No abstract available.
Dialysis* ; Peritonitis* ; Salmonella*

No abstract available.
Dialysis* ; Peritonitis* ; Salmonella*

No abstract available.
Blood Donors* ; Humans ; Phenotype*

The traditional treatment of piriformis syndrome includes heat modality, deep muscle massage, slow stretch exercise, injection of local anesthetics, and surgical division of piriformis muscles in some selected cases. More recently, the use of botulinum toxin (BTX) for the treatment of piriformis syndrome has been suggested. We experienced two cases of piriformis syndrome with distinctive clinical feature. The symptoms of these two cases were not controlled by conservative managements including physical therapy, direct injection of lidocaine or steroid, or caudal block. So we injected Type A BTX in the piriformis muscle with the guidance of CT scan. 8 weeks after the botulinum injection, symptoms had almost completely disappeared, and follow up CT scan showed sufficient atrophy of piriformis muscles. The CT guided BTX injection in the piriformis muscle might emerge as a feasible technique to obtain a good local therapeutic effect without risk of imprecise inoculation.
Anesthetics, Local ; Atrophy ; Botulinum Toxins ; Botulinum Toxins, Type A ; Follow-Up Studies ; Hot Temperature ; Lidocaine ; Massage ; Muscles ; Piriformis Muscle Syndrome

Total knee arthroplasty of Sledge type is difficult to perform successfully in severely damaged knee that has poor bone-stock and ligament instability. High rate of loosening has be.en found in total hinge type and kinematic rotating hinge type, so we considered use of tibia rotating prosthe,,is that allows motion with stability would be a good option. The indications of this type are severe varus deformity, bone loss, incompetent ligament, or revision. We studied 67 cases of total knee arthroplasty using Endo Model rotating total knee arthroplasty (WALDEMAR LINK GmbH & Co. Germany), which had been performed from January, 1991 to June, 1994. Thirty knees out of 67 cases were degenerative osteoarthritis, 15 posttraumatic arthritis, 11 rheumatoid arthritis, 5 revision arthroplasty, 2 sequelae of pyogenic arthritis, etc. Thirteen knees out of 67 cases had patellar resurfacement. Twenty-six out of 67 cases had bone graft. Using the Knee Rating Score of Hospital for Special Surgery, 3S were excellent and 2 l good.
Arthritis ; Arthritis, Rheumatoid ; Arthroplasty* ; Congenital Abnormalities ; Knee* ; Ligaments ; Osteoarthritis ; Tibia ; Transplants

No abstract available.
Female ; Humans ; Marriage*

OBJECTIVE: To investigate the safety of early symptom limited exercise stress test (GXT) performed within 10 days after coronary intervention in acute coronary syndrome patients. METHOD: Forty-six patients with acute coronary syndrome including unstable angina (UA) and acute myocardial infarction (AMI) were recruited. All of them performed GXT within 10 days after coronary intervention and received cardiac rehabilitation for 6 weeks. RESULTS: Mean age of the patients was 57.6+/-9.8 years (unstable angina 26 patients, acute myocardial infarction 23 patients). The number of the patients complained of cardiac events during GXT was 8 (16%); chest pain (3), ischemic changes on electrocardiogram (2) and hemodynamic instability (3). However, none of them showed any major adverse cardiac events such as acute myocardial infarction (AMI). Major cause of termination of GXT was patient's request such as dyspnea, fatigue, and musculoskeletal pain. After early GXT, there was no significant difference between two groups in all variables (p>0.05). CONCLUSION: Early GXT was safe in acute coronary syndrome patients and did not show any significant difference between UA patients and AMI patients.
Acute Coronary Syndrome ; Angina, Unstable ; Chest Pain ; Dyspnea ; Electrocardiography ; Exercise Test ; Fatigue ; Heart ; Hemodynamics ; Humans ; Musculoskeletal Pain ; Myocardial Infarction

We report a case of a 58 year-old male with polysplenia and left inferior vena cava draining into the right atrium via hemiazygous vein; the left superior vena cava and the coronary sinus in order. He presented dyspnea on exertion and atrial fibrillation. Originally, through findings of mediastinal widening in chest X-ray and the double lumen of the descending aorta in transesophageal echocardiography, he was erroneously diagnosed with aortic dissection. The anomalous venous connection was discovered via spiral CT and venography. We also found three to five small spleens via CT. We emphasize that normal left superior vena cava mimic aortic dissection on chest X-rays and transesophageal echocardiographys.
Aorta, Thoracic ; Atrial Fibrillation ; Coronary Sinus ; Dyspnea ; Echocardiography, Transesophageal ; Heart Atria* ; Heterotaxy Syndrome* ; Humans ; Male ; Middle Aged ; Phlebography ; Spleen ; Thorax ; Tomography, Spiral Computed ; Veins ; Vena Cava, Inferior* ; Vena Cava, Superior*

Infective endocarditis is a dreaded complication in dialysis or kidney transplantation patients, with high morbidity and mortality. Despite the improved early survival of the transplanted kidney with new immunosuppressive agents, the number of patients returning to dialysis after a failed renal allograft is increasing. There is no consensus on the optimal management of immunosuppression in patients with a failed allograft. Continued immunosuppression is associated with infection, and the rapid discontinuation of immunosuppression may lead to acute rejection. Therefore, it is important to taper the immunosuppression properly in patients with a failed renal allograft. We report on a hemodialysis patient with a failed renal allograft who had a cerebral infarction following infective endocarditis. The patient was treated successfully with antibiotics and valve replacement.
Anti-Bacterial Agents ; Cerebral Infarction ; Consensus ; Dialysis ; Endocarditis ; Humans ; Immunosuppression ; Immunosuppressive Agents ; Kidney ; Kidney Transplantation ; Rejection (Psychology) ; Renal Dialysis ; Transplantation, Homologous ; Transplants

Unilateral renal agenesis associated with genito-urinary disease was found in 2 siblings of a single family. There are a few reports of familial unilateral renal agenesis. Bilateral renal agenesis is a fetal condition and unilateral renal agenesis or hypoplasia is usually asymptomatic, so investigations for renal anomalies have not been frequently undertaken in healthy members of families in which bilateral agenesis has occurred. The present report suggests that unilateral renal agenesis could occur as a manifestation of a genetic disorder.
Humans ; Kidney Diseases ; Siblings*