Diagnosis and treatment of an unusual cause of sepsis in a diabetic patient: a Fournier's gangrene.

abstract：:Acute severe pancreatitis is an aggressive disease with a mortality rate of up to 30 percent. In recent years therapy has shifted away from early surgery to intensive medical care. This article focuses on several issues of the management of acute severe pancreatitis emphasising evidence from recent clinical trials and...

journal_title：Acta clinica Belgica

authors： Ponette J,Wilmer A

更新日期：2001-05-01 00:00:00

abstract：:Introduction:Antisynthetase syndrome (ASSD) is a rare auto-immune condition that can present as interstitial lung disease (ILD) and progress into Acute Respiratory Distress Syndrome (ARDS). Importance:The purpose of this clinical case is to highlight the importance of considering less prevalent causes of ARDS amid the...

journal_title：Acta clinica Belgica

authors： Van Cauwelaert S,Stylemans D,D'Haenens A,Slabbynck H,Nieuwendijk R

更新日期：2021-01-15 00:00:00

abstract：:We report a rare case of fulminant congestive heart failure with fatal outcome in a 21-year-old girl with systemic lupus erythematosus (SLE). A young woman was admitted in the intensive care unit for pericardial tamponade associated with disseminated coagulopathy and refractory shock secondary to multiple coronary ane...

journal_title：Acta clinica Belgica

authors： Ha Vu N,Duttmann R,De Bels D,Devriendt J,Reper P

更新日期：2014-12-01 00:00:00

abstract：INTRODUCTION:Hospital Acquired Infections (HAIs) are considered to be one of the most serious patient safety issues in healthcare today. It has been shown that HAIs contribute significantly not only to morbidity and mortality, but also to excessive costs for the health care system and for hospitalized patients. Since p...

journal_title：Acta clinica Belgica

authors： Trybou J,Spaepen E,Vermeulen B,Porrez L,Annemans L

更新日期：2013-05-01 00:00:00

abstract：:We report and discuss the case of a 51-year-old patient undergoing elective laparoscopic surgery for pheochromocytoma after 10 days of medical pre-treatment. After anaesthetic induction, a deep level of anaesthesia could not prevent the onset of repeated hypertensive peaks, followed by severe hypotensive periods. Once...

journal_title：Acta clinica Belgica

authors： Jakus L,Jacquet LM,Maiter D,Mourad M,Jonas C,Scholtes JL

更新日期：2016-06-01 00:00:00

abstract：:Objective and Importance Boerhaave's syndrome is a sudden and rare form of oesophageal rupture and is often complicated by local or systemic infection of the mediastinum or pleural cavity. Several micro-organisms are documented as cause of pleural empyema in patients with Boerhaave's syndrome. Intervention (& Techniqu...

journal_title：Acta clinica Belgica

authors： Teblick A,Jansens H,Dams K,Somville FJ,Jorens PG

更新日期：2018-10-01 00:00:00

abstract：:The diagnosis of infective endocarditis remains difficult. The complication rate is very high. Serious complications may occur and the overall mortality is still 20-25%. The sooner the treatment is started, the better the final result. Antibiotic therapy is essential but cardiac surgery is frequently necessary. Early ...

journal_title：Acta clinica Belgica

authors： Herregods MC,Hill E,Herijgers P,De Munter P,Vanderschueren S,Van Wijngaerden E,Peetermans WE

更新日期：2008-11-01 00:00:00

abstract：:Insertion sequences IS481 and IS1001 are targets for molecular detection of respectively Bordetella pertussis and Bordetella parapertussis. There is a raising concern about specificity of these targets due to sequence similarity with Bordetella holmesii and Bordetella bronchiseptica. The likelihood of false (para)pert...

journal_title：Acta clinica Belgica

authors： Van den Bossche D,De Bel A,De Smet D,Heylen O,Vekens E,Vandoorslaer K,Soetens O,Piérard D

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:Intra-abdominal hypertension (IAH) and subsequent abdominal compartment syndrome (ACS) in burned patients is common. This sequence of events typically occurs in patients with larger burns receiving high volume fluid resuscitation. METHODS:A review of the literature was performed. The National Library of M...

journal_title：Acta clinica Belgica

authors： Tuggle D,Skinner S,Garza J,Vandijck D,Blot S

更新日期：2007-01-01 00:00:00

abstract：:Background Trichinellosis is a parasitic infection caused by nematodes of the genus Trichinella, and its principal mode of transmission is the consumption of raw or undercooked contaminated meat. Cardiac involvement in trichinellosis is unusual, yet it represents the most frequent cause of death. Here, we report a cas...

journal_title：Acta clinica Belgica

authors： Mohib O,Clevenbergh P,Truyens C,Morissens M,Castro Rodriguez J

更新日期：2020-07-04 00:00:00

abstract：BACKGROUND/AIM:There are controversial results regarding the relationship of serum 25 hydroxy vitamin D [25(OH)D] and ulcerative colitis (UC) activity. To address this issue, the current study was designed to evaluate the correlation of serum 25(OH)D level and disease activity in patients with UC. METHOD:All consecuti...

journal_title：Acta clinica Belgica

authors： Dolatshahi S,Pishgar E,Jamali R

更新日期：2016-02-01 00:00:00

abstract：:Tramadol is a weak opioid with effects on adrenergic and serotonergic neurotransmission that is used to treat cancer pain and chronic non malignant pain. This drug was initiated in association with paroxetine and dosulepine hydrochloride in a tetraparetic patient with chronic pain. Fifty-six days after initiation of t...

journal_title：Acta clinica Belgica

authors： Devulder J,De Laat M,Dumoulin K,Renson A,Rolly G

更新日期：1996-01-01 00:00:00

abstract：BACKGROUND:Altered iron metabolism plays a central role in the development of anaemia in critically ill patients but the time course of iron status in septic and non-septic critically ill patients has not been well defined. METHODS:Prospective study in a 34-bed medico-surgical ICU. The complete blood count, iron, ferr...

journal_title：Acta clinica Belgica

authors： Piagnerelli M,Cotton F,Herpain A,Rapotec A,Chatti R,Gulbis B,Vincent JL

更新日期：2013-01-01 00:00:00

abstract：:Urinary schistosomiasis, caused by Schistosoma haematobium, is a prevalent parasitic infection in certain areas of Africa and the Middle East. Humans can be infected by cercariae when they are in contact with contaminated freshwater. The adult worms reside in the veins of the vesical and pelvis plexuses. The urinary b...

journal_title：Acta clinica Belgica

authors： Oyaert M,Lagrange W,Smet G,De Feyter K,Laffut W

更新日期：2013-05-01 00:00:00

abstract：:Temocillin, a methoxy-derivative of the broad-spectrum penicillin, ticarcillin, has been introduced into clinical practice in Belgium in 1988. Since then, not many surveys of its in vitro activity have been published. This study addresses this issue in a prospective collection of 300 consecutive Gram-negative isolates...

journal_title：Acta clinica Belgica

authors： Vanhoof R,Bérin C,Carpentier M,Fagnart O,Glupczynski Y,Mans I,Nyssen HJ,Surmont I,Van Nimmen L

更新日期：2001-11-01 00:00:00

abstract：:Significant visceral edema associated with massive fluid resuscitation, paralytic ileus and formation of pancreatic ascites in patients with severe acute pancreatitis (SAP) can lead to abdominal compartment syndrome (ACS) that can contribute to the early development of multiple organ dysfunction syndrome (MODS), espec...

journal_title：Acta clinica Belgica

authors： Leppäniemi A,Johansson K,De Waele JJ

更新日期：2007-01-01 00:00:00

abstract：:We report the findings in 21 Belgian patients (12 males and 9 females, median age 61 years) with LGLPD. Symptoms at presentation included infection (n = 9), weight loss (n = 5), asthenia (n = 9), pruritus (n = 2) and arthralgia (n = 7). Four patients were asymptomatic. The main clinical findings were hepatomegaly (n =...

journal_title：Acta clinica Belgica

authors： Pierre PG,Bosly A,De Bock R,Debusscher L,Ferrant A,Feremans W,Lacor P,Michaux JL,Van Camp B,Van Hoof A

更新日期：1992-01-01 00:00:00

abstract：:Objective: To present an overview of almost two decades of multi-faceted campaigning by the Belgian Antibiotic Policy Coordination Committee (BAPCOC) and partners, and its impact on public and prescribers' awareness, outpatient antibiotic use, its cost and antimicrobial resistance in Belgium.Methods: Awareness of both...

journal_title：Acta clinica Belgica

authors： Bruyndonckx R,Coenen S,Hens N,Vandael E,Catry B,Goossens H

更新日期：2020-02-05 00:00:00

abstract：CASE:A 45-year-old man presented at the emergency department (ED) with stomach pain since eight days. The patient was not worried about his symptoms and requested only pain relief. The emergency physician requested a consult of the gastroenterologist. Clinical examination was unremarkable. However, 12-lead ECG and isch...

journal_title：Acta clinica Belgica

authors： Van Damme A,Vanderheeren P,De Backer T,Desimpel F

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVES:Although emergency department (ED) return visits are a significant problem universally, it has not been previously studied in our ED. The aim of this study was to determine the extent of the problem in our ED, to identify the relevant clinical predictor variables and to detect diagnostic errors. METHODS:A r...

journal_title：Acta clinica Belgica

authors： Vanbrabant P,Knockaert D

更新日期：2009-09-01 00:00:00

abstract：:Azole antifungals are a group of fungistatic agents that can be administered orally or parenterally. The determination of the concentrations of these antifungals (miconazole, fluconazole, ketoconazole, posaconazole, voriconazole, itraconazole, and its major active metabolite, hydroxy-itraconazole) in serum can be usef...

journal_title：Acta clinica Belgica

authors： Mistretta V,Dubois N,Denooz R,Charlier C

更新日期：2014-01-01 00:00:00

abstract：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 ...

journal_title：Acta clinica Belgica

authors： Maniewski U,Payen MC,Delforge M,De Wit S

更新日期：2017-08-01 00:00:00

abstract：OBJECTIVES:The comprehensive geriatric assessment (CGA) can detect geriatric problems and potentially improve survival, physical, and cognitive state of patients, as well as increase an older person's chances of staying at home longer. In older people, the number and severity of comorbidity increase with age and are an...

journal_title：Acta clinica Belgica

authors： Denewet N,De Breucker S,Luce S,Kennes B,Higuet S,Pepersack T

更新日期：2016-08-01 00:00:00

abstract：:Objectives: Campylobacter jejuni is one of the most common causative agents of gastroenteritis; however C. jejuni meningitis is rarely described. Therefore, little is known about its epidemiology, clinical presentation, diagnostic methods, treatment, and outcomes.Methods: In this paper, we report a case of an adult pa...

journal_title：Acta clinica Belgica

authors： Kusulja M,Santini M,Margetić K,Guzvinec M,Šoprek S,Butić I,Tambić Andrašević A

更新日期：2020-01-28 00:00:00

abstract：:P-glycoprotein, a pump located in the plasma cell membrane, extrudes several clinically important drugs from the cell, and hence causes multidrug resistance. Reversing clinical drug resistance is possible by using agents that inhibit the activity of P-glycoprotein. We describe the results of sequential flow cytometric...

journal_title：Acta clinica Belgica

authors： De Moerloose B,Muylaert A,Gemmel F,Janssens A,Poppe B,Dhooge C,Benoit Y,Van Hove W,Philippé J

更新日期：2000-07-01 00:00:00

abstract：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 hosp...

journal_title：Acta clinica Belgica

authors： Malfait S,Van Hecke A,Hellings J,De Bodt G,Eeckloo K

更新日期：2017-02-01 00:00:00

abstract：:Foodborne disease represents a major problem for public health in industrialized countries, albeit with a low lethality. Foodborne diseases are defined as a group of viral, bacterial or parasitic gastrointestinal infections transmitted by means of food. Proper food-hygiene practices and surveillance of individual dise...

journal_title：Acta clinica Belgica

authors： Van Loock F,Ducoffre G,Dumont JM,Libotte-Chasseur ML,Imberechts H,Gouffaux M,Houins-Roulet J,Lamsens G,De Schrijver K,Bin N,Moreau A,De Zutter L,Daube G

更新日期：2000-11-01 00:00:00

abstract：:A 12-year-old African girl presented with multiple, sharply bordered hyperpigmented patches predominantly on the dorsal, tip and lateral aspects of the tongue since 1 year (Figs 1 and 2). On clinical examination, we found an obese adolescent girl with a BMI: 26.5 kg/m(2) ( > P97) with acanthosis nigricans of the neck....

journal_title：Acta clinica Belgica

authors： Karine Francine Docx M,Vandenberghe P,Govaert P

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVE:To investigate the incidence, risk factors and mortality of ventilator-associated pneumonia (VAP) in intensive care unit (ICU) patients. DESIGN:Prospective, observational, population-based study. SETTING:The medical (14-bed) and surgical ICU (26-bed) of the Ghent University Hospital. METHODS:All 1295 patie...

journal_title：Acta clinica Belgica

authors： Myny D,Depuydt P,Colardyn F,Blot S

更新日期：2005-05-01 00:00:00

abstract：OBJECTIVE AND IMPORTANCE:Sarcoidosis is a multisystem inflammatory disorder of unknown etiology. It is characterized by the presence of noncaseating granulomas and an inflammatory process in which T lymphocytes, especially type-1 helper T (Th1) cells, macrophages and different cytokines are involved. Different studies ...

journal_title：Acta clinica Belgica

authors： Esendagli D,Koksal D,Emri S

更新日期：2016-12-01 00:00:00