Revue médicale de la Suisse romande
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Malignant hyperthermia is a serious anesthetic complication, presenting with various manifestations, with high mortality and morbidity. There are several incomplete and abortive forms, and the clinicians must be aware of the possibility of malignant hyperthermia, and recognize the first signs of the hyperthermic crisis hyperthermia, hypermetabolism and muscular rigidity. ⋯ Cellular investigations demonstrate that the malignant hyperthermia crisis presents as an intracellular flooding with calcium, leading to an abnormal muscular contracture. Several mutations in particular involving the ryanodine receptor gene have been linked to malignant hyperthermia.
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Rev Med Suisse Romande · Jan 1999
Review Case Reports[Endocarditis manifesting as a spondylodiscitis and psoas abscess].
The revealing of a bacterial endocarditis by a spondylodiscitis is relatively rare. Only 80 cases have been reported ever since De Sèze's and his team's first publication in 1965. ⋯ This case shows that one always have to search for an endocarditis when dealing with a spondylodiscitis. A thorough examination including a cardiac ultrasound is mandatory and a six weeks follow-up is necessary, since the prognosis depend mainly on the valvular disease.