RESUMO
Tetanus is reported in a previously immunised patient who was exposed to the dust of old building plaster containing horse hair. The site of infection was a squamous cell carcinoma of the scalp.
Assuntos
Carcinoma de Células Escamosas/complicações , Neoplasias Cutâneas/complicações , Tétano/etiologia , Idoso , Carcinoma de Células Escamosas/cirurgia , Feminino , Humanos , Couro Cabeludo , Neoplasias Cutâneas/cirurgia , Tétano/terapiaRESUMO
A 74-year-old man was admitted to hospital with septicaemia and meningitis caused by Listeria monocytogenes. Subsequently 3 inpatients developed listeria septicaemia. Case-to-case transmission of the infection seems possible, although the method of transmission remains obscure.
Assuntos
Infecção Hospitalar/epidemiologia , Surtos de Doenças/epidemiologia , Listeriose/epidemiologia , Sepse/epidemiologia , Idoso , Inglaterra , Hospitais Gerais , Humanos , Listeria monocytogenes/isolamento & purificação , Listeriose/microbiologia , Listeriose/transmissão , Masculino , Meningite por Listeria/epidemiologia , Sepse/microbiologia , Sepse/transmissão , Saúde da População UrbanaRESUMO
A detailed description is given of a technique for the introduction of cardiac pacing catheters using a percutaneous supraclavicular route through the subclavian vein. In 91 attempts there was only one failure and the frequency of complications was low. Surface landmarks for the procedure were easy to define precisely, and stable pacing could usually be established rapidly without distress to the patient or subsequent immobilization of any limb. It is suggested that operators with little experience of cardiac catheterization might find this approach valuable in the emergency pacing of acute heart block. Subclavian venepuncture does not appear to be as hazardous as has previously been suggested.
