Assuntos
Vacinas Bacterianas/administração & dosagem , Infecção Hospitalar/prevenção & controle , Vacinas contra Influenza/administração & dosagem , Admissão do Paciente , Adulto , Idoso , Idoso de 80 Anos ou mais , Áustria , Serviço Hospitalar de Cardiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vacinas Pneumocócicas , Unidades de Cuidados Respiratórios , Fatores de RiscoRESUMO
The history, clinical features, laboratory tests and admission circumstances were analysed retrospectively in 14 patients, aged 60 to 87 years, who were found to have a chronic subdural haematoma. Typical clinical features consisted of dominant psychiatric disorders, slow progression and frequently only traces of neurological signs. In only four patients was headache the initial symptom. Delay in diagnosis and treatment worsened the prognosis. Several factors account for the nonspecific signs and symptoms: diffuse cerebral atrophy, dementia of a degenerative or vascular nature, and cerebral decompensation. Computed tomography immediately after a trauma may be negative.
Assuntos
Hematoma Subdural/diagnóstico , Acidentes por Quedas , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Diagnóstico Diferencial , Feminino , Hematoma Subdural/diagnóstico por imagem , Hematoma Subdural/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
Bacterial endocarditis is a rare cause of brain infarction. Prediposing factors are frequently valvular defects secondary to rheumatic conditions. A slowly progressive course and atypical symptoms of the disease can mask the condition to such an extent that the correct diagnosis is obtained only through the work up of secondary embolic complications. Modern antibiotic combinations therapy yields a cure in 98% of the cases. The problems obtaining the diagnosis and the course of the disease with antibiotic therapy will be demonstrated in a case of embolic brain infarction secondary to bacterial endocarditis.
Assuntos
Infarto Cerebral/etiologia , Endocardite Bacteriana Subaguda/complicações , Adulto , Ampicilina/análogos & derivados , Ampicilina/uso terapêutico , Endocardite Bacteriana Subaguda/tratamento farmacológico , Humanos , Masculino , Penicilinas/uso terapêutico , Tromboembolia/etiologiaRESUMO
The anterior tibial syndrome is caused by primary or secondary ischemia of the tibial muscles group. Acute onset of intensive pain, swelling of the muscles and reddening of the skin are the clinical features of the syndrome. The muscles enzymes are raised. The definite diagnosis is established by the typical "silent-EMG". Surgical decompression within 24 hours after onset of the symptoms is of essential prognostic importance.