Southern medical journal
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Southern medical journal · Jun 1986
Case ReportsChronic eosinophilic pneumonia: a cause of adult respiratory distress syndrome.
It is important that physicians not overlook the diagnosis of chronic eosinophilic pneumonia (CEP), since this disorder is readily reversible with corticosteroid therapy. Six patients with CEP were seen at our institution between 1979 and 1983. We present their clinical features, chest films, and pathologic findings, and review the literature on CEP. ⋯ In fact, the two patients who had adult respiratory distress syndrome (ARDS), presented diagnostic difficulty and required admission to the intensive care unit. In contradistinction to the four patients with classic CEP, the two with ARDS had a delayed response to corticosteroids. Therefore, we conclude that chronic eosinophilic pneumonia is an important entity to recognize as a potentially fatal cause of the adult respiratory distress syndrome.
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Southern medical journal · May 1986
Comparative Study Clinical Trial Controlled Clinical TrialPostoperative pain relief: a double-blind comparison of dezocine, butorphanol, and placebo.
The safety and efficacy of single intramuscular doses of dezocine (10 or 15 mg) were compared with butorphanol (2 mg) and placebo in 157 patients with moderate to severe postoperative pain. A verbal pain intensity scale, an analog pain intensity scale, and a verbal pain relief scale were used to record the patients' subjective assessments. ⋯ The scores on all three efficacy scales were highest with the 15 mg dose of dezocine after the first hour, while the 10 mg dose of dezocine and butorphanol were compared during this period. Nausea and vomiting were the most commonly reported side effects; injection site reactions were reported more frequently in the butorphanol group.
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Southern medical journal · May 1986
Comparative StudyKaposi's sarcoma: a comparative analysis in 17 white and 19 black patients.
Kaposi's sarcoma is a multicentric, malignant, neoplastic process that manifests itself as multiple vascular tumors. We present a comparative, retrospective analysis of demographic and survival data involving patients with Kaposi's sarcoma seen at Charity Hospital, New Orleans, over a 35-year period. ⋯ Both blacks and men suffered relatively greater morbidity. In addition, the incidence of second primary malignancies in this group of patients is lower than previously reported.
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Southern medical journal · Apr 1986
Outbreak of penicillinase-producing Neisseria gonorrhoeae with an African connection.
Previous outbreaks of penicillinase-producing gonococcal infection in the United States have generally been attributed to importation of Southeast Asian strains. During July 1982 through July 1983, 110 cases of gonorrhea caused by penicillinase-producing strains were reported in metropolitan Atlanta, Georgia. Among the 53 infected women, 14 (26%) had pelvic inflammatory disease (PID). ⋯ At least 22 prostitutes were involved in the outbreak. Sixteen (76%) of 21 isolates tested were serogroup 1A; 15 required arginine and proline for growth; and 17 (81%) possessed a 3.2 megadalton plasmid. Our data suggest that this outbreak was associated with both African and Southeast Asian strains.