Bacteremia in the burned patient.

Insulin and the burned patient.

Severe burns lead to insulin resistance, which is associated with hyperglycemia and muscle wasting. Investigators showed relatively recently that control of hyperglycemia with intensive insulin treatment is associated with improved outcomes for those in the intensive care unit, including patients with severe burns. In this article, we review the actions of insulin in terms of glycemic control a...

Parvimonasmicra bacteremia in a patient with colonic carcinoma

Background: Parvimonas micra is a gram-positive anaerobe and a part of the normal commensal flora of the gastrointestinal tract. Factors predisposing to anaerobic bacteremia include malignant neoplasms, periodontal disease, immune deficiencies, chronic renal insufficiency, decubitus ulcers and perforated abdominal viscus. Cases of Parvimonas bacteremia in a patient with esophageal carcinoma and...

Urinary peptide excretion in the burned patient.

RONOUNCED CHANGES IN NIThOGEN METABOLISM are known to occur as the result of a serious burn (1-8). Although considerable information is available on these changes, little attention has been given to the quantitative excretion of peptides in the urine of the burned patient. Such an assay has interesting theoretical possibilities. The nitrogenous products in the urine come from ingested food and ...

Acute management of the burned patient.

Initial management of the burned patient.