Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Nov 1995
Case Reports[Spinal puncture in suspected purulent meningitis].
Today, CT scan of the brain is performed as a routine a the first diagnostic procedure in cases of suspected acute subarachnoid haemorrhage. Subarachnoid blood is demonstrated in a high percent of these cases provided that the scan is carried out within the first few days after the bleeding. Furthermore, the scan may also disclose localised intracranial haematoma or other expansive lesions with brain shift. ⋯ Two case histories are described. Both patients had brain abscesses and deteriorated dramatically after lumbar puncture. The role of brain CT scanning in the management of such patients is discussed.
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Tidsskr. Nor. Laegeforen. · Nov 1995
Review[Infections in intensive care units. A challenge for the specialist of infectious diseases?].
There is an obvious need for teamwork between different specialists on the diagnosis and treatment of patients in an intensive care unit. The infectious disease specialist must contribute by establishing definite and quick diagnosis of infections and by employing an adequate and sensible antibiotic policy for successful treatment. The local microbiological flora should be kept at an acceptable level of resistance to antibiotics, and preventive measures should be chosen carefully. To achieve this goal, extensive knowledge on antibiotics and microbial epidemiology is essential.