RESUMEN
The parathyroid carcinoma is a rare cause of primary hyperparathyroidism. It deserves special attention in regard to diagnosis and treatment. Within a period of 10 years we observed 117 patients with primary hyperparathyroidism (pHPT) at the University Hospitals of Ulm and Heidelberg. In five patients a parathyroid carcinoma was found, corresponding to an incidence of 4.4%. In four of five patients no clinical signs were evident preoperatively indicating a parathyroid malignancy.
Asunto(s)
Neoplasias de las Paratiroides/sangre , Adulto , Anciano , Calcio/sangre , Femenino , Humanos , Hipercalcemia/sangre , Hiperparatiroidismo/sangre , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/sangre , Recurrencia Local de Neoplasia/patología , Glándulas Paratiroides/patología , Hormona Paratiroidea/sangre , Neoplasias de las Paratiroides/patología , Neoplasias de las Paratiroides/secundario , Fosfatos/sangreRESUMEN
A decreased chloroquine (Resochin) sensitivity of strains of Plasmodium falciparum in certain areas of East Africa has given rise to an inappropriate change of chemoprophylaxis to pyrimethamine-sulfadoxine (Fansidar). Falciparum malaria occurred in five tourists during or after Fansidar prophylaxis. A therapeutic chloroquine-R2-resistance was observed in one seriously ill patient. In some patients the course of disease was prolonged to such an extent that the diagnosis could be established only after as much as 4 months after the end of the journey. This was in part surely caused by intake of anti-plasmodial drugs such as sulfonamides, tetracyclines and co-trimoxazol. The high mortality of falciparum malaria of nearly 10% in this country does not depend on the choice of drug prophylaxis or on problems of resistance, but still on a missed or delayed diagnosis.
Asunto(s)
Malaria/epidemiología , Adulto , África Oriental , Cloroquina/uso terapéutico , Combinación de Medicamentos/uso terapéutico , Farmacorresistencia Microbiana , Eritrocitos/parasitología , Femenino , Humanos , Malaria/tratamiento farmacológico , Malaria/prevención & control , Masculino , Persona de Mediana Edad , Plasmodium falciparum , Pirimetamina/uso terapéutico , Quinina/uso terapéutico , Sulfadoxina/uso terapéuticoAsunto(s)
Antimaláricos , Malaria/prevención & control , Pirimetamina/uso terapéutico , Sulfadoxina/uso terapéutico , Sulfanilamidas/uso terapéutico , Adulto , África Oriental , Berlin , Combinación de Medicamentos/uso terapéutico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Plasmodium falciparum , ViajeAsunto(s)
Enteritis/epidemiología , Adolescente , Adulto , Animales , Infecciones por Campylobacter/epidemiología , Niño , Preescolar , Enteritis/prevención & control , Alemania Occidental , Humanos , Lactante , Persona de Mediana Edad , Infecciones por Rotavirus/epidemiología , Infecciones por Salmonella/epidemiología , Yersiniosis/epidemiologíaAsunto(s)
Enfermedades Transmisibles/epidemiología , Viaje , Cólera/transmisión , Alemania Occidental , Hepatitis Viral Humana/transmisión , Humanos , Malaria/transmisión , Poliomielitis/transmisión , Sistema de Registros , Infecciones por Salmonella/transmisión , Enfermedades de Transmisión Sexual/transmisión , Estadística como Asunto , Tuberculosis/transmisiónAsunto(s)
Infección Hospitalaria/prevención & control , Hepatitis A/prevención & control , Hepatitis B/prevención & control , Hepatitis C/prevención & control , Hepatitis Viral Humana/prevención & control , Diálisis Renal , Infección Hospitalaria/diagnóstico , Hepatitis A/diagnóstico , Hepatitis B/diagnóstico , Hepatitis C/diagnóstico , HumanosAsunto(s)
Diabetes Mellitus/tratamiento farmacológico , Insulina/uso terapéutico , Adulto , Anciano , Animales , Glucemia/análisis , Diabetes Mellitus/dietoterapia , Esquema de Medicación , Evaluación de Medicamentos , Femenino , Glucosuria/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , PorcinosAsunto(s)
Eritrocitos/metabolismo , Nucleótidos de Purina/biosíntesis , Uremia/sangre , Adenina Fosforribosiltransferasa/metabolismo , Adulto , Centrifugación por Gradiente de Densidad , Eritrocitos/enzimología , Humanos , Hipoxantina Fosforribosiltransferasa/metabolismo , Fosforribosil Pirofosfato/biosíntesis , Ribosa-Fosfato Pirofosfoquinasa/metabolismoAsunto(s)
Control de Enfermedades Transmisibles , Amoeba/aislamiento & purificación , Animales , Clima , Enfermedades Transmisibles/etiología , Vectores de Enfermedades , Humanos , Fiebre de Lassa/etiología , Enfermedad de los Legionarios/etiología , Meningoencefalitis/microbiología , Sistema de RegistrosAsunto(s)
Mucosa Gástrica/patología , Gastropatías/patología , Xantomatosis/patología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Great streams of tourists flow every year from the Federal Republic to southern countries. The danger of infection with serious tropical diseases such as smallpox, cholera or leprosy is fairly small, statistically speaking. Even exotic parasitoses merit only individual medical interest in the majority of cases. Of greater importance are the cosmopolitan infectious diseases such as typhoid fever, paratyphoid, salmonella enteritis, poliomyelitis, viral hepatitides which are transmitted orally and altogether are imported in no small numbers. The alteration of the mode of living caused by the holiday and frequently a false confidence in the hygienic conditions favor the infection. Almost independent of the behavior of the tourists are the infections produced by insect bites, such as malaria or the leishmaniases, which often end fatally for lack of recognition. Here, a better enlightment of the travelers, the use of prophylactic agents and improvement of diagnosis must be instituted.