A 43-year-old woman was hospitalized for fulminant pericarditis. During diagnostic work-up, an as yet unknown bronchial carcinoma was detected. In the pericardial exudate Legionella pneumophila serogroup 3 was demonstrated by direct fluorescent antibody technique and by culture. In a lung biopsy L. pneumophila serogroup 3 was found, too. Using an antigen-ELISA for L. pneumophila serogroup 1, antigenuria was demonstrated. In cases of pericarditis negative for common bacterial pathogens, all diagnostic tests for legionellae, e.g. culture, antigen detection in pericardial, pleural effusion and urine and antibody detection should be included in the diagnostic programme.

Adult↗

PubMedDate not supplied

Visuomotor coordination during focal and generalized EEG discharges.

A new computer-based method for continuous gauging of momentary, visuomotor coordination under simultaneous EEG control proved both effective and suitable for children. Thirty-eight patients (age 4-17 years) who had different types of hypersynchronous activity were examined: None of the patients with focal discharges showed significant impairment in the test performance. Slight losses were evident in less than 3-s generalized, irregular spike-wave paroxysms. Deterioration was particularly evident in the bilateral synchronous 3-Hz spike-wave series, which lasted greater than 3 s.

Adolescent↗