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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    International journal of legal medicine 113 (2000), S. 140-145 
    ISSN: 1437-1596
    Keywords: Key words Wound healing ; Wound age estimation ; Skin ; Proinflammatory cytokine ; Messenger RNA
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Notes: Abstract This study examined the temporal expression of mRNA for the proinflammatory cytokines, interleukin (IL)-1α, IL-1β, IL-6 and tumor necrosis factor-α (TNFα) in incised wounds in mice using the reverse transcriptase-polymerase chain reaction (RT-PCR) and in situ hybridization (ISH) techniques. After incision, an increase in each cytokine mRNA level was observed by RT-PCR. The local IL-6 mRNA level peaked at 6 h, while the peak levels of mRNA for IL-1α, IL-1β and TNFα occurred between 48 and 72 h. All cytokine mRNA levels were almost normalized after 240 h. In the early phase of wound healing, infiltrating polymorphonuclear cells were labeled with antisense probes for IL-1α, IL-1β and TNFα mRNA by the ISH technique. Thereafter, infiltrating mononuclear cells and spindle-shaped mesenchymal cells showed positive signals for all the cytokines examined. Regenerating epidermal cells were also labeled with the antisense probes for IL-1α, IL-6 and TNFα mRNA, indicating that IL-1, IL-6, and TNFα are involved in skin wound healing and their local production by various cells involved in the healing process is suggested. From the viewpoint of forensic pathology, the temporal characteristics of the cytokine mRNA expression may have a potential to indicate wound age or wound vitality.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1437-7780
    Keywords: Key words Genital tuberculosis ; Gastrointestinal tuberculosis ; Juvenile
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Genital fulminant tuberculosis is rarely a primary site of infection. We report a case of juvenile adnexal tuberculosis possibly related to tuberculosis immediately after cystectomy in the ileocecal region in a virginal girl. A 13-year-old virginal girl visited our clinic because of a huge ovarian tumor, which was resected by cystectomy. On postoperative day 39, fever episodes were noted, and she received antibiotics, which were not effective. An abscess developed in the region of the cecum and the right adnexa. Laparotomy revealed chronic abscess formation, especially in the right adnexa. Resection of the abscess was done. The pathological diagnosis was tuberculosis with caseation, although bacterial culture and molecular biological diagnosis for Mycobacterium tuberculosis were negative in sputum, vaginal discharge, urine, and stool of the patient and her family. She was placed on anti-tuberculosis drugs, including isoniazid, rifampicin, and ethambutol, and this regimen was effective. This patient represents a rare case of fulminant adnexal tuberculosis without pulmonary disease.
    Type of Medium: Electronic Resource
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