Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Jan 2002
Case Reports[Trypanosomiasis--a real risk for tourists visiting national parks in Tanzania].
African sleeping sickness is no longer a rare disease among tourists visiting national parks in Tanzania. The disease is caused by a parasite, Trypanosoma brucei, which is transmitted by the tsetse fly. Two species infect humans: Trypanosoma brucci gambiense and Trypanosoma brucei rhodesiense; the last form is re-emerging in parts of Africa. ⋯ African sleeping sickness should be kept in mind in tourists returning to their home country with fever after visits to national parks in Eastern Africa. With early treatment, cure is almost certain. The only way to prevent this condition is through protection against bites of the tsetse fly.
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Tidsskr. Nor. Laegeforen. · Dec 2001
Biography Historical Article["The first duty of every physician is to be humane..."].
In 1901 the Russian physician V. V. ⋯ The book treats ethical problems in medicine and is critical of several aspects of medical practice. The article contains passages from the book, with comments.
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Acute bacterial meningitis requires immediate antimicrobial therapy. ⋯ The most common agents causing acute bacterial meningitis are Streptococcus agalactiae in children less than one month of age, and Streptococcus pneumoniae and Neisseria meningitidis in individuals more than one month of age. If the causative bacterial agent is not known, children below one month of age should be given ampicillin and gentamicin, whereas older children and adults should be given benzylpenicillin in combination with either cefotaxime or ceftriaxone. We suggest treatment with specific antibiotic regimens in cases of known aetiology.
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Tidsskr. Nor. Laegeforen. · Nov 2001
[Streptococcus group A infections of skin, soft tissue and blood].
Group A streptococcus is one of the most common bacterial pathogens causing infections in tissue and organs, most frequently throat and skin. Since the late 1980s there have been reports from Scandinavia and many other countries documenting a resurgence of highly invasive infections such as puerperal fever, necrotizing fasciitis, myositis and sepsis. ⋯ The reason for the increase in severe group A streptococcal infections is unclear. The clinical features depend on the level of infection (superficial skin, subcutis, fascia and muscle): the deeper the initial infection, the more frequent development of bacteraemia and life-threatening disease. Serious infections are associated with shock and multiorgan failure, i.e. streptococcal toxic shock syndrome. Early surgical debridement is essential in necrotizing fasciitis and myositis. Penicillin is still the drug of choice for milder infections. The addition of clindamycin is recommended in cases of more invasive infection.