RESUMO
Abstract The present study describes the clinical and laboratory features of 11 patients with thyrotoxic, hypokalaemic periodic paralysis, presenting to five Melbourne teaching hospitals between 1991 and 2000. All 11 patients were Asian or Polynesian men aged 18-41 years, and most had experienced previous episodes of acute, unexplained paralysis. All cases resolved without significant morbidity. Thyrotoxic, hypokalaemic periodic paralysis is a potentially life-threatening and terrifying condition, which is often under-recognized and will present with increasing frequency in the community. The diagnosis should be considered in any Asian-Australian male presenting with sudden onset paralysis.
Assuntos
Paralisia Periódica Hipopotassêmica/diagnóstico , Paralisia Periódica Hipopotassêmica/epidemiologia , Crise Tireóidea/complicações , Adolescente , Adulto , Austrália/epidemiologia , Humanos , Paralisia Periódica Hipopotassêmica/complicações , Paralisia Periódica Hipopotassêmica/fisiopatologia , Masculino , PrevalênciaRESUMO
We describe a recurrent bacteremia caused by Achromobacter (formerly Alcaligenes) piechaudii in association with an intravenous catheter in an immunocompromised 73-year-old man. This is the first reported case of bacteremia due to A. piechaudii.
Assuntos
Alcaligenes , Bacteriemia/etiologia , Infecções por Bactérias Gram-Negativas/etiologia , Idoso , Alcaligenes/classificação , Alcaligenes/crescimento & desenvolvimento , Alcaligenes/isolamento & purificação , Bacteriemia/tratamento farmacológico , Cateteres de Demora/efeitos adversos , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Humanos , Hospedeiro Imunocomprometido , Linfoma Difuso de Grandes Células B/tratamento farmacológico , Masculino , RecidivaRESUMO
Since vaccination against Haemophilus influenzae type b (Hib) became widespread, other strains of H. influenzae have become more common than Hib as causes of disease in vaccinated children. A four-month-old, appropriately vaccinated infant presented with meningitis and septicaemia caused by H. influenzae biotype III. To our knowledge, this is the first reported case of meningitis caused by this biotype, which is not detectable by Hib antigen tests.
