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Demonstration of immunity against Isospora suis in swine.

Piglets naturally exposed or experimentally infected with Isospora suis oocysts were given challenge doses of oocysts to determine the extent of development of immune resistance. Piglets in both studies shed low numbers of, or no detectable oocysts, following challenge. Administration of methylprednisolone acetate failed to induce oocyst shedding in previously infected piglets. Piglets rechallenged with I. suis following steroid injections also failed to shed significant numbers of oocysts suggesting development of immunity to reinfection.

Age Factors↗

[Epidural infiltrations in the treatment of lumbar radiculopathy. Apropos of 200 cases].

INTRODUCTION: The authors report a prospective study on the treatment of radicular compression using epidural infiltrations. MATERIAL AND METHODS: An open study was performed on 200 patients suffering from radicular compression due to either herniated lumbar discs (124 cases), lumbar stenosis (32 cases) or segmental lumbar stenosis (44 cases) and treated by epidural infiltrations. RESULTS: Of the 200 patients studied, 74 per cent did not need subsequent surgical treatment. Therapeutic effect was influenced by several parameters: etiology of radicular compression: 65 per cent favorable results in herniated discs; 69 per cent in lumbar stenosis; and 91 per cent favorable results in segmental lumbar stenosis; age of patients: 100 per cent favorable in patients > 70 years, while only very few favorable results in patients < 20 years of age. Chronic or acute radicular pain: among the patients who had herniated discs requiring subsequent surgery, 65 per cent presented with acute lesions (pain for < 4 months). In patients with lumbar stenosis requiring surgery, 80 per cent had acute lesion and in patients with segmental lumbar stenosis, no patients complained of acute pain. DISCUSSION: Avoiding surgical treatment is not the only parameter which should be studied in evaluating the effectiveness of treatment. Lassale's pre and postoperative evaluation with a minimum 1 year follow up showed improvement in all non surgical cases. When compared to the literature, this study shows favorable long term results.

Adolescent↗

Adhesive capsulitis of the shoulder: therapeutic contribution of subacromial bursography.

OBJECTIVE: To demonstrate the therapeutic value of subacromial bursography (with a steroid injection) in adhesive capsulitis of the shoulder inadequately improved by arthrographic glenohumeral distension with steroid injection. METHOD: Twenty cases of adhesive capsulitis documented by glenohumeral arthrography were studied prospectively. A steroid was injected during distension arthrography, which was followed by physical therapy. Subacromial bursography without steroid injection was done routinely for diagnostic purposes. Constant's simplified score and range of motion were determined in each patient at baseline and after one, three, six and 12 months. Patients who were inadequately improved after one to three months underwent repeat subacromial bursography with steroid injection, followed by physical therapy. RESULTS: Of the 20 patients, 13 were noticeably improved 1.7 months on average after the distension arthrography. Of the remaining seven patients, six were improved 0.7 months on average after the bursography with steroid injection. CONCLUSION: Glenohumeral distension arthrography with steroid injection followed by physical therapy is effective in expediting the spontaneously favorable outcome of adhesive capsulitis and also allows to confirm the diagnosis. However, the subacromial bursa is almost consistently involved. Subacromial bursography with steroid injection can be useful in cases that fail to respond to conventional therapy.

Adult↗