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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Modern rheumatology 10 (2000), S. 54-57 
    ISSN: 1439-7609
    Keywords: Key words Toxic shock-like syndrome ; Group-A streptococcal infection ; Erosive arthritis ; Reactive arthritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The patient was admitted to our department with major complaints of fever, swelling of the left thigh, and a cognition disorder. A blood culture yielded type T1, toxin-B-positive group-A streptococcus. Magnetic resonance imaging of the left foot showed fasciitis. Severe group-A streptococcal infection was diagnosed, and the administration of antibiotics, a massive dosage of gamma-globulin, and a steroid preparation were prescribed, which resulted in a general improvement in the symptoms and reductions in the swelling of the left foot and the second finger of the left hand without any sequelae. Following discharge from the hospital, however, destruction of the joint of the first toe of the right foot was recognized. A number of cases of post-streptococcal reactive arthritis (PSRA) have recently been reported, and the pathogenicity of this arthritis, which is different from that of rheumatic fever, has been noted. Severe group-A streptococcal infections, such as the one described here, may develop into erosive arthritis after the symptoms, that affect several organs, have disappeared. We believe that because it is possible for post-streptococcal reactive arthritis to develop, one should be aware of this when dealing with all clinical patients who have streptococcal infections.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We have improved a surgical technique for proximal tibial osteotomy that involves percutaneous drillings. We performed the modified dome-shaped proximal tibial osteotomy on 44 knees in 42 patients (8 men and 34 women) with an average age of 66 years (range 50–78 years) for osteoarthritis of the knee. The mean follow-up period was 39 months (range 24–63 months). The varus angle was 4°± 3.6° (mean ± SD) preoperatively, and the valgus angle was 12°± 3.3° postoperatively. Pain relief was obtained in all cases postoperatively. Transient pin tract infection occurred in one case, but it resolved completely following local irrigation. Intercondylar fracture of the upper fragment with no displacement was noted in two patients. They were treated with AO cancellous screw fixation, and improvement of pain was obtained in both cases. Osteotomy drill guide instruments are useful for accurately performing dome-shaped osteotomy. Our proximal tibial dome osteotomy with an external fixator allowed early motion and accurately maintained the angle of correction.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-2665
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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