Hinyokika kiyo. Acta urologica Japonica
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A case of Klebsiella pneumoniae endophthalmitis metastasized from prostatitis is reported. A 58-year-old alcoholismic man with diabetic diathesis suffered from endophthalmitis which required enucleation of his left eye, when he interrupted the treatment of prostatitis. Metastatic bacterial endophthalmitis from urinary tract infection is rare.
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In these past three years, we treated 5 patients who attempted suicide by taking paraquat, a herbicide that had been kept at home, by direct hemoperfusion (DHP) alone or in combination with double filtration plasmapheresis (DFPP) in addition to conservative therapy. DHP alone was performed on 3 patients, 2 of whom recovered. ⋯ These patients showed a plasma paraquat concentration exceeding the survival curve presented by Proudfoot. In such patients, appropriate combinations among hemodialysis, hemofiltration, DHP, and DFPP may be safer and more effective than each therapy alone.
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We constructed an ileal neobladder in three patients using Hautmann's technique. The patients were men 51 and 67 years old with invasive bladder cancer and a 45-year-old woman with intractable hemorrhagic cystitis induced by cyclophosphamide. The urethral catheter was removed on the 21st postoperative day. ⋯ The serum chloride level indicated almost the maximum normal value in all patients. Neither hydronephrosis nor residual urine was seen on drip infusion pyelography. The postoperative results indicate that the ileal neobladder using Hautmann's technique may become a very useful way to reconstruct the urinary tract.
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A study on correlation between testicular torsion and atmospheric temperature was made based on 39 patients observed at Tokai University Hospital. Testicular torsion did not occur in any of the 39 patients in the summer (June to August), but occurred in 14 patients in spring (March to May), in 13 patients in autumn (September to November), and in 12 patients in winter (December to February). The onset hour was between 04:00 p.m. and midnight in 20 patients (54.1%), between midnight and 08:00 a.m. in 13 patients (35.1%), and between 08:00 a.m. and 04:00 p.m. (in the daytime) in only 3 patients (10.8%). ⋯ The data indicated that testicular torsion in 29 patients (76.3%) occurred below 15 degrees C (below the average temperature in Kanagawa Prefecture). Furthermore, a correlation (Spearman's coefficient above 95%) between reduction in temperature and onset frequency was noted. Evidently these findings suggest that the incidence of testicular torsion tends to increase with reduction in temperature.
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Comparative Study
Lectin immunohistochemical evaluation of human bladder carcinomas. A comparison of Carnoy's and formalin fixation.
A lectin immunohistochemical analysis of 51 human bladder carcinomas, including 44 cases of transitional cell carcinoma (TCC) (G1, 15 cases; G2, 17 cases; G3, 12 cases) and 7 cases of squamous cell carcinoma (SCC), was performed. Tissues were obtained by cold punch biopsies, fixed in Carnoy's or 10% formalin solution, stained for binding of 10 different lectins, and evaluated under the light microscope. The lectins used were concanavalin agglutinin (Con A), soybean agglutinin (SBA), Lotus tetragonolobus agglutinin (LTA), Dolichos biflorusa agglutinin (DBA), peanut agglutinin (PNA), Ricinus communis agglutinin I (RCA1), Ulex europaeus agglutinin I, II (UEA-I, II), wheat germ agglutinin (WGA), and Pisum sativum agglutinin (PEA). ⋯ There were no further differences among the histopathological grades of TCC for other lectins. Thus, Carnoy's fixation appears superior for distinguishing between grades of lesions. SCC tended to react more strongly than TCC with all the various lectins except PEA, independent of fixation.