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Biomedical subjects

G Weippl

Publications and source records attributed to G Weippl.

At least 37 records · Page 2Linked to original sources

[The importance of immune deficiency for the prognosis of purulent meningitis (author's transl)].

Morbidity and mortality of suppurative bacterial meningitis show a very constant behavior over many decades. The introduction of antibiotics certainly lowered the lethality considerably, but since then it has remained fairly unchanged at about 15-20%. However, in the principal groups of pathogens--meningococci, pneumococci, Haemophilus influenzae--antibiotic resistence plays no special role. The significance of disorders of defense against infections for the course of the disease has not yet been investigated. Of 92 children examined with purulent meningitis, 49 showed a selective antibody deficiency syndrome against bacterial antigens, 38 of 48 children investigated showed further disorders of bactericidal activity. The proportion of these disorders is particularly high in children with defective healing of a meningitis.

Austria↗

[Blood and cerebrospinal fluid B and T lymphocytes in mumps-meningitis (author's transl)].

20 children, 12 boys and 8 girls, with mumps-meningitis have been investigated during the acute stage of illness. Immunoglobulin-concentration, B and T cell ratios were determined in venous blood and cerebrospinal fluid. In the blood no correlation between the percentage of B cells and immunoglobulin-levels, or the course of illness could be observed. Total protein level as well as cell count, the concentration of glucose and chloride were determined in the cerebrospinal fluid at the same time. No correlation between the percentage of B cells and immunoglobulin-levels could be observed in cerebrospinal fluid. No difference in the number of B and T cells was observed between blood and cerebrospinal fluid. These results demonstrate, that the lymphocytes in cerebrospinal fluid in meningitis possess the same surface markers and show about the same B to T cell ratio as it is found on the lymphocytes of blood.

B-Lymphocytes↗

[Value of serum iron in anemia of childhood (author's transl)].

A comparison of the serum iron of 3814 children with anemia is made, in order to show the value of this parameter. 2908 children proved to have a serum iron factor below standard. 2376 of them suffered from anemia caused by lack of iron while 332 others got their anemia caused by infection. For 489 children the anemia resulted in a serum iron above its normal value. Those children suffered from hypoplastic and hemolytic anemias or were children (27) with an iron deficiency which had been treated unknown to the hospital primary to their admission there. 417 children with anemia showed a normal serum iron. By this allocation we succeeded to prove the high diagnostic value of serum iron tests, which nevertheless demand the additional analysis of transferrin and transferrinsaturation together with other specific tests.

Adolescent↗

[Encephalitis and humoral immunity].

Fourteen children with viral infection of the central nervous system have been examined with respect to their function of humoral immunity. Serum concentrations of immune globulins have been measured and antibody titers determined. Iso- and hetero agglutinins as well as antibodies against diphtheria, pertussis, and tetanus if the children were vaccinated have been measured. Anti viral antibodies were tested if children reported the respective infection in their history. Selective antibody deficiency have been found in three children all of whom had normal serum IgG and two elevated IgM levels. These three children showed complications in the course of infection. Nine children had elevated serum IgM and titers of IgM-antibodies were also in or above the high normal range.

Antibodies↗

[Treatment of pneumonia in childhood (author's transl)].

It is necessary to start with antibiotic treatment in infections of the lower respiratory system, especially pneumonias. The finding of the infectious agent is difficult and without security. With simple investigations, as sedimentation rate, white blood cell count and cell differentiation there is a possibility of 80% to get a diagnosis of bacterial infection. In 25 patients aged 1 1/2 to 9 years with x-ray diagnosis of pneumonia the results of treatment with cephacetril (100 mg/kg/d) are given. Clinical symptoms disappeared after 5 days, the average time of illness was 12 days. One patient got a severe pleural effusion.

Cephacetrile↗

[The nitroblue tetrazolium test in scarlet fever (author's transl)].

The nitroblue tetrazolium (NBT) test was originally used to diagnose chronic granulomatous disease in childhood. Now it is applied in the diagnosis of acute bacterial infectious diseases, too. The NBT reduction of neutrophils was tested in 27 children with scarlet fever using the modified technique described by K i m et al. The tests were performed in 24 patients between the second and fourth day of illness, before starting antibiotic treatment. In accordance with the results obtained by Humbert et al. in a series of patients with various infectious diseases, 83% of the investigated children showed NBT values of between 41% and 95% (mean value 72%). The percentage of NBT-positive cells was likewise raised in cases of recurrent scarlet fever. Children with scarlet fever complications had highly elevated NBT-reduction values. The control group, consisting of children without infectious diseases, showed values of between 28% and 66% (mean value 33%).

Adolescent↗

[Congenital defect of the scalp in 4 generations (author's transl)].

In the parietal region of a newborn male child, two skin lesions are found. An according sceletal defect could not be proved. These skin lesions are well known in the family of the mother. In the last three generations one member of the family showed those defects. A survey of literature gives more than 20 reports concerning these lesions in families, reporting cases where brothers and sisters are concerned up to three generations, and several cases where the underlying bone is concerned too.

Humans↗

[Tuberculous meningitis and antibody deficiency disease (author's transl)].

A 13 year old girl not vaccinated with BCG became ill with tuberculous meningitis. After administration of 30 g of Streptomycin, cell counts and protein concentrations of the cerebro-spinal fluid returned to normal values. After continuation of antituberculous therapy without Streptomycin, the patient relapsed, and Streptomycin had to be given for 14 months. Defect in humoral immunity was diagnosed with low IgG and low titers of antiviral antibodies. For this reason the patient was additionally treated with passive administration of antibodies.

Adolescent↗