Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Feb 2001
Case Reports[Hypercalcemia due to adult T-cell lymphoma in a man from Surinam].
A 48-year-old male patient from Surinam presented with anorexia, nausea and weight loss. An extreme hypercalcaemia of 5.08 mmol/l was found. Further diagnostic investigations showed that this patient had a HTLV-1 positive adult T-cell leukaemia/lymphoma (ATL/L). ⋯ Upon inquiry it appeared that he had died elsewhere. Chemotherapy induces a short-lived remission in a minority of ATL/L patients. Antiviral therapy (alpha interferon, zidovudine) might offer new possibilities.
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Ned Tijdschr Geneeskd · Feb 2001
Practice Guideline Guideline[CBO-guideline 'Bacterial meningitis'].
Neisseria meningitidis and Streptococcus pneumoniae are the most frequent causes of bacterial meningitis. The incidence of Haemophilus meningitis in the Netherlands is low due to successful Haemophilus influenzae type b vaccination. This implies that there is no need to take account into this microorganism in using initial empiric antimicrobial therapy for bacterial meningitis. ⋯ The physician is responsible for prescribing prophylaxis to family members. The Regional Health Services organize chemoprophylaxis for classmates. The latter is only indicated if at least 2 related cases occur in one month.
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Ned Tijdschr Geneeskd · Jan 2001
Case Reports[Diagnostic image (22). Partial torsion of ovarian tumor].
In a 28-year-old woman recurrent abdominal pain was caused by a partially torded cystic teratoma of the ovary.