masculino , Osteomielitis/tratamiento farmacológico , Osteomielitis/etiología , Osteomielitis/inmunología , Penicilinas/administración & dosificación , Cintigrafía , Infecciones Estreptocócicas/tratamiento farmacológico , Infecciones Estreptocócicas/inmunología , Streptococcus pyogenes/aislamiento & purificaciónRESUMEN
Surgical correction of unilateral renal artery stenosis was performed in 31 hypertensive patients. Preoperative renal vein renin ratios (RVRR) before and after dihydralazine stimulation were measured in all patients. Postoperative blood pressure were normal in 12, improved in 17 and unchanged in 2 patients. Six patients did not have renin lateralization, but all were cured or improved after surgery. RVRR was a poor predictor of the results of surgery in patients with unilateral renal artery stenosis.
Asunto(s)
Hipertensión Renal/sangre , Hipertensión Renovascular/sangre , Renina/sangre , Adolescente , Antagonistas Adrenérgicos beta/uso terapéutico , Adulto , Dihidralazina/uso terapéutico , Femenino , Estudios de Seguimiento , Humanos , Hipertensión Renovascular/terapia , Masculino , Persona de Mediana Edad , Pronóstico , Obstrucción de la Arteria Renal/cirugíaRESUMEN
No general agreement exists concerning the optimal time for the first control of patients treated with 131I for thyrotoxicosis. Ten consecutive cases were followed clinically, and current laboratory thyroid tests were frequntly performed during a 14 week period to point out the optimal control time and the best setup of control parameters for such patients. It is concluded that clinical examination, supplied with T4, T3, T3-test, and TSH determinations 12--14 weeks after therapy seems rational as a first step in the lifelong follow-up of these patients.
