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Biomedical subjects

H Borer

Publications and source records attributed to H Borer.

18 recordsLinked to original sources
PubMed1999

[Liver metastasis?].

Explore the source record for details and available documents.

Diagnosis, Differential↗
PubMed1998

[Chylothorax as the initial manifestation of malignant Hodgkin lymphoma].

A 22 year-old man complaining of slight thoracic pain, was found to have a right pleural effusion in his chest X-ray. The pleural aspiration yielded chylous fluid and radiological examination and biopsy of a mediastinal mass led to the diagnosis of Hodgkin's disease of the nodular sclerosis type with supra- and radiologically infradiaphragmatic disease and a pathological fracture of the sternum. After complete initial aspiration of the pleural effusion the chylothorax did not recur following initiation of a combination chemotherapy, and a clear regression of the lymphoma was found after the first 3 cycles. This case provides an example of an oligosymptomatic, right sided chylothorax as the first manifestation of Hodgkin's disease in a young immuno-competent patient.

Adult↗
PubMed1996

Ulcerous tracheitis and mucus ball formation: a nearly fatal complication of a transtracheal oxygen catheter.

A transtracheal oxygen catheter may be superior to a nasal cannula. In particular, transtracheal oxygen therapy (TTOT) shows a 50% saving of oxygen consumption, a significant reduction of energy cost of breathing, and an improved patient compliance due to esthetic benefits and avoidance of mucosal injury by a nasal cannula. Most complications so far reported have been of minor clinical importance and could be treated easily. However, using the SCOOP technique, a serious complication has recently occurred in 1 of our patients. Soon after starting TTOT with a SCOOP-1 catheter he developed an ulcerous tracheitis and a severe tracheal obstruction by a mucus ball. To prevent further respiratory emergencies TTOT finally was stopped and the catheter replaced again by a nasal cannula. There is evidence that tracheal injury as well as the formation of mucus balls may be promoted by regular brushing the preliminary SCOOP-1 catheter which usually is left in place during the first weeks. As a result of this harmful experience, we recommend to reconsider carefully the indication for TTOT in patients with copious bronchial secretions and to avoid cleaning of the SCOOP-1 catheter with the rigid wire brush.

Aged↗
PubMed1994

[Fire eater's lung (hydrocarbon pneumonitis)].

Hydrocarbon pneumonitis is usually related to accidental poisoning in children. We describe a case of hydrocarbon pneumonitis after petroleum aspiration in an adult fire eater. The main symptoms were cough, dyspnea, chest pain and fever. The patient showed bilateral infiltrates in the middle and lower parts of the lung, hypoxemia and a restrictive ventilatory defect. The evolution was complicated by superinfection with Pseudomonas aeruginosa and by pneumatoceles. The acute stage lasted three weeks, and the patient recovered without sequelae within two months. Prophylactic application of antibiotics and corticosteroids cannot be recommended for prevention of hydrocarbon pneumonitis.

Adult↗
PubMed1992

[Stress-induced bundle-branch block].

We present two patients with exercise-induced bundle branch block (BBB), in which coronary heart disease could not be diagnosed by noninvasive techniques. Exercise-induced BBB (right BBB more than left BBB) is strongly associated with and requires intensive search for coronary heart disease.

Aged↗
PubMed1991

[Cerebral sinus vein thrombosis in Behçet's disease].

A 20-year-old Turkish patient presented with superior sagittal sinus thrombosis which led to the final diagnosis of Behçet's disease. The frequency of cerebral venous thrombosis is generally underestimated and may be the first clinical manifestation of Behçet's disease. Uveitis as a main diagnostic criterion of Behçet's disease may be absent, especially in young men. In cases of intracranial hypertension, cerebral venous thrombosis and Behçet's disease should be taken into consideration, especially in a high risk population from eastern Mediterranean countries and Japanese islands. Treatment with early anticoagulation in cerebral venous thrombosis, and corticosteroid-pulse therapy in active Behçet's disease, seems to be established today. As a basic therapy of Behçet's disease cyclosporin A and the classic immunosuppressive agents, especially azathioprine, are available. Clinical course and prognosis in cerebral venous thrombosis are generally both benign, provided that adequate management is started in time.

Adult↗