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Biomedical subjects

G Breitfellner

Publications and source records attributed to G Breitfellner.

At least 55 records · Page 3Linked to original sources

[Liver cirrhosis due to a breast neoplasm metastasis. So-called metastatic-carcinomatous cirrhosis].

A case is presented which, 9 years after surgical removal of a scirrhous breast cancer, exhibited morphologically atypical metastasis in the liver with fibrosis and reduction of liver parenchyma, as well as typical features of cirrhosis including portal hypertension and esophageal varices. Problems posed by the differential diagnosis and pathogenesis of this rare type of metastasis (known in the literature as metastatic carcinomatous cirrhosis) are briefly discussed.

Adult↗

[Clinical-pathological findings in a case of obstructive myocardiopathy].

Extensive description of familial obstructive myocardiopathy by means of clinical observations and autopsy findings from a 26 year old made suffering from sudden unexpected death. Striking was the rare fact, that clinical and morphological findings were precisely corresponding and independently lead to the correct diagnosis. By means of Ecg, Pcg, carotid-sphygmogram and radiological findings, pathogenesis, pathophysiology as well as the morphological basis of this disease is illustrated. 3 siblings of the patient have similar symptoms, which progressing slowly suggest analogous disease.

Adult↗

[Clinically and epidemiology unusual infection with E. coli 0 111:B4 on a newborn division (author's transl)].

From a clinical and epidemiological point of view an interesting infection with the classical dyspepsia coli type 0 111: B4 occurred at a newborn division of a county hospital. During the course of 3 months, 22 newborn children fell seriously ill. Only 2 of these 22 childrens had been nursed before the onset of the infection. All the others had been artifically fed. Three of these offlicted children developed a serious sepsis. One of the children died of pyocyaneus sepsis. The children were treated according to the degree of severity with infusions and given special food supplements prepared with low-fat milk. 13 children had to be fed parenterally for a longer period of time. The source of the infection was discovered in the pipes of sinks in the delivery room and in the cribs of the newborn division. It was possible to eradicate the source of infection and bring the disease under control. Microbiologically a resistance towards all the common antibiotics was noticed, except towards gentamycin to which the bacteria proved to be sensitive.

Breast Feeding↗

[Inverted urothelial papilloma (author's transl)].

Casuistic report dealing with the observation of an inverted papilloma arising from the pars prostatica urethrae. By means of the literature, clinical and pathologic problems of this scarcely known neoplasm, which was not delimitated in the German literature before 1963, are discussed.

Adult↗

[Hospital infection by e coli 0111: b4 and pseudomonas aeruginosa (author's transl)].

An endemic hospital infection caused by E. coli 0111:B4 together with Pseudomonas aeruginosa was observed in a county hospital over the period October 1973 till January 1974, which could not be brought under control by routine preventive measures against cross-infections established on the wards. By hospital sanitary examinations the waste water in the sinks and the hand-basins in some rooms of the newborn nursing wards were identified as sources. Their elimination by taking apart the sinks and placing the detached parts in 4% formalin solution for 2 hours, as well as disinfecting the basins also with a 4% formalin solution for 24 hours terminated the hospital infection. Some sporadic carriers of E. coli 0111:B4 among the newborn infants of the involved wards had been previously identified and could also be traced subsequently; hence, it may be concluded that the introduction of E. coli 0111:B4, which seems to be endemic in Vorarlberg, was due to patients or personnel. Voluntary submission to control investigations of the stool and appropirate treatment of the entire staff, involved in the infection, with strict routine surveillance of hand disinfection prior to washing seem to be justified by the successful results of these procedures. High risk of infection in newborn infants and babies, the special situation of an intensive care unit, as well as the combined appearance of Pseudomonas aeruginosa and enteritis coli from a source as an additional complication were the causes of this hospital infection.

Austria↗

[Micro-molecular plasmocytoma: case report (author's transl)].

The histological diagnosis of an apparently solitary destructive bone lesion revealed a plasmocytoma, being suspected of generalized spreading. Thereupon performed radiological examination demonstrated multiple radiolucent skeletal lesions and supported this diagnosis. Although specific hematological and proteinchemical findings were not indicative in the first instance, a second scrutiny of protein rates succeeded to demonstrate Bence-Jones-Kappa and consequently this case could be classified as a multiple micro-molecular plasmocytoma.

Acute Disease↗