La Revue du praticien
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The antibiotic therapy in septic syndrome is most often empiric. Decisions and antibiotic choices should result from a careful analysis of past history and setting (hospital-acquired infections vs community acquired infections), risk factors specific to the host, and characteristics of the suspected infections focus: direct examination of body fluid specimens should be obtained rapidly to guide the empiric choice. ⋯ Changes in pharmacokinetics of drugs are usual in this context, and frequent dosing is necessary. While effective antibiotic therapy is a recognized prognostic parameter, antibiotics are only one part of therapy, besides supportive therapy of failing organs, and effective drainage or surgery of the infected focus, when feasible.
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La Revue du praticien · Dec 1992
Review[What have we learned from converting enzyme inhibitors on renin-angiotensin system?].
Angiotensin-converting-enzyme (ACE) inhibitors are now widely used to treat patients with high blood pressure or heart failure. The favourable results obtained with these inhibitors of the renin-angiotensin system suggest that angiotensin II has a noxious effect on the development and/or course of these diseases. ⋯ Their most severe side-effects are mostly foreseeable and therefore avoidable. Chronic blockade of the renin-angiotensin system increasingly seems to be a good therapeutic approach to the protection of the vital organs.
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Various types of systematized vascular syndromes are described, either in the head or in the limbs. The Sturge-Weber syndrome includes a facial portwine stain, ocular anomalies, and a pial vascular malformation. Complex combined vascular malformations with limb overgrowth need careful investigations to clearly define the vascular component and the management.