Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jan 1998
[Tuberculosis in HIV-positive and HIV-negative drug users in Amsterdam].
To determine and to compare the incidences of active tuberculosis in HIV positive and HIV negative drug users and to describe the main characteristics of the tuberculosis cases. ⋯ HIV infection increases the risk of active tuberculosis in Amsterdam drug users 13-fold. The incidence of tuberculosis in HIV negative drug users in 6 times higher than that in the overall Amsterdam population. Periodic chest X-ray screening contributes substantially to case-finding of active tuberculosis in Amsterdam drug users.
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Ned Tijdschr Geneeskd · Jan 1998
Case Reports[Circulatory arrest following sulprostone administration in postpartum hemorrhage].
In a woman aged 39 cardiac arrest occurred 3.5 hours after administration of 250 micrograms sulprostone directly into the uterine wall for a post-partum haemorrhage after manual removal of the placenta. A long period of resuscitation was necessary. ⋯ In the Netherlands sulprostone is registered for intravenous administration only. We would strongly advise against administration directly into the uterine wall.
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Ned Tijdschr Geneeskd · Jan 1998
Case Reports[Iatrogenic tension pneumothorax following faulty positioning of gastric tube].
A 74-year-old man was admitted with respiratory insufficiency and required mechanical ventilation. Enteral nutrition was given via a nasogastric feeding tube, but persistent food retention occurred. The chest X-ray showed the nasogastric tube to be in the right pleural space. ⋯ The patient's recovery was uneventful, with resolution of the pneumothorax. It is necessary to be alert with respect to the tube position, which, if doubtful, should be checked by chest X-ray. Recognition of an aberrant position is necessary to minimize related morbidity.