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  • 1
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei einer Patientin mit systemischem Lupus erythematodes wurde röntgenologisch eine Wirbelosteomyelitis diagnostiziert. In Material, das durch Punktur des dritten Lendenwirbelkörpers gewonnen wurde, ließ sich kulturell wiederholtCandida albicans nachweisen. Sechs Monate vorher war die Patientin mit Kortikosteroiden behandelt und parenteral ernährt worden. Zu dieser Zeit wurden aus dem Blut und von der Spitze des entfernten Subclavia-Katheters Hefen kultiviert. Nachdem eine Wirbelosteomyelitis durchCandida diagnostiziert worden war, wurde die Patientin sieben Monate lang mit Ketoconazol behandelt. Entsprechend den klinischen und röntgenologischen Befunden kam es zu einem eindrucksvollen Heilungsverlauf. Zwölf Monate nach Beendigung der Ketoconazolbehandlung — zum Zeitpunkt der Manuskripterstellung — waren bei der Patientin keine Zeichen für einen Rückfall festzustellen.
    Notes: Summary Candida vertebral osteomyelitis was diagnosed in a patient with systemic lupus erythematodes following X-ray evidence of osteomyelitis and the repeated culturing ofCandida albicans from material obtained by needle biopsies from the third lumbar vertebra. The patient had been on glucocorticosteroids and parenteral nutrition six months previously. At that time, a yeast was cultured from the blood and the tip of the subclavian catheter which had been removed. After candida vertebral osteomyelitis was diagnosed, she was treated with ketoconazole for seven months. Recovery was impressive, as judged by the clinical and radiographic findings. At the time of writing this paper — 12 months after the withdrawal of ketoconazole — the patient showed no signs of recurrence.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Medical & biological engineering & computing 17 (1979), S. 578-582 
    ISSN: 1741-0444
    Keywords: Double-head pump ; Recirculation ; Single-head pump ; Single-needle haemodialysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology , Medicine
    Notes: Abstract An analysis of recirculation in single-needle dialysis was performedin vitro. The percentage of recirculation was determined both as a function of fistula flow and of pulsatile arterial outflow, using water and blood as test liquids and using a single-head pump as well as a double-head pump. The most important factors responsible for recirculation were found to be (a) poor fistula flow compared with arterial outflow, (b) dead space and mixing in the needle and y-connectors and (c) compliance of the bloodlines in the dialyser circuit. It is concluded that an efficient, short, single-needle dialysis is not possible for patients with poor fistula flow. For other patients, the percentage of recirculation can be minimised by using a double-head pump and a compliant dialyser.
    Type of Medium: Electronic Resource
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