Biomedical subjects
L Pantanowitz
Publications and source records attributed to L Pantanowitz.
Auto-amputation of the tongue associated with flupenthixol induced extrapyramidal symptoms.
We report a case of tongue auto-amputation in a mentally retarded patient after a flupenthixol injection. Four days after flupenthixol administration, the patient developed orolingual dyskinetic movements involving mainly tongue biting and protrusion. Self-mutilation in this case may be secondary to flupenthixol induced acute atypical orolingual dyskinesia in the face of mental retardation.
Epistaxis in the older hypertensive patient.
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Noxious toads and frogs of South Africa.
The major defence mechanism in frogs in via the secretion of toxins from their skin. In humans, intoxication may occur when part of the amphibian integument is ingested, as in the form of herbal medicines. Two groups of South African frogs have skin secretions that are potentially lethal to humans and animals. Toads (Bufo and Schismaderma species), the amphibians with which man and his pets most frequently have contact, secrete potent toxins with cardiac glycoside activity. Topical and systemic intoxication, while seen in humans, remains predominantly a veterinary problem. Intoxication by the red-banded rubber frog, which secretes an unidentified cardiotoxin, is far less common. The probable mechanisms of intoxication and management of a poisoned patient are discussed.
Gonococcal endocarditis after a threatened abortion. A case report.
BACKGROUND: Disseminated gonocococcal infection arising during pregnancy is an uncommon occurrence. Gonococcemia following a threatened abortion has not been documented previously. CASE: Gonococcal arthritis and endocarditis in a 22-year-old primigravida occurred following a midtrimester threatened abortion. CONCLUSION: Since gonococcemia is thought to be secondary to endocervical disruption, chemoprophylaxis in the gravid cardiac patient after a threatened abortion is recommended.
Antivenom in cytotoxic snakebites.
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Management of snake and spider bite in pregnancy.
The fact that venomous snakebites during pregnancy result in a high fetal wastage and that both venomous snake and spider bites may cause maternal mortality, makes this an important, albeit uncommonly encountered, entity in obstetrics. Perhaps the most difficult aspect of dealing with this clinical situation is that care must be rendered simultaneously to two patients with a complex interrelationship. The object is to optimize maternal care and increase the chances of successful pregnancy. Adherence to the tenet that what is best for the mother is best for the fetus will probably produce the most satisfactory outcome.
Treating family members.
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CT demonstration of a rapidly growing transitional cell carcinoma of the ureter and renal pelvis.
Transitional cell carcinoma (TCC) is the most common urothelial malignancy. We present a case of an exceptionally aggressive TCC involving the renal pelvis and ureter. To our knowledge, an upper tract TCC of such rapid growth has not been reported.
Breast carcinoma with osteoclast-like giant cells.
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