[Salmonella abscesses of the thyroid gland].
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Biomedical subjects
T Sommer
Publications and source records attributed to T Sommer.
[Studies on the circadian periodicity in patients with the awakening type of idiopathic epilepsy (author's transl)].
In 6 patients with idiopathic epilepsy of the awakening type and 3 control subjects, the heart rate, body temperature and urinary excretion of sodium, potassium and calcium were measured over 72 h. The patients and the control subjects stayed in the hospital under constant environmental conditions including a standard diet with a constant content of sodium, potassium and calcium. The diet began 2 days before the onset of data collection. No drugs were given during the whole period. The data obtained during the 72-hour period were scored visually concerning the position of the maxima and minima, whereas the period duration was calculated by means of power spectral analysis. The epileptic patients showed more inconstant results concerning the time of maxima and minima as well as the 24-hour periodicity. However, a constant deviation i.e. a constant phase shift or a constant change in period duration into the same direction could not be observed. The different parameters showed different behavior even in the same patient. Thus a constant difference in the circadian periodicity between normal subjects and patients with epilepsy of the awakening type could not be found in the data recorded in the present study.
Body Temperature↗
[Orthopedic aspects of osseous echinococcosis--radiologic diagnosis, current surgery and drug therapy aspects].
PURPOSE: Skeletal manifestation of alveolar (E. multilocularis) or cystic (E. granulosus) echinococcosis is seldom, with an incidence of less than 2% of all cases. By reporting on a rare case of bony manifestation of E. granulosus, we intend to emphasize current standards in surgical and drug management of the disease. Typical radiographic and blood-chemistry findings are highlighted on a 62-year-old Arabiqu female suffering from a cystic echinococcosis with skeletal manifestation in the left ileum and lower lumbar spine. RESULTS: Radiographically typical are fine zones of osteolysis which, at a later stage, show confluence. Due to the rigid structure of cortical bone, cysts tend to grow slowly, and seldom exceed 2 cm in diameter. Only after having broken through the cortical bone, may a massive increase in size be observed. By means of serological tests, it is postoperatively possible to evaluate how successful radical surgery with removal of larvae was. Furthermore, serological tests can be used as a screening method, offering a diagnostic tool that can also utilized in detecting a recurrence. CONCLUSION: The surgical aim in the treatment of osseous echinococcosis should be in accordance to curative tumor surgery. Even after radical removal of the parasites, the WHO suggests an adjuvant chemotherapy with mebendazole or albendazole for at least two years after surgery. In cases where only a palliative treatment is possible, the antihelminthic drug administration can be continuous.
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