RESUMO
Differences were recordable in the course of infectious endcarditis in patients at different ages (young, middle-aged, elderly, senile, n = 85).
Assuntos
Endocardite/diagnóstico , Adolescente , Adulto , Idoso , Endocardite/microbiologia , Endocardite/mortalidade , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Úlcera Duodenal/patologia , Úlcera Gástrica/patologia , Idoso , Antiulcerosos/uso terapêutico , Biópsia , Doença Crônica , Terapia Combinada , Úlcera Duodenal/complicações , Úlcera Duodenal/terapia , Feminino , Gastrectomia , Mucosa Gástrica/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica Hemorrágica/patologia , Úlcera Péptica Hemorrágica/terapia , Úlcera Péptica Perfurada/patologia , Úlcera Péptica Perfurada/terapia , Úlcera Gástrica/complicações , Úlcera Gástrica/terapiaAssuntos
Infecções Meningocócicas/diagnóstico , Meningoencefalite/diagnóstico , Infecções Estafilocócicas/diagnóstico , Adolescente , Adulto , Fatores Etários , Idoso , Encéfalo/patologia , Humanos , Meningite Meningocócica/diagnóstico , Meningite Meningocócica/patologia , Meningite Pneumocócica/diagnóstico , Meningite Pneumocócica/patologia , Infecções Meningocócicas/patologia , Meningoencefalite/patologia , Pessoa de Meia-Idade , Pia-Máter/patologia , Infecções Estafilocócicas/patologiaRESUMO
A relationship between PM severity and early onset of dramatic microcirculatory disorders of the brain and viscera leading to DIC syndrome and infective toxic shock has been reported in a clinicomorphological study of 12 PM cases. Being the main PM target, the brain is afflicted more seriously. The related shock has specific features: toxicosis and brain swelling. They should be taken into consideration when performing reanimation.
Assuntos
Coagulação Intravascular Disseminada/etiologia , Embolia e Trombose Intracraniana/etiologia , Meningoencefalite/complicações , Infecções Pneumocócicas/complicações , Choque Séptico/etiologia , Adulto , Idoso , Encéfalo/patologia , Coagulação Intravascular Disseminada/patologia , Feminino , Humanos , Embolia e Trombose Intracraniana/patologia , Masculino , Meningoencefalite/sangue , Meningoencefalite/patologia , Pessoa de Meia-Idade , Infecções Pneumocócicas/sangue , Infecções Pneumocócicas/patologia , Choque Séptico/patologiaRESUMO
Clinico-morphological data on a severe course of salmonellosis (Stenley Salmonella) with the development of the infectious-toxic shock are presented. The shock was manifested by changes of the microcirculatory bed with the development of disseminated intra vascular blood coagulation (DIBC), brain and lung oedema as well as degenerative and necrobiotic lesions of the inner organs (acute tubular renal necrosis, necrobiosis and necrosis of the gastrointestinal tract epithelium, necrobiotic processes in the adrenal parenchyma, neuronal lysis etc.) as a consequence of circulatory disturbances determining the severity of the course and outcome of the disease. The possibility of a protracted course of the DIBS-syndrome as the main component of the infectious-toxic shock is shown and pathogenetically grounded.
Assuntos
Infecções por Salmonella/patologia , Choque Séptico/patologia , Adulto , Coagulação Intravascular Disseminada/etiologia , Coagulação Intravascular Disseminada/patologia , Hemorragia/etiologia , Hemorragia/patologia , Humanos , Masculino , Infecções por Salmonella/complicações , Choque Séptico/complicaçõesRESUMO
In tests set up on dogs under morphine-chloralose anesthesia features specific for upset cardio- and hemodynamics following a primary and repeated (against the background of a preliminarily provoked myocardial infarction) acute disruption of the coronary circulation were investigated. The development of an acute ischemia of the myocardium in animals with preliminarily induced chronic disruption of the coronary circulation was shown to be attended by more intensive than in healthy dogs hemodynamic shifts and functional disorders of the heart, whereas the reflex component of the reaction, the vasodilating reactions of the peripheral vessels, in particular, proved much less marked. Possible mechanisms accounting for differences in the derangement of the cardio- and hemodynamics in primary and repeated ischemia of the myocardium are discussed.