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Biomedical subjects

H Jenss

Publications and source records attributed to H Jenss.

48 records · Page 3Linked to original sources
PubMed1980

[Leukopenia and consumption coagulopathy in miliary tuberculosis].

Unusual clinical courses and symptoms in miliary tuberculosis cause difficulties in early diagnosis. In a patient with fever of unknown origin, leuko- and thrombocytopenia and hypoplastic bone marrow, tuberculous infection was not diagnosed because drug-induced damage to bone marrow was assumed. A second patient with squamous cell carcinoma of the tongue, miliary tuberculosis and leuko- and thrombocytopenia died in spite of intensive antituberculous therapy. A further patient with miliary tuberculosis developed respiratory distress syndrome and disseminated intravascular coagulation. In fever of unknown origin, unexplained blood disorders, hyponatremia and respiratory distress syndrome without evident cause, "cryptic" miliary tuberculosis should be considered in established the differential diagnosis.

Adult↗
PubMed1980

[Computer tomographic and sonographic diagnosis of echinococcus (author's transl)].

In 33 patients (18 cystic echinococci, 15 alveolar) both methods produced the following findings which could be correlated with the pathological results: single or multi-centric lesions, sharp or indefinite demarkation and abnormalities in the shape and size of the liver. The sonographic findings were analysed with respect to the echo characteristics, whereas the computer tomographically demonstrated lesions were examined densitometrically in order to show calcification. Both methods demonstrate the pathological changes satisfactorily. Computer tomography is more effective in alveolar echinococcus lesions by showing the different types of calcification, whereas sonography provides a more accurate picture of the internal structure of the cysts in cystic echinococcus. Comparison of the methods in 19 patients examined by both showed a high accuracy in each method, but sonography was relatively poor in demonstrating lesions in the spleen.

Angiography↗
PubMed1980

[Horseshoe kidney--is the diagnosis possible by ultrasound? (author's transl)].

Within one year among six-thousand patients eight with horseshoe kidney were examined by sonography. In four patients the primary diagnosis was made by ultrasonic demonstration. In two patients a lymphoma and an aortic aneurysm were supposed; the correct diagnosis was established by angiography and computer tomography. In the other two patients with already known diagnosis a typical ultrasonic picture was found. The diagnostic difficulties in ultrasonic demonstration of horseshoe kidney are discussed.

Adult↗
PubMed1980

[Oral contraceptives and benign tumorous conditions of the liver (author's transl)].

Tumorous lesions of the liver were diagnosed by means of angiography, sonography and laparoscopy in six patients on oral contraceptives for a long time. These lesions were identified as liver cell adenoma (1), focal nodular hyperplasia (4) and cavernous hemangioma (1). The relationship between oral contraceptives and liver disorders is well-known. All cases of focal nodular hyperplasia show vascular alterations which may be important in the discussion of oral contraceptives being responsible. In contrast to liver cell adenoma and hemangioma, focal nodular hyperplasia may be considered as a nodular reparative regeneration of the parenchyma following focal parenchymal necrosis due to segmental vascular occlusion (i. e. thrombosis or fibrotic intimal obliteration). This lesions can therefore not be defined as a true neoplasm. The clinical findings are uncharacteristic, whereas selective hepatic artery angiography, shows typical features that distinguish liver cell adenoma from focal nodular hyperplasia. Regular medical examinations are recommended for women on continuous oral contraceptives for more than five years, because this group of patients is threatened by serious sequelae including intrahepatic and abdominal hemorrhage.

Adenoma↗
PubMed1980

[Ultrasonography--diagnosis of fistulas and abscesses in Crohn's disease (author's transl)].

An essential complication of Crohn's disease was diagnosed at an early time by ultrasonography in three young women suffering from a highly active form of this disease: intraabdominal fistulas could be demonstrated and documented. In two cases these fistulas were connected to an abscess. Early limited surgery was indicated in this particular situation; such surgery was performed and lead to fast improvement. The diagnostic value of ultrasonography in Crohn's disease with palpable abdominal tumor is demonstrated by these case reports.

Abscess↗
PubMed1979

[Small bowel biopsy as a cause of pseudomonas aeruginosa septicemia in a patient with intestinal lymphoma? (author's transl)].

A patient with intestinal lymphoma developed a gram-negative septicemia 48 hours following a peroral biopsy of the small intestine. The bacteriological examination of the instrument proved the same bacteria (Pseudomonas aeruginosa) which was the cause of septicemia. On the basis of our observation and of other reports it seems reasonable besides gassterilization or effective disinfection of the instruments to carry out cultural examinations of the instrument before and following endoscopic and bioptic investigations of patients with impaired resistance; it would then be possible to start an appropriate antibiotic treatment in case of a septic complication.

Adult↗
PubMed1979

[Recurrence in ulcerative colitis following colectomy?--Only what may be, can be (author's transl)].

A 19 year old patient developed signs of a "prestomal ileitis" 5 1/2 years following proctocolectomy for ulcerative colitis. A reoperation was necessary because of "toxic megaileum"; these signs were explained by recurrence of ulcerative colitis involving the terminal ileum. A first report from 1976 must be revised because of further observation of the patient: 1 1/2 year following this complication Crohn's disease in this patient could be proven by endoscopic and bioptic examination. This diagnosis was not possible at the time of first report: findings by x-ray, endoscopy and microscopy were lacking typical signs of Crohn's disease.

Adult↗
PubMed1976

[Thallium intoxication treated by hemodialysis, forced diuresis and antidote (author's transl)].

Mode of action and toxicity of thallium and former treatment of thallium intoxication are described. A case of thallium poisoning with a lethal dose of thallous sulfate which was successfully treated by hemodialysis, forced diuresis and antidote is reported. 43 percent of the thallium could be eliminated by continuous hemodialysis during 72 hours and forced diuresis within the third and seventh day after ingestion of the poison. The dialysance of thallium was 111,1 ml/min with a blood flow of 200 ml/min. Later damage can be prevented by early maximal elimination of thallium.

Adenosine Triphosphatases↗