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Biomedical subjects

H Seifert

Publications and source records attributed to H Seifert.

At least 127 records · Page 7Linked to original sources
PubMed1993

[Toxic shock syndrome caused by Streptococcus pyogenes].

Four days after being bitten by an insect a 35-year-old woman without any serious underlying disease developed an extensive phlegmonous inflammation of the left eyelid which soon spread to the entire left half of her face. Streptococcus pyogenes serotype M1, which produced the erythrogenic toxin A in vitro, was isolated from two blood cultures. The course of the illness was characterized by high fever, diarrhoea, vomiting, circulatory failure, consumption coagulopathy, abnormal renal functions and a generalized exanthem with desquamation of the skin, exhibiting the full-blown picture of a toxic shock syndrome caused by S. pyogenes. She eventually recovered completely under intensive care involving administration of catecholamines, fresh frozen plasma and antithrombin III substitution, as well as antibiotic treatment with clindamycin (600 mg three times daily), ampicillin/sulbactam (4 g three times daily)--after 3 days replaced by imipenem (0.5 g four times daily)--and gentamycin (80 mg three times daily) for two weeks. Extensive necroses later required plastic surgery to the left eyelid, cheek and temporal region.

Adult↗
PubMed1993

The distribution of Acinetobacter species in clinical culture materials.

A total of 584 Acinetobacter strains were isolated from 420 patients from 12 different hospitals over a period of twelve months. Identification of strains at the species level was done according to the new taxonomy proposed by Bouvet and Grimont. A. baumannii strains were isolated most frequently (n = 426; 72.9%), followed by A. species 3 (n = 55), A. johnsonii (n = 29), and A. lwoffii (n = 21). Most isolates were recovered from respiratory tract specimens (n = 251; 42.9%), blood cultures (n = 116; 19.9%), wound swabs (n = 90; 15.4%), catheter tips (n = 75; 12.8%), and urinary tract specimens (n = 20; 3.4%). Strains belonging to species other than A. baumannii were isolated more frequently (n = 158; 27.1%) than previously reported, mainly from blood cultures, respiratory tract specimens, and central venous catheters.

Acinetobacter↗
PubMed1993

Experience with a multichannel system for biomagnetic study.

The components of the biomagnetic multichannel system Krenikon are described. The combination of biomagnetically yielded localizations with anatomic images gained from MR or CT is discussed as well as the enhancement of the signal-to-noise ratio by using a correlation technique. The overall localization accuracy is tested with technical phantoms. With volunteers measurements of auditory, visual and somatosensory evoked fields are performed to evaluate the system performance in vivo. Clinical studies were performed mainly with partners from the Universities of Erlangen-Nünberg and Ulm. The data acquisition time typically is 2-10 min which is tolerable both for the patient and the clinical staff. Electric potentials even with invasive electrodes can be recorded simultaneously with the magnetic fields. MEG gives important information for the presurgical diagnosis of epileptic patients and for the understanding of the epilepsy genesis. With MCG, centres of biologic excitation such as ventricular ectopies or accessory bundles in WPW syndrome have been successfully localized.

Biology↗
PubMed1993

Vascular catheter-related bloodstream infection due to Acinetobacter johnsonii (formerly Acinetobacter calcoaceticus var. lwoffi): report of 13 cases.

Although Acinetobacter baumannii (formerly Acinetobacter calcoaceticus var. anitratus) is known to be an important nosocomial pathogen, the clinical impact of other Acinetobacter species is not fully understood. Acinetobacter johnsonii (formerly a subset of A. calcoaceticus var. lwoffii) is considered a commensal on human skin, and infections due to this organism have not been reported previously. During a study period of 18 months, however, 13 patients at 6 hospitals developed catheter-related bloodstream infections caused by A. johnsonii. All patients had an indwelling peripheral or central venous catheter, and 11 patients were receiving a continuous intravenous infusion of heparin via the offending catheter. The clinical course of A. johnsonii bacteremia was usually benign. Infections responded readily to removal of the catheter, with or without administration of appropriate antibiotics. No insertion-site infections were documented. Thus A. johnsonii must be regarded as an organism that can cause rare cases of bloodstream infection in immunocompetent patients.

Acinetobacter Infections↗
PubMed1993

Antimicrobial susceptibility of Acinetobacter species.

The in vitro activities of 16 antimicrobial agents against 180 Acinetobacter strains isolated from blood cultures (n = 162), central venous catheters (n = 11), and cerebrospinal fluids (n = 7) were studied. MICs were determined by a microtiter broth dilution method. Considerable differences in antimicrobial drug susceptibility against strains belonging to different species could be demonstrated. Acinetobacter baumannii isolates (n = 108) were generally more resistant than isolates identified as species other than A. baumannii. Multidrug resistance was common among A. baumannii isolates. Of the antimicrobial agents tested, imipenem was highly active against all A. baumannii isolates, and the other agents tested were only moderately active or inactive. Good activity against Acinetobacter species strain 3 was demonstrated for imipenem, amikacin, and ciprofloxacin. Most of the strains belonging to other species were susceptible to imipenem, ciprofloxacin, expanded-spectrum cephalosporins, amoxicillin-clavulanate, and the aminoglycosides but were resistant to ampicillin and older cephalosporins.

Acinetobacter↗
PubMed1992

The clinical significance of Acinetobacter baumannii in blood cultures.

Acinetobacter baumannii was isolated from blood cultures in 31 patients in 4 intensive care units at a large teaching hospital over a period of 6 months. In 23 of these patients, Acinetobacter was also isolated from tracheal aspirates. Catheter-related infection could be identified as the cause of bacteremia in 14 cases, whereas pneumonia was present in only 6 cases. All patients were seriously ill and 7 (24%) died of their infection.

Acinetobacter↗
PubMed1991

[A protracted course in Cardiobacterium hominis endocarditis].

A 69-year-old man without previous cardiac disease was found over the last 9 months to have a markedly elevated erythrocyte sedimentation rate (ESR: 120 mm/1. h), haemolytic anaemia (haemoglobin 8.2 g/dl, lactate dehydrogenase 304 U/l), markedly reduced exercise tolerance, backache and weight loss of 5 kg. Radiological, biochemical and endoscopic examinations failed to provide a diagnosis. Nine blood cultures grew, at normal body temperature, Cardiobacterium hominis, a rare Gram-negative organism which can cause endocarditis. Echocardiography revealed endocarditis of the aortic valve with regurgitation. Despite protracted and high-dosage antibiotics (4 times daily 10 million U penicillin G for 6 days, followed by four times 5 million U penicillin G for 6 days, followed by four times 5 million U daily for five weeks, and three times daily 60 mg gentamycin for 10 days), as well as treatment of extensive chronic parodontitis, anaemia, haemolysis and increased ESR have now persisted for over a year, with negative blood cultures. Immune-complex phenomena are thought to be the reason for the persistence of signs of infection.

Aged↗
PubMed1990

Calcitonin gene-related peptide (CGRP) causes redistribution of blood flow in humans.

In normal human subjects (n = 6), blood flow in the common carotid artery, assessed with an ultrasonic duplex-scanning unit, was increased up to 152% of basal levels by 60-min infusions of human calcitonin gene-related peptide I (alpha CGRP) 80 pmol.kg-1.h-1, but it was not affected by 20 pmol.kg-1.h-1 CGRP or 88 pmol.kg-1.h-1 human calcitonin. In the superior mesenteric artery, on the other hand, blood flow was reduced by 80 pmol.kg-1.h-1 CGRP to 58% of the basal level, but not by 20 pmol.kg-1.h-1 CGRP or with 88 pmol.kg-1.h-1 calcitonin. Blood flow in the abdominal aorta remained largely unchanged under the same conditions. Skin blood flow, assessed by a laser Doppler unit, was increased up to 682% of the basal level by 80 pmol.kg-1.h-1 CGRP, but not by 20 pmol.kg-1.h-1 CGRP or calcitonin. Thus CGRP increased regional blood flow to the brain and the skin at the expense of the gastrointestinal tract.

Adult↗
PubMed1990

[The pathomorphology and pathogenesis of acute cardiovascular failure in swine. 2. Histopathologic findings in the myocardium of swine of different populations].

Histopathological alterations of the myocardium (inflammatory processes, fibrolysis, fibronecrosis, dystrophic calcification, fatty degeneration of fibres, sarcosporidia) were recorded for quantitative evaluation from 200 hearts which had been collected from clinically intact pigs for slaughter of different populations (Leicoma, land race, Schwerfurt breed, Belgian land race). Both incidence and severity of myocardial damage in pigs of stress-sensitive populations were higher with significance than those in the less stress-sensitive Leicoma population oriented to breeding. The highest rate of pathological processes was recorded from hearts of the Schwerfurt breed. These alterations were interpreted as objectively measurable expressions of breed-dependent differences in cardiovascular stability. In this context, rates of damage were higher in hearts of low absolute mass.

Acute Disease↗
PubMed1990

[The pathomorphology and pathogenesis of acute cardiovascular failure in swine. 3. Histopathologic findings in the myocardium of swine with transport-related cardiovascular insufficiency].

Quantitative pathohistological investigations were performed on 300 samples of five different myocardial regions from 50 pigs with had suffered stress-related myocardial insufficiency on their transport to the slaughterhouse (transport exhaustion). The findings were compared to 1,200 myocardial samples from 200 clinically intact pigs for slaughter. Animals with transport-related damage exhibited with significance more and more severe inflammatory and degenerative myocardial alterations, such as round-cell infiltration, fiber necrosis, calcification, and fat infiltration. Many of these lesions had been manifest already prior to transport. Myocardially predamaged pigs were less capable than others of sustaining transport stress and were more predisposed to cardiac failure. Stress-related cardiovascular insufficiency, consequently, depended not only on direct stress but also on the general health condition of the myocardium. Causes and pathogenetic relevance of these alterations are discussed in some detail.

Acute Disease↗