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Acta Clinica Belgica

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https://www.readbyqxmd.com/read/27892847/international-adoption-from-ethiopia-an-overview-of-the-health-status-at-arrival-in-belgium
#1
Lydia Van Kesteren, Marek Wojciechowski
BACKGROUND: Ethiopia is a densely populated country with a fast growing economy. Still socioeconomic and health issues render many children parentless. One thousand and twenty eight Ethiopian children have been adopted in Belgium from September 2005 to September 2015. Little has been published about their health status at arrival. METHODS: Three hundred and fifteen children adopted from Ethiopia were clinically evaluated at the Institute of Tropical Medicine in Antwerp from 1 January 2008 until 31 December 2014...
November 28, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27806679/neurobrucellosis-and-cerebral-venous-sinus-thrombosis-a-case-report
#2
Omer Ć Ibrahimagić, Dževdet Smajlović, Zikrija Dostović, Amra Iljazović, Biljana Kojić, Lejla Zonić
OBJECTIVES: To present a case of co-occurrence of neurobrucellosis and cerebral venous sinus thrombosis. METHODS: Case report. CLINICAL PRESENTATION:  We presented 49-year-old Caucasian domicile female-farmer with a history of headache, weakness, and vomiting for a period of three months. Also, she had significant papilledema. We diagnosed rare co-morbidity of neurobrucellosis (confirmed after ELISA-test in serum samples and CSF analysis of pleocytosis/increase in protein/decrease in glucose level) in the setting of cerebral venous thrombosis developed in left sigmoid/left transverse sinus (confirmed after MRV of brain)...
November 2, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27800714/lung-damage-due-to-low-voltage-electrical-injury
#3
Harun Karamanli, R Akgedik
Contact with high- or low-voltage electricity can cause injury. Low-voltage damage is more common and widespread, although there is little information on it in the literature. Exposure to an electrical current can effect every organ system in the body. The degree of damage is related to many factors, including the duration of exposure, type of current, and nature of the affected tissue. An unusual low-voltage electrical injury with a serious pulmonary lesion is presented, including the clinical intervention and imaging findings...
November 1, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27796180/evaluation-of-a-new-automated-microscopy-urine-sediment-analyser-sedimax-contrust%C3%A2
#4
Laura Bogaert, Bart Peeters, Jaak Billen
This study evaluated the performance of the stand-alone sediMAX conTRUST (77Elektronika, Budapest, Hungary) analyser as an alternative to microscopic analysis of urine. The validation included a precision, carry-over, categorical correlation and diagnostic performance study with manual phase-contrast microscopy as reference method. A total of 260 routine urine samples were assessed. The within-run precision was much better at higher concentrations than at very low concentrations. The precision met our predefined limits for all the elements at the different concentrations, with the exception of the lowest RBC, the WBC, pathological casts and crystals count...
October 31, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27774856/st-depression-in-right-precordial-leads-with-inferior-stemi-and-occluded-right-coronary-artery-intertwined-anatomy-and-ischemic-areas
#5
Luisa De Gennaro, Natale Daniele Brunetti, Massimo Ruggiero, David Rutigliano, Nicola Locuratolo, Matteo Di Biase, Pasquale Caldarola
Right coronary artery (RCA) occlusion in inferior acute myocardial infarction is usually heralded by ST-elevation both in inferior and in right precordial leads. We report the case of a 68-year-old male, who presented marked ST-elevation in inferior leads, mirrored by ST-depression in anterior-septal and lateral leads. Right precordial lead electrocardiogram unexpectedly showed ST-depression V1R-V5R leads. Coronary angiography showed mid-left anterior descending (LAD) coronary near-complete occlusion with distal wrapping LAD...
October 23, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27765000/how-to-treat-a-fulminant-erysipelas-and-sepsis-caused-by-myroides-odoratimimus-case-report-and-literature-review
#6
Philippe Willems, Jan Muller, Jan Verhaegen, Veroniek Saegeman, Stefanie Desmet
We report a case of a 77-year old male who developed a fulminant erysipelas and sepsis, caused by Myroides odoratimimus. Selecting the optimal antibiotic therapy for the treatment of infections with M. odoratimimus is challenging due to limited clinical experience with this micro-organism and its reported multidrug-resistance. Review of previous studies concerning in vitro antibacterial susceptibility and clinical experience with M. odoratimimus resulted in six case reports describing bacteremia, soft tissue and bone infections, pneumonia and urinary tract infections...
October 20, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27762170/the-impact-of-stakeholder-involvement-in-hospital-policy-decision-making-a-study-of-the-hospital-s-business-processes
#7
S Malfait, K Eeckloo, J Hellings, G De Bodt, A Van Hecke
INTRODUCTION: In many health care systems, strategies are currently deployed to engage patients and other stakeholders in decisions affecting hospital services. In this paper, a model for stakeholder involvement is presented and evaluated in three Flemish hospitals. In the model, a stakeholder committee advises the hospital's board of directors on themes of strategic importance. OBJECTIVES: To study the internal hospital's decision processes in order to identify the impact of a stakeholder involvement committee on strategic themes in the hospital decision processes...
October 20, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27758139/bilateral-psoas-abscess-caused-by-janibacter-terrae-an-unusual-condition-and-organism-resulting-in-laboratory-and-management-conundrums
#8
Wei Yee Wan, Ahsan Mughal, Kelly Ward
Psoas abscess is commonly regarded as an unusual cause for back pains and usually associated with significant risk factors or co-morbidities. We describe the clinical presentation and findings of a young male Caucasian with bilateral psoas abscesses caused by an unusual organism, Janibacter terrae (an environmental organism) not previously described in literature and the challenges faced in managing this infection. There are very few case reports of this organism causing opportunistic infections, all reported bacteraemia mainly in patients with significant co-morbidities...
October 19, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27748165/implementation-of-a-general-practitioner-cooperative-adjacent-to-the-emergency-department-of-a-hospital-increases-the-caseload-for-the-gpc-but-not-for-the-emergency-department
#9
Annelies Colliers, Roy Remmen, Marie-Luise Streffer, Barbara Michiels, Stefaan Bartholomeeusen, Koenraad G Monsieurs, Jef Goris, Samuel Coenen, Veronique Verhoeven, Hilde Philips
BACKGROUND: The implementation of general practitioner cooperatives (GPC) for out-of-hours (OOH) primary care, raises the question if the location of a GPC adjacent to a hospital reduces the OOH caseload of the emergency department (ED). METHODS: Two natural experiments were used in this before-after study, the effect of the implementation of two GPCs in two different regions on the out-of-hours caseload of the local EDs was compared. One GPC was located adjacent to the ED of a general hospital, the other was not...
October 17, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27724840/body-composition-in-hiv-infected-patients-receiving-highly-active-antiretroviral-therapy
#10
Cristina Emilia Chițu-Tișu, Ecaterina Constanța Barbu, Mihai Lazăr, Mihai Bojincă, Ana-Maria Tudor, Adriana Hristea, Adrian Octavian Abagiu, Daniela Adriana Ion, Anca Ioana Bădărău
BACKGROUND: The development of combination antiretroviral therapies (cART) represents a significant advance in the treatment of (human immunodeficiency virus) HIV infection. However, several studies report that a large percentage of individuals with HIV, particularly those receiving cART, present body composition differences compared with the general population. The aim of this study was to explore body composition differences by dual-energy X-ray absorptiometry (DEXA), among HIV-positive patients receiving cART, in comparison to healthy controls...
October 11, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27712511/anakinra-in-resistant-gout-a-case-report
#11
Jana Van Wabeke, Eric Dhondt, Isabelle Peene, Yves Piette
Gout is a common cause of inflammatory arthritis. The classical treatment options in an acute gout attack are non-steroidal anti-inflammatory drugs, colchicine, and corticosteroids. Interleukin-1 inhibition has been shown to be an effective alternative when non-biologic therapies are ineffective or contraindicated. Herein, we report the case of a 69-year-old female who presented with polyarticular tophaceous gout treated successfully with anakinra.
October 7, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27686180/is-systematic-screening-and-treatment-for-latent-tuberculosis-infection-in-hiv-patients-useful-in-a-low-endemic-setting
#12
Ula Maniewski, Marie-Christine Payen, Marc Delforge, Stephane De Wit
OBJECTIVES: A decreasing incidence of tuberculosis (TB) among HIV patients has been documented in high-income settings and screening for tuberculosis is not systematically performed in many clinics (such as ours). Our objectives are to evaluate whether a same decline of incidence was seen in our Belgian tertiary center and to evaluate whether systematic screening and prophylaxis of tuberculosis should remain part of routine practice. METHODS: Between 2005 and 2012, the annual incidence of tuberculosis among adult HIV patients was measured...
September 30, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27667399/the-case-of-synchronous-occurrence-of-primary-adenocarcinoma-and-squamous-cell-carcinoma-in-the-same-lobe-of-the-lung
#13
Jasna Bacalja, Čedna Tomasović Lončarić, Suzana Kukulj, Igor Nikolić
Synchronous occurrence of multiple lung cancers in the same lobe of the lung is very rare. Most of the tumors diagnosed in this way have the same histologic type. With imaging methods it is difficult to determine if the multiple lung lesions present hematogenous spread of lung cancer (or cancer from other origin) or these lesions present the second primary lung cancer. We report a rare and unusual case of synchronous occurrence of primary adenocarcinoma and squamous cell carcinoma in the same lobe of the lung...
September 26, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27663033/a-rare-presentation-of-histologically-proven-sarcoidosis-of-the-knee-a-case-report-and-brief-review-of-the-literature
#14
Evan Deschuyteneer, R Rongé, A Riffi, K De Pierre, F Vandenbroucke, C Boulet, A Goossens, W Vincken
We here report a patient with histologically proven sarcoidosis of the knee, a rare localization of sarcoidosis, which usually presents itself as a pulmonary disease. Case reports of radiological images that suggest osseous sarcoidosis of the appendicular skeleton are not so rare, however few are histologically proven. Since in our patient MRI could not distinguish between sarcoidosis and another (possibly malignant) disease, histological proof was obtained through a CT-guided biopsy. Imaging and treatment guidelines for extrapulmonary sarcoidosis are inexistent, due to lack of randomized trials...
September 23, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27658643/the-analgesic-action-of-desmopressin-in-renal-colic
#15
Vansh Kapila, Ayush K Kapila, Thomas Tailly, Bernard Rappe, Kristian Vinter Juul, Karel Everaert
Urolithiasis is a frequent problem causing a significant clinical, psychological and socio-economic burden. Analgesia remains the most important element in the medical treatment of renal colic. Nonetheless, both NSAIDs and opiates have a side effect profile which can cause further complications. As such, the use of desmopressin for renal colic has received increased attention in the last two decades. This paper provides an overview of current evidence on the use of desmopressin as an analgesic strategy in renal colic...
September 23, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27654403/pneumonia-features-registered-in-autopsy-material
#16
Zdravko Kosjerina, Marija Vukoja, Dejan Vuckovic, Vesna Kosjerina Ostric, Marija Jevtic
BACKGROUND: Despite improvements in clinical practice, pneumonia remains one of the leading causes of death worldwide. Pathologic findings from autopsy reports could provide more precise and valid data on characteristics of pneumonia patients. METHODS: We retrospectively reviewed autopsy reports of deceased patients admitted to the Institute for Pulmonary Diseases of Vojvodina in Sremska Kamenica, Serbia, between 1994 and 2003. The patients were classified into two groups: group 1 (n = 161) comprised patients in whom pneumonia was the main cause of death, while group 2 (n = 165) consisted of patients in whom pneumonia was confirmed at autopsy but had various different causes of death...
September 22, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27654225/exacerbation-of-pre-existing-diabetes-insipidus-during-pregnancy-mechanisms-and-management
#17
Lloyd J W Tack, Guy T'Sjoen, Bruno Lapauw
During pregnancy, physiological changes in osmotic homeostasis cause water retention. If excessive, this can cause gestational diabetes insipidus (DI), particularly in patients with already impaired vasopressin secretion. We present the case of a 34-year-old patient with pre-existing hypopituitarism who experienced a transient exacerbation of her DI during a twin pregnancy. In contrast to typical gestational DI, polyuria and polydipsia occurred during the first trimester and remained stable thereafter. This case highlights a challenging clinical entity of which pathophysiology, diagnostic approach and treatment will be discussed...
September 22, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27615356/combined-acute-inhalation-of-hydrofluoric-acid-and-nitric-acid-a-case-report-and-literature-review
#18
Lucas Steverlynck, Nele Baert, Walter Buylaert, Peter De Paepe
We describe a nonlethal, delayed onset case of combined acute inhalation of hydrofluoric acid (HFA) and nitric acid (NA) together with a review of the literature. Our patient was exposed to fumes of a 12% HFA and 22% NA solution in a closed environment and suffered during several months after the incident from exertional dyspnoea but recovered completely. Since HFA and NA are dangerous and widely used substances, preparedness for exposure is mandatory. After inhalational exposure, the principles of decontamination with attention to treatment of the skin for HFA burns together with general medical incident management should be applied...
September 12, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27615147/prekallikrein-deficiency-in-a-15-year-old-boy-with-m%C3%A3-ni%C3%A3-re-s-disease-a-case-report
#19
M Criel, F Declau, C Schuermans, K Ver Elst, S Vermeiren, S Weekx, J Lemmens
Congenital prekallikrein deficiency is a rare disorder in which there is an in vitro clotting defect despite absence of bleeding or thrombotic tendency. In this report, a 15-year-old boy with an unexpected markedly prolonged activated partial thrombin time, a normal prothrombin time, and without personal nor familial history of bleeding or thrombosis is presented. Laboratory investigation revealed a severe prekallikrein deficiency. This case highlights the importance of following a diagnostic algorithm to establish the correct diagnosis...
September 10, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27884091/whipple-s-disease
#20
Thomas Marth
In recent years, it has become apparent that Tropheryma whipplei not only causes a chronic multisystemic infection which is often preceded by arthropathies for many years, well known as 'classical' Whipple's disease, but also clinically becomes manifest with localized organ affections and acute (transient) infections in children. T. whipplei is found ubiquitously in the environment and colonizes in some healthy carriers. In this review, we highlight new aspects of this enigmatic infectious disorder.
December 2016: Acta Clinica Belgica
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