Scandinavian journal of infectious diseases
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Scand. J. Infect. Dis. · Jan 1982
Comparative StudyCerebrospinal fluid lactate in the diagnosis of meningitis. Diagnostic value compared to standard biochemical methods.
Cerebrospinal fluid (CSF) lactate was determined in 245 patients by means of a rapid enzymatic method (Monotest Lactate). The mean value was 1.61 mmol/l (range 0.79-3.33) in 104 control patients, 2.06 mmol/l (range 0.76-4.31) in 121 patients with aseptic meningitis, and 8.18 mmol/l (range 1.77-19.21) in 20 patients with bacterial meningitis. In most of the patients CSF protein and the CSF/blood glucose quotient were also determined. ⋯ In 2 patients with bacterial meningitis all tests failed. CSF lactate may be used as a supplementary aid in the diagnosis of meningitis. Its diagnostic efficacy was equal to but not better than that of the traditional methods.
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The causes of fever were attempted to identify in a prospective study on 300 adult in- and outpatients with fever at Kinshasa Teaching Hospital, Zaire. Infection was by far the primary cause of fever (87%). ⋯ Malaria was the most frequent febrile disease: one fever in two was malaria. Connective tissue diseases and neoplasms were rare.
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Scand. J. Infect. Dis. · Jan 1982
Comparative StudyTreatment of Trichuris trichiura infection with a single dose of oxantel pamoate.
166 patients with trichuriasis have been treated at the Department of Tropical Diseases, Aurora Hospital, Helsinki, from January 1975 to October 1979. Final results could be confirmed in 141 patients. ⋯ In contrast, a single dose of oxantel pamoate gave minimal side effects in 37 in-patients and in 80 outpatients with a high overall cure rate of 98%. Neither allergic nor adverse haematological reactions were encountered during 3 years and 10 months' experience of treatment with oxantel pamoate.