Med Clin Barcelona
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Oliguric and non-oliguric acute renal failure was studied in a group of 28 high risk patients in an intensive care unit. Of these, 15 (53.5%) presented oliguric and 13 (46.4%) non oliguric acute renal failure. Causal agents of the renal failure were postoperative in 14 cases, mainly peritonitis; medical in 10 and posttraumatic in 4. ⋯ Results of urinalysis indicative of renal failure were similar in both groups: NAO, osmolarity, FeNa, BUN o/p and creatinine o/p, as were degree and course of renal failure, and the appearance of complications and indications for dialysis. There was no significant difference in mortality rate between oliguric (93%) and non-oliguric (85%) patients; total mortality was 89%. The results of this study clearly show that non-oliguric acute renal failure carries the same poor prognosis in high risk patients in intensive care units as do the oliguric forms of the entity.
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Although in the last few years several cases of bacterial endocarditis have been reported in patients with obstructive hypertrophic cardiomyopathy, such as association is still infrequent and only in rare instances has pathologic examination of the cardiac lesions been possible. In this work a brief comment is made on the different forms of clinical presentation of the disease. ⋯ The patient died of an infected ascites. Some recent reports point to a higher incidence of bacterial endocarditis in cirrhotic patients, and this fact is felt to be an argument in favour of the hematogenous origin of spontaneous bacterial peritonitis.
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Pneumonia due to Mycoplasma pneumoniae may present at any age after age five. The clinical picture varies from an acute febrile illness to a prolonged disease with affected general state and little pulmonary involvement. The radiological picture is varied but the alveolar pattern predominates, making the differential diagnosis with the bacterial pneumonias difficult. ⋯ This radiological picture is particularly frequent in elderly patients, often affected by other diseases able to induce immunodepression. In such patients the radiology and the unspecific clinical picture frequently cause diagnostic delays. The presence of a pneumonia with multisystem involvement (blood, nervous system, joints, etc.) should suggest the possibility of Mycoplasma pneumoniae infection.
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A study is presented on the incidence and complications of septic abortion in a group of patients admited on the 1st. Obstetric and Gynecologic Clinic of the University of Barcelona during a period of 5 years (1971-1975). ⋯ Endocervical cultures were positive in 73% of cases and in 65,7% gram negative germs were isolated, being the most common E. coli. The different clinical patterns are discussed in cases in which anaerobics are implicated and the diagnostic and therapeutic aproaches in the different complications are reviewed particularly in concern to the indications of surgery when this may be the only lifesaving procedure.