RESUMO
We report a case of dilated cardiomyopathy that we believe is secondary to excessive use of inhaled beta agonists. Clinicians should be mindful of this possibility when using beta agonists to treat patients with obstructive airways disease; particularly if there is already recognised left ventricular dysfunction.
Assuntos
Agonistas Adrenérgicos beta/efeitos adversos , Albuterol/análogos & derivados , Albuterol/efeitos adversos , Androstadienos/efeitos adversos , Broncodilatadores/efeitos adversos , Cardiomiopatia Dilatada/induzido quimicamente , Agonistas Adrenérgicos beta/administração & dosagem , Albuterol/administração & dosagem , Androstadienos/administração & dosagem , Asma/diagnóstico por imagem , Asma/tratamento farmacológico , Broncodilatadores/administração & dosagem , Cardiomiopatia Dilatada/diagnóstico por imagem , Fluticasona , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Xinafoato de SalmeterolRESUMO
Streptococcus gallinaceus is a newly described species of viridans streptococci, previously only identified as causing disease in broiler chickens. This organism was recovered in pure culture from blood taken from a New Zealand abattoir worker presenting with a febrile illness. This first report of bacteraemia caused by S. gallinaceus in a human may help the understanding of the ecology of this recently described organism.
Assuntos
Febre/microbiologia , Doenças Profissionais/microbiologia , Infecções Estreptocócicas/diagnóstico , Streptococcus/crescimento & desenvolvimento , Matadouros , Antibacterianos/uso terapêutico , DNA Bacteriano/química , DNA Bacteriano/genética , Febre/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Reação em Cadeia da Polimerase , RNA Ribossômico 16S/química , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Infecções Estreptocócicas/tratamento farmacológico , Infecções Estreptocócicas/microbiologia , Streptococcus/genéticaRESUMO
Extracranial carotid artery aneurysms are uncommon and not much is known about them. The purpose of this study is to report the authors' surgical experience and present a review of this entity. This single institution experience shows that resection of these aneurysms and restoration of flow can be accomplished using a number of surgical techniques with relatively low morbidity and mortality. Endovascular techniques are also increasingly being considered in the repair of these aneurysms, although long-term data from such techniques are not currently available.