[Cell-mediated immunity and active pulmonary tuberculosis (author's transl)].
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Biomedical subjects
Publications and source records attributed to B Kennes.
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The authors report the case of a 17 year-old female patient who presented acute ascending polyneuritis of the Landry-Guillain-Barré type extending to all cranial nerve pairs during the abatement of hepatitis of unspecified etiology. The patient remained in a state of coma vigil for five days prior to gradual but full recovery over a six-month period. The patient was given respiratory assistance for 55 days, together with corticosteroid therapy and above all plasmapheresis. After five weeks of treatment a transient late papilledema was noted for about six weeks. The authors discuss the diagnostic criteria of the Guillain-Barré-Strohl syndrome, its etiology, the possibility of central nerve involvement and late papilledema. Treatment with corticosteroids and plasmapheresis is also discussed.
Immune senescence is a multifaceted physiological syndrome of decline in the mechanisms of defence. Cofactors such as age-related associated diseases and malnutrition frequently seen in this category of the population, severely worsen the defect leading to the "immune compromised host" status. Frequency, morbidity and mortality of infections are undoubtedly largely influenced by such parameters. To date, adequate risk assessment and preventive medicine are the best approach to improve the chances of the elderly patient.
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