Southern medical journal
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Southern medical journal · Jan 1981
Ligation of patent ductus arteriosus in premature neonates: anesthetic management.
A retrospective study covering a five-year period was conducted on 40 premature neonates who had had general anesthesia for surgical correction of patent ductus arteriosus. The anesthetic management of these patients was carefully reviewed. The mean weight at surgery was 1,243 gm, and the mean gestational age at birth was 29.5 weeks. ⋯ Two patients had massive blood loss intraoperatively. There were 12 postoperative deaths in the series, and 12 patients had serious long-term disability, many were combinations of hearing, visual, and psychomotor disturbances. Advances in neonatology, surgery, and anesthesiology have improved the outlook of these seriously ill patients.
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We have described a case, with renal biopsy findings and serologic studies, of a patient who had the nephrotic syndrome after sustaining multiple bee stings and who demonstrated a favorable response to steroid therapy. Bee stings have previously been implicated in the development of this syndrome, though the reported cases in the literature are poorly documented.
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Southern medical journal · Jan 1981
Case ReportsHepatic abscess resulting from asymptomatic diverticulitis of the sigmoid colon.
I have described a case of pyogenic liver abscess secondary to completely asymptomatic diverticulitis. Because extensive diverticulitis may be present with minimal or no clinical symptoms, it should be strongly considered as the cause when dealing with a so-called "cryptogenic" liver abscess, and treatment should be planned accordingly.