Ugeskrift for laeger
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Ugeskrift for laeger · May 2000
Case Reports[Pseudomonas aeruginosa as the cause of meningitis in a patient with epidural catheter].
A case of epidural infection following epidural catheterization is presented. The clinical signs initially were backpain and a small swelling at the site of insertion. Treatment with dicloxacillin was begun, presuming a Staphylococcus-infection. ⋯ Weeks later the patient developed meningitis and Pseudomonas aeruginosa was cultivated. Antibiotic treatment was changed to ceftazidime, netilmycin and ciprofloxacin. Complete recovery followed.
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A case of postpartum streptococcal toxic shock syndrome due to group A streptococci is described. The patient suffered multiorgan failure, was critically ill and stayed in the intensive care unit for 18 days before recovering. The patient received massive antibiotic treatment as well as intravenous immunoglobulin therapy. The case is described to draw attention to the reoccurrence of serious group A streptococcal infections.
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Ugeskrift for laeger · May 2000
Review[DiGeorge syndrome. Velocardiofacial syndrome/chromosome 22q11 deletion syndrome].
Patients with a deletion of chromosome band 22q11 are described as having DiGeorges syndrome, velocardiofacial syndrome or chromosome 22q11 deletion syndrome depending on clinical manifestations. The patients have variable severity and combinations of conotruncal heart defects, abnormalities of the ear and palate, facial dysmorphism and mental retardation as well as partial or complete aplasia/hypoplasia of the thymus and endocrine dysfunction, e.g. hypoparathyroidism. ⋯ The syndrome, which is a significant cause of heart and craniofacial defects as well as mental retardation, is probably underdiagnosed. In each of the above mentioned phenotypical presentations, chromosome 22q11 deletion syndrome should be considered.
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We present a case of a 75-year old woman, who developed scalp necrosis as a result of giant cell arteritis in the temporal arteries. This is a very rare, but serious complication of temporal arteritis, which implies an increased risk of visual loss and other catastrophic sequelae. Healing of the ulceration was achieved after cortico-steroid therapy supplemented with split skin transplantation.