Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Aug 1986
Case ReportsUnilateral pulmonary metastasis in a patient with osteogenic sarcoma surviving longer than 13 years after leg amputation.
A case of osteogenic sarcoma of the left fibula in a patient surviving longer than 13 years after amputation and developing an unusual pattern of late metastasis, including a unilateral pulmonary mass, is presented. Autopsy revealed unilateral pulmonary metastasis with extensive old, "burned-out" areas, in contrast to extrapulmonary metastatic deposits composed exclusively of fresh tumor tissue, suggesting secondary development of extrapulmonary metastases from the pulmonary lesion. In addition to the possibility of metastatic disease even after post-therapeutic survival of more than 10 years, unusual manifestation of late metastasis is discussed in the light of a review of the literature.
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An outbreak of hepatitis A was observed in a shelter for the homeless in Vienna with about 200 inhabitants. Twenty-two cases occurred within a period of 6 months. ⋯ Nevertheless, 8 of these 102 "protected" persons showed signs of subclinical infection at subsequent follow up. Apart from these, 2 further cases of hepatitis A occurred among the non-immunised children at risk, whose parents had refused permission for serological investigation or immunoglobulin administration.
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Wien. Klin. Wochenschr. · May 1986
Case Reports[Diagnosis and therapy of supravalvular aortic dissection (type A)--an interdisciplinary challenge].
Acute dissection of the ascending aorta is a life-threatening disease. Successful management requires close teamwork of internal medical specialist, radiologist and cardiovascular surgeon. The diagnostic and therapeutic approach is reviewed on the basis of 18 of our own cases - 15 men and 3 women aged from 42 to 88 years. ⋯ In 6 cases surgery was performed by means of extracorporeal circulation and the ascending aorta was replaced by a graft. 3 patients survived the operation (2 for over 2 years and three died in the postoperative period due to cerebral and pulmonary complications). In one case with inoperable dissection an axillo-femoral bypass was performed for relief of complete ischaemia of the left lower limb. Postoperatively, maintainance of the patient's blood pressure at the low normal level ist mandatory.
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Wien. Klin. Wochenschr. · Mar 1986
Biography Historical Article[Was Dr. Carl Koller driven from Vienna in 1885?].
In this article the principal reason for the emigration of Dr. Carl Koller is examined on the basis of the available literature. In fact, antisemitism did not play a crucial role. ⋯ Hence, it can be concluded that although Dr. Koller was forced to leave Vienna in 1885, it was not principally for antisemitic reasons. There were Jewish professors in the Medical Faculty of Vienna University at the time and, indeed, when the author studied medicine in 1931 to 1936, four Jewish professors held chairs in Vienna and one of his predecessors as chief of the First Department of Ophthalmology, Isidor Schnabel, was Jewish.
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Wien. Klin. Wochenschr. · Nov 1985
Case Reports[Rhabdomyolysis as a late complication of anesthesia--a case of malignant hyperthermia?].
Rhabdomyolysis is usually known to the anaesthetist, who may be confronted with this acute, life-threatening complication during anaesthesia. However, also the medical specialist ought to be familiar with the clinical picture of malignant hyperthermia, since rhabdomyolysis may occur as a late post-anaesthetic complication. Even in oligo-symptomatic and protracted cases of malignant hyperthermia, the case history, electromyogram, exclusion of other possible causes of rhabdomyolysis and, if possible, muscle biopsy contribute to the confirmation of the diagnosis. If a muscle biopsy is not available then a platelet bioassay may substantiate the diagnosis.