Metformin and lactic acidosis in patients with type 2 diabetes--from pride and prejudice to sense and sensibility.

abstract：OBJECTIVES: The roundworm Ascaris lumbricoides is one of the most prevalent parasites belonging to the class of the soil-transmitted helminths. Infections are most common in developing countries with a tropical climate where sanitation and hygiene are poor. However, prevalence of ascariasis in industrialized countries ...

journal_title：Acta clinica Belgica

authors： Claus PE,Ceuppens AS,Cool M,Alliet G

更新日期：2018-12-01 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：:We report the case of a 60-year-old man who presented with sudden visual loss, a history of postprandial abdominal pain, malabsorption, and skin lesions typical of systemic Degos' disease. Despite anti-aggregants and prednisone the patient's status did not improve. On the basis of the hypothetical dysimmune origin of ...

journal_title：Acta clinica Belgica

authors： De Breucker S,Vandergheynst F,Decaux G

更新日期：2008-03-01 00:00:00

abstract：AIM:Although a high proportion of elderly nursing home residents suffer from Alzheimer's disease (AD), data from the literature indicate that they are only rarely treated with Acetyl Cholinesterase Inhibitors (ChEls) or memantine. The aim of this study was to describe the use of ChEls or memantine by elderly residents ...

journal_title：Acta clinica Belgica

authors： Gorus E,Van Puyvelde K,Corremans V,Mets T

更新日期：2011-09-01 00:00:00

abstract：:The last two decades have witnessed that flow-assisted analysis of in vitro-activated basophils can constitute a valuable adjunct in the in vitro diagnostic approach of immediate drug hypersensitivity reactions (IDHR). This article summarises the current experience with the basophil activation test in the diagnosis of...

journal_title：Acta clinica Belgica

authors： Mangodt EA,Van Gasse AL,Bastiaensen A,Decuyper II,Uyttebroek A,Faber M,Sabato V,Bridts CH,Hagendorens MM,De Clerck LS,Ebo DG

更新日期：2016-02-01 00:00:00

abstract：:We reported the case of a patient with stage IV Hodgkin's disease (involving the nodes and Liver) presenting with paraneoplastic fever and who subsequently developed hypothermia during chemotherapy administration. We also reviewed the 12 other cases of hypothermia in Hodgkin's disease reported in the literature and di...

journal_title：Acta clinica Belgica

authors： Meert AP,Berghmans T,Sculier JP

更新日期：2006-09-01 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：OBJECTIVE:Intra-abdominal pressure (IAP) has traditionally been measured in the supine position, however, measuring the pressure in lateral semi-recumbent position has not been studied. DESIGN:A single centre prospective 1-day study. PATIENTS:10 patients admitted for more then 24 hours who were mechanically ventilate...

journal_title：Acta clinica Belgica

authors： De Keulenaer BL,Cheatham ML,De Waele JJ,Kimball EJ,Powell B,Davis WA,Jenkins IR

更新日期：2009-05-01 00:00:00

abstract：:Actually, the Fournier's gangrene is described as a dermohypodermitis of the perineal, genital and/or perianal regions which can affect both sexes and a wide range of ages. The diagnosis of the disease is essentially made on clinical grounds. Imagery can be interesting in case of an intra-abdominal suspected source of...

journal_title：Acta clinica Belgica

authors： Maréchal R,Taccone F

更新日期：2005-01-01 00:00:00

abstract：:Histiocytosis X of the lung is associated with bone lesions in 4 to 20%. We report a case in which the diagnosis was missed in spite of repeated bronchoscopies with transbronchial lavage. The diagnosis was finally established by isotope bone scan, subsequent skeletal CT-scan and bone biopsy. ...

journal_title：Acta clinica Belgica

authors： Vandeurzen K,Delanote M,Verschakelen J,Sciot R,Decramer M

更新日期：1994-01-01 00:00:00

abstract：:Estrogen treatment in high doses is effective in reducing adult stature in constitutionally tall girls. In this study, growth data of 38 normal girls with a predicted final height beyond 178 cm, are reported. They were treated with ethinyloestradiol in a daily dose of 0.200 mg until the epiphyseal plates were practica...

journal_title：Acta clinica Belgica

authors： Du Caju MV,Bleyaert S,Op De Beeck L

更新日期：1993-01-01 00:00:00

abstract：:We report a skin Mycobacterium marinum infection presenting as wide ulcerative lesions of the arm (4 cm for the widest) in a hypoxic COPD patient who takes 4 mg methylprednisolone daily and higher doses during exacerbations. Diagnostic delay as well as glucocorticoid use could be responsible for the extension of the l...

journal_title：Acta clinica Belgica

authors： Buttafuoco F,Peché R,Vander Elst B,Van Meerhaeghe A

更新日期：2011-07-01 00:00:00

abstract：:Insight into the fundamental physiological mechanisms of blood vessel development and neoformation has led to the discovery of multiple angiogenic growth factors and inhibitors. To date, at least 5 angiogenesis inhibitors are readily available for clinical use, mainly in the treatment of cancers and age-related macula...

journal_title：Acta clinica Belgica

authors： Buysschaert I,Carmeliet P,Dewerchin M

更新日期：2007-05-01 00:00:00

abstract：:Acute kidney injury (AKI) is a common and serious complication in the intensive care setting. It seldom occurs in isolation, but is mostly part of a multiple organ dysfunction syndrome. The pathogenesis is frequently multifactorial, with sepsis contributing to 50% of the cases.The development of AKI in critically-ill ...

journal_title：Acta clinica Belgica

authors： Schetz M

更新日期：2007-07-01 00:00:00

abstract：:Abnormal endothelial function plays a pivota role in the pathogenesis of diabetic complications. Due to lack of autoregulation of glucose transport in the presence of high extracellular glucose concentrations, intracellular hyperglycaemia induces a series of metabolic changes that ultimately lead to the genesis of bot...

journal_title：Acta clinica Belgica

authors： Hermans MP

更新日期：2007-03-01 00:00:00

abstract：:On a regular basis, the media presents the potential risks of the use of psycho-active compounds, including misused pharmaceuticals (flunitrazepam, GHB) or drugs of abuse (cannabis, LSD, ecstasy). Ethanol is also frequently encountered. These drugs can be used for recreational purposes by addicts or can be observed af...

journal_title：Acta clinica Belgica

authors： Kintz P,Villain M,Cirimele V,Goullé J,Ludes B

更新日期：2002-01-01 00:00:00

abstract：:Drugs with potential cardiac toxicity are prominent in cancer treatment, not only the old chemotherapeutic agents, but also the newer targeted drugs and biologic agents. As the long-term survival of patients with malignancies has improved and cancer turned into a chronic disease, physicians must take into account the ...

journal_title：Acta clinica Belgica

authors： Combes M,Rottey S,De Backer T

更新日期：2011-07-01 00:00:00

abstract：:Prototheca zopfii, an alga-like organism, was isolated from subungual material in a patient with onycholysis. This organism seldom causes human infections. Clinical and laboratory aspects are described. The literature is reviewed. ...

journal_title：Acta clinica Belgica

authors： Magerman K,Gordts B,Hindryckx P,Van Landuyt HW

更新日期：1991-01-01 00:00:00

abstract：:We have studied the clinical characteristics of 126 insulin-treated diabetic patients, mainly type I subjects, who regularly performed during 18 months home glucose monitoring. The numbers of strips used each month was of 60 +/- 33 (mean +/- lSD). During the study period, HbA1C levels decreased from 8.6 +/- 2.1 to 7.0...

journal_title：Acta clinica Belgica

authors： Buysschaert M,Lambert L,Donckier J,Jamart J

更新日期：1993-01-01 00:00:00

abstract：:The differential diagnosis between hypertonic, isotonic and hypotonic hyponatremia are presented. The help of some usual serum (urea, uric acid and TCO2) and urine parameters (mainly osmolality and sodium concentration) are discussed and help to determine the best treatment. Morbidity associated with untreated hyponat...

journal_title：Acta clinica Belgica

authors： Decaux G

更新日期：2019-02-01 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：:The immune system may be considered as a sensory organ able to respond to different kinds of danger signals that are not detected by nervous cells. The immune response is not autonomous but also regulated by the central and peripheral nervous system, as well as by neuropeptides, vitamin D and neuroendocrine axes such ...

journal_title：Acta clinica Belgica

authors： Geenen V

更新日期：2012-05-01 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：:A patient with invasive pulmonary aspergillosis due to an azole-resistant Aspergillus fumigatus is described. Despite treatment change from voriconazole to amphotericin B as soon as the resistance data were available, the patient died. Azole resistance is an emerging problem, which significantly complicates the manage...

journal_title：Acta clinica Belgica

authors： Jeurissen A,Cooreman S,Van Kerckhoven W,Van Leemput J,Vanhove P,Lagrou K,Heytens L

更新日期：2012-01-01 00:00:00

abstract：:As a result of the St Vincent declaration, a Belgian "task force" was installed in 1992 and consequently 16 working groups were formed. They presented their objectives in 1995. The working group "prevention and treatment of diabetic foot lesions" started the implementation of a screening program to obtain an overview ...

journal_title：Acta clinica Belgica

authors： Van Acker K,Weyler J,De Leeuw I

更新日期：2001-01-01 00:00:00

abstract：:The diffuse infiltration by plasma cells in the liver is not uncommon in multiple myeloma (MM). However, a MM with hepatic mass is very unusual. We report a case of a 75-year-old male with hepatomegaly and a lesion occupying a voluminous space in the liver. A lambda light chain multiple myeloma was found in the check-...

journal_title：Acta clinica Belgica

authors： de Vos M,Druez P,Nicaise M,Ngendahayo P,Sinapi I,Mineur P

更新日期：2012-09-01 00:00:00

abstract：:We present a case of cutaneous mucormycosis in a patient with several important risk factors precipitating disease, namely underlying acute myeloid leukaemia and poorly controlled secondary diabetes. Inoculation was most likely caused by repeated minor trauma (insulin injection) at the site of infection. Treatment con...

journal_title：Acta clinica Belgica

authors： Delie A,Vlummens P,Creytens D,Steel E

更新日期：2017-10-01 00:00:00

abstract：:A 61-year-old woman presented with recurrent pleuro-pericarditis following Nissen fundoplication. A diagnosis of anterior gastrodiaphragmatic fistula was made. The suspected etiology of the fistula was local ischemia. This kind of fistula, although exceptional, should always be considered in the presence of unexplaine...

journal_title：Acta clinica Belgica

authors： Descamps OS,Donckier JE,Collard JM,Michel L,Trigaux JP,Melange M,Buysschaert M

更新日期：1990-01-01 00:00:00

abstract：:D-dimers (DD), specific degradation products of crosslinked fibrin, are markers for activation of plasma coagulation and/or fibrinolysis. DD results below the cut-off level are proven to be useful to rule out the probable diagnosis of deep venous thrombosis (DVT) and/or pulmonary embolism (PE). Our objective was to de...

journal_title：Acta clinica Belgica

authors： Ver Elst K,Jochmans K,De Pauw A,De Waele M

更新日期：2002-11-01 00:00:00

abstract：:We present the case of a 51-year-old woman who presented a right supraclavicular mass corresponding to lymphadenitis with atypical mycobacterium (Mycobacterium genavense). Later, she developed subcutaneous purulent small nodules containing the same germ. The presence of this mycobacterium was in the context of recurre...

journal_title：Acta clinica Belgica

authors： Numbi N,Demeure F,Van Bleyenbergh P,De Visscher N

更新日期：2014-04-01 00:00:00