Streptococcus pyogenes bacteremia: a retrospective study in a Belgian university hospital.

Abstract:

:We retrospectively studied 29 cases of S.pyogenes bacteremia, treated from September 1985 through September 1993, in order to define the clinical pattern, predisposing factors and the outcome of S.pyogenes bacteremia in our region. The number of infections, the clinical picture and mortality rate of S.pyogenes bacteremia did not change during the study period and only 2 of 29 cases presented with a fulminant clinical course, meeting the criteria of streptococcal toxic shock syndrome. In many patients, predisposing factors such as skin abnormalities (n = 14) and airway diseases (n = 10) could be identified. Patients with underlying skin disease were mostly characterized by a clinically benign bacteremia with good prognosis. We suspect that the recently reported so-called rising incidence of severe S.pyogenes infections might be due to epidemiologic clustering and selection bias in certain regions.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

Van de Mierop F,Knockaert DC,De Raedt S,Verhaegen J,Peetermans WE

doi

10.1080/17843286.1995.11718427

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

81-6

issue

2

eissn

1784-3286

issn

2295-3337

journal_volume

50

pub_type

杂志文章
  • Reversible splenial lesion in auto-immune thyroid disease: a case report.

    abstract::Reversible lesions of the splenium of the corpus callosum constitute a clinicoradiological syndrome that has been associated to various medical conditions. We report the case of a 47-year-old man who presented with encephalopathy associated to auto-immune thyroid disease in which a reversible splenial lesion was isola...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1179/2295333713Y.0000000002

    authors: De Greef J,Jaumotte C,Quivron B,Derue G

    更新日期:2014-06-01 00:00:00

  • Malignant cardiac tamponade: safety and efficacy of intrapericardial bleomycin instillation.

    abstract:BACKGROUND:Malignant cardiac tamponade is a life-threatening condition that requires prompt treatment and effective management to prevent recurrence. This paper describes safety and efficacy outcomes after intrapericardial instillation of bleomycin as well as possible predictors of survival. METHODS:We performed a 10-...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.2020.1790180

    authors: Defruyt L,Özpak E,Gevaert S,De Buyzere M,Vandecasteele E,De Pauw M,Tromp F

    更新日期:2020-07-05 00:00:00

  • Atypical cause of radiculopathy - Intradural spinal arachnoid cyst.

    abstract::Intradural spinal arachnoid cysts are a relatively uncommon lesion that may be either intra, or extradural, and intradural spinal arachnoid cysts are even less common. Arachnoid cysts are cerebrospinal fluid collections in the spine that can present with neurological symptoms. The objective of this paper is to describ...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.2016.1139288

    authors: Krstačić A,Krstačić G,Butković Soldo S

    更新日期:2016-08-01 00:00:00

  • The immune reconstitution inflammatory syndrome: a cause of death in persons on antiretroviral therapy?

    abstract::The availability of antiretroviral therapy (ART) has significantly improved the quality of life of persons with HIV infection. However, new problems have arisen as a consequence of this treatment. An immune reconstitution inflammatory syndrome (IRIS) in which patients experience a paradoxical worsening of their clinic...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.2143/ACB.3281

    authors: Huis in 't Veld D,Lukande R,Lammens M,Conesa-Botella A,Vlieghe E,Van Marck E,Pauwels P,Colebunders R

    更新日期:2013-07-01 00:00:00

  • A woman with recurrent "infections" since birth--a new mevalonate kinase mutation.

    abstract::A tired 32-year-old woman complaining of tiredness was referred for work-up of a possible immune deficiency. She had a history of recurrent infections since birth, which usually responded to antibiotics within a few days. Her mother, a nurse, had reported that early charts had disappeared. Munchausen's by proxy was su...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.2143/ACB.66.2.2062531

    authors: Farber CM,Wanders JA,Goffard JC,Parma J

    更新日期:2011-03-01 00:00:00

  • Analysis of foodborne disease in Belgium in 1997.

    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

    pub_type: 杂志文章

    doi:10.1080/17843286.2000.11754316

    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

  • Definition of clinical threshold for CMV real-time PCR after comparison with PP65 antigenaemia and clinical data.

    abstract:BACKGROUND:pp65 antigenaemia and real-time PCR are two methods that are used to diagnose CMV infection in its early stages and, thereby, to facilitate initiation of pre-emptive therapy. OBJECTIVES:Firstly, to compare PCR with antigenaemia and clinical outcome in order to define a clinical threshold for starting pre-em...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1179/acb.2009.083

    authors: Mullier F,Kabamba-Mukadi B,Bodéus M,Goubau P

    更新日期:2009-11-01 00:00:00

  • D-penicillamine induced pemphigus treated with methylprednisolone pulse therapy.

    abstract::A patient with severe rheumatoid arthritis received d-penicillamine treatment for 16 months. She developed mild pruritus 6 months after d-penicillamine initiation, and severe pemphigus 10 months after d-penicillamine was changed to azathioprine. Subsequent methylprednisolone pulse therapy resulted in a transient clini...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章,评审

    doi:10.1080/17843286.1990.11718059

    authors: Wouters EA,De Clerck LS,Francx L,Stevens WJ

    更新日期:1990-01-01 00:00:00

  • [Malignant mitral valve prolapse: apropos of a case].

    abstract::The authors report the case of a 67-year-old woman, with mitral valve prolapse, for more than 20 years. She recently complained of attacks of syncope and clinical ventricular tachycardia; ventricular fibrillation was induced during programmed stimulation. The patient seemed to be at high risk for sudden cardiac death,...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:

    authors: Van Caenegem O,Chaudron JM,Scavée C,de Meester A

    更新日期:1996-01-01 00:00:00

  • Invasive pulmonary aspergillosis due to a multi-azole resistant Aspergillus fumigatus.

    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

    pub_type: 杂志文章

    doi:10.2143/ACB.67.1.2062627

    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

  • Multicentric reticulohistiocytosis associated arthritis responding to anti-TNF and methotrexate.

    abstract::We present a patient with therapy resistant multicentric reticulohistiocytosis (MRH). MRH is a rare granulomatous, multisystem disease characterised most frequently by disfiguring papulonodular skin lesions and sometimes a destructive polyarthritis, though any organ can be involved. Abnormal histiocytic reactions to a...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.2143/ACB.66.1.2062520

    authors: De Knop KJ,Aerts NE,Ebo DG,Van Offel JF,Stevens WJ,De Clerck LS

    更新日期:2011-01-01 00:00:00

  • Can an electronic glycaemic notebook associated with an insulin calculator improve HbA1c in diabetic patients on a multiple insulin injections regimen? A 26-week observational real-life study.

    abstract:BACKGROUND:Automated insulin calculators (AICs) with carbohydrate counting (CHC) have been shown to be effective in improving glycated haemoglobin (HbA1c) levels. By contrast, use of AICs without CHC, with predetermined prandial insulin doses modified according to a correction factor and modulated as a function of glyc...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.2015.1116151

    authors: Oriot P,Ponchon M,Hermans MP

    更新日期:2016-02-01 00:00:00

  • Pulmonary Langerhans' cell granulomatosis (histiocytosis X): clinical analysis of 8 cases.

    abstract::A detailed retrospective analysis of 8 cases has been set up to obtain an update of the clinical, radiological, diagnostic and therapeutical aspects of pulmonary Langerhans' cell granulomatosis (PLCG), previously called Histiocytosis X. This disease represents 2.8% of interstitial lung diseases (ILD) in a registration...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.1998.11754186

    authors: Callebaut W,Demedts M,Verleden G

    更新日期:1998-10-01 00:00:00

  • Severity of liver echogenicity is correlated to serum c-peptide levels in type 2 diabetic patients.

    abstract:AIM:To investigate the correlation between liver echogenicity and serum C-peptide levels in type 2 diabetic patients treated with oral hypoglycaemic agents. PATIENTS AND METHODS:The study included 231 type 2 diabetic patients (114 men) with a mean age of 64.3 +/- 6.9 years and a mean diabetes duration of 8.5 +/- 3.2 y...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1179/acb.2006.002

    authors: Papanas N,Symeonidis G,Mavridis G,Papazoglou D,Giannakis I,Papatheodorou K,Pastore F,Lakasas G,Maltezos E

    更新日期:2006-01-01 00:00:00

  • [Ketamine--dreams and realities].

    abstract::Ketamine is an anaesthetic used in human medicine and veterinary practice, synthesised on 1962 and marketed on 1970 in France. Recreational uses were described during 1992 in the medical community and in 1996 in the dance settings. The chemical name of ketamine is 2--(2chlorophenyl)2-(methylamine)-cyclohexanone, an ar...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章,评审

    doi:

    authors: Arditti J,Spadari M,de Haro L,Brun A,Bourdon JH,Valli M

    更新日期:2002-01-01 00:00:00

  • Rapid diagnosis of viral respiratory infections. Comparison between immunofluorescence on clinical samples and immunofluorescence on centrifuged cell cultures.

    abstract::We compared the technique of immunofluorescence on clinical samples (IFCS) and immunofluorescence on centrifuged cell cultures (IFCC) for the detection of respiratory viruses, using monoclonal antibodies. Four hundred fourty five nasopharyngeal aspirates were tested prospectively for RSV, influenza- (A and B), parainf...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.1991.11718134

    authors: Pattyn SR,Provinciael D,Lambrechts R,Ceuppens P

    更新日期:1991-01-01 00:00:00

  • Successful infliximab therapy in a patient with comorbid spondyloarthritis, primary biliary cirrhosis and generalized morphea.

    abstract::The patient in this report was diagnosed simultaneously with primary biliary cirrhosis (PBC), spondyloarthritis, and generalized morphea and was started on infliximab therapy. In addition to an improvement in clinical symptoms with this therapy, an improvement was also observed in laboratory parameters such as cholest...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.2017.1290567

    authors: Resorlu H,Kılıc S,Isık S,Gokmen F

    更新日期:2017-10-01 00:00:00

  • Flow-assisted basophil activation tests in immediate drug hypersensitivity: two decades of Antwerp experience.

    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

    pub_type: 杂志文章,评审

    doi:10.1080/17843286.2015.1122871

    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

  • Acute hemiplegia caused by a retrograde cerebral venous air embolism after central venous catheter removal: an illustrative case.

    abstract::Central venous catheters are widely used in clinical practice. Air embolism is a rare, but potentially life threatening complication of central venous catheterisation. We describe a case of collapse and transient hemiplegia after removal of central venous catheter. This was accidentally performed with the patient in u...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1179/acb.2010.009

    authors: Van Ierssel S,Specenier P,Baar I,De Belder F,Jorens PG,Vermorken JB

    更新日期:2010-01-01 00:00:00

  • A randomized placebo controlled trial on the effects of simvastatin, a HMG-CoA reductase inhibitor, on blood lipids and fibrinolytic parameters.

    abstract::Coronary artery disease is frequently associated with disturbed blood lipids and with a deficient blood fibrinolytic capacity. In order to investigate a possible link between hypercholesterolemia and hypofibrinolysis, we have investigated the effect of simvastatin, a HMG-CoA reductase inhibitor, on blood lipids and fi...

    journal_title:Acta clinica Belgica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1080/17843286.1992.11718214

    authors: Jacobs H,Van de Werf F,Lesaffre E,De Geest H,Collen D

    更新日期:1992-01-01 00:00:00

  • Oral cephalosporins.

    abstract::The arrival of new cephalosporins faces the clinician with an evergrowing confusion as to the drug of choice. The older agents (cephalexin, cephradine, cefadroxil and cefaclor) and the newer formulations cefatrizine and cefuroxime axetil are intensively used for treatment of mild and moderate infections. The oldest ag...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章,评审

    doi:10.1080/17843286.1992.11718259

    authors: Verhaegen J,Verbist L

    更新日期:1992-01-01 00:00:00

  • Pigmented fungiform papillae of the tongue (PFPT).

    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

    pub_type: 杂志文章

    doi:10.1179/2295333715Y.0000000067

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

    更新日期:2016-04-01 00:00:00

  • A rare cause of severe recurrent abdominal pain.

    abstract::Recurrent abdominal pain may be enigmatic to solve. We report three cases, presenting after a protracted history of severe recurrent bouts of epigastric pain, impeding daily activities. In all cases, serology for strongyloidiasis stercoralis proved positive. In one case, stool examination was positive for larvae. Trea...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.2143/ACB.68.1.2062725

    authors: Isen C,Ivens C,Callens SF,Meeuwissen J,Vonck A,Koch A,Vogelaers D

    更新日期:2013-01-01 00:00:00

  • Nivolumab and anti-HCV activity, a case report.

    abstract::Exhaustion of antigen-specific T-cells in order to escape immune destruction is frequently seen in chronic viral infection and different types of cancer. Blockade of overexpressed negative co-stimulatory pathways, a process known as immune checkpoint modulation, is a promising novel therapy that could improve the trea...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.2020.1741897

    authors: Wuyts L,Janssens A,Vonghia L,Michielsen P,Raskin J,Driessen A,Van Hees S,Francque S,Vanwolleghem T

    更新日期:2020-03-17 00:00:00

  • [Hypothalamic hypopituitarism with hyperphagia and subacute dementia due to neurosarcoidosis: case report and literature review].

    abstract::The frequency of neurologic involvement in sarcoidosis is about 5%. When the clinical picture presents with only neurological manifestations, as it did in our patient, the diagnosis at presentation is often difficult. Involvement of other tissues must therefore be actively searched. We describe a case of neurosarcoido...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章,评审

    doi:10.1080/17843286.1992.11718250

    authors: Vanhoof J,Wilms G,Bouillon R

    更新日期:1992-01-01 00:00:00

  • Ascaris lumbricoides: challenges in diagnosis, treatment and prevention strategies in a European refugee camp.

    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

    pub_type: 杂志文章

    doi:10.1080/17843286.2018.1436956

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

    更新日期:2018-12-01 00:00:00

  • [Unexpected origin of recurrent ascites: apropos of 2 cases].

    abstract::The authors report the cases of two patients suffering from ascites attributed for several years to a non pericarditic aetiology. The first patient presented with a diagnosis of right cardiac failure secondary to a right myocardial infarction. Cardiac catheterisation, magnetic resonance imaging and transoesophageal ec...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:10.1080/17843286.1997.11718570

    authors: Heureux F,Frankart L,Marchandise B,Buche M,Martinet JP,Donckier J

    更新日期:1997-01-01 00:00:00

  • Repair for partial and complete atrioventricular septal defect: single centre experience and long-term results.

    abstract:BACKGROUND:The number of adult patients with surgical repaired congenital heart defects increases continuously. We were interested to compare late outcome after partial and complete atrioventricular defect repair (pAVSD and cAVSD, respectively) and to determine the most important reason for re-intervention. METHODS:Al...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:

    authors: Soufflet V,Daenen W,Van Deyk K,Troost E,Budts W

    更新日期:2005-09-01 00:00:00

  • Clinical and fundamental aspects of angiogenesis and anti-angiogenesis.

    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

    pub_type: 杂志文章,评审

    doi:10.1179/acb.2007.027

    authors: Buysschaert I,Carmeliet P,Dewerchin M

    更新日期:2007-05-01 00:00:00

  • Classification of medicines according to their influence on driving ability.

    abstract::Within the scope of an information campaign of the Belgian Institute for Road Safety an attempt was made to classify 179 medicinal drugs from 9 therapeutic groups, listed in the Belgian "Commented Repertory of Drugs--1997", according to their effect on driving performance. The categorisation was based on literature da...

    journal_title:Acta clinica Belgica

    pub_type: 杂志文章

    doi:

    authors: Maes V,Grenez O,Charlier C,Smet H,Verstraete A,Wennig R

    更新日期:1999-01-01 00:00:00