RESUMEN
The authors report a case of a single secondary tumour of the pericardium presenting as tamponade and occurring three years after sigmoidectomy for an adenocarcinoma of the colon. Gastrointestinal investigations confirmed the absence of any local tumour recurrence. The originality of this case lies in the presentation and isolated nature of this metastasis. Attempted surgical excision failed which, in view of the patient's good general condition, led to suggestion of FUFOL type chemotherapy.
Asunto(s)
Adenocarcinoma/secundario , Taponamiento Cardíaco/etiología , Neoplasias Cardíacas/secundario , Pericardio , Neoplasias del Colon Sigmoide/patología , Anciano , Femenino , HumanosRESUMEN
The authors report the case of a patient with a serious recurrence of pulmonary embolism with echocardiographic evidence of a floating serpentine thrombus of the right atrium. The outcome was rapidly satisfactory with disappearance of signs of acute cor pulmonale and lysis of the right atrial thrombus after infusion of two thrombolytic agents: Rt PA and streptokinase. There is no evidence in the literature to indicate that one form of treatment, i.e. surgical thrombectomy or thrombolysis, is markedly superior to the other. Thrombolysis appears to be a useful alternative to surgery. The use of Rt PA and of the combination of two thrombolytics has not been published previously and merits confirmation.
Asunto(s)
Embolia Pulmonar/complicaciones , Estreptoquinasa/uso terapéutico , Trombosis/etiología , Activador de Tejido Plasminógeno/uso terapéutico , Anciano , Quimioterapia Combinada , Atrios Cardíacos , Humanos , Masculino , Embolia Pulmonar/tratamiento farmacológico , Trombosis/tratamiento farmacológicoRESUMEN
In the present work a study has been made of the prevalence of allergy to two storage mites, Tyrophagus putrescentiae and Lepidoglyphus destructor in a population of 105 young adults in the east of France. Combination of skin tests and specific IgE measurements shows that 43.10% of the subjects were sensitive to Tyrophagus and 44.95% to Lepidoglyphus. Interpretation of skin tests remains uncertain, particularly concerning the source of the allergen used and it is most often also necessary to measure the specific serum IgE. As in many studies, most sensitization was found amongst farmers. In contrast, no difference was seen between rural and city dwellers, subjects who were in contact with small animals and those in contact with food for livestock if they were not farmers, not between declared asthmatics who lived in a humid place and those who lived in an environment that was drier. Certainly these mites appeared in the present study to be much more ubiquitous than supposed previously and the fact that they seemed to be carriers of allergens and antigens that were different from those of Dermatophagoides raises the question as to whether the need for hyposensitization treatment for them has been under-estimated.
Asunto(s)
Ácaros y Garrapatas/inmunología , Asma/inmunología , Hipersensibilidad/inmunología , Adulto , Animales , Humanos , Masculino , Prueba de Radioalergoadsorción , Pruebas CutáneasRESUMEN
The goal of this work was the study of the prevalence of allergy to two mites, Tyrophagus putrescentiae and Lepidoglyphus destructor in a population of 105 young asthmatic men from East of France. The association of skin tests and specific IgE shows that 43.10% are allergic to Tyrophagus and 44.95% to Lepidoglyphus destructor. The significance of skin tests is doubtful and depends on the laboratories which provide the allergens. Therefore, specific IgE has to be performed. As in other studies it has been observed that farmers are very often sensitized. But, nose difference has been noticed between people living in town or in country, between those having contacts with pets or not, feeding the cattle or not (except for the farmers). In the same way, no difference has been noticed between the asthmatics living in a wet country and/or wet house and those living in a dry area.
Asunto(s)
Asma/etiología , Ácaros/inmunología , Adolescente , Adulto , Alérgenos/administración & dosificación , Animales , Humanos , Inmunoglobulina E/análisis , Masculino , Prueba de Radioalergoadsorción , Pruebas CutáneasRESUMEN
After a brief reassessment of the pathogenic problem, the authors review the presently available drugs and their respective dosage and side-effects. Then they consider each of the four parasitological types of schistosomiasis and indicate the most active treatment.