early prediction of ongoing hemorrhage may reduce mortality via the earlier delivery of blood products, adequate orientation of the patient in a dedicated highly specialized and trained infrastructure, and by earlier correction of acute traumatic coagulopathy. we identified 14 scores or algorithms developed for the prediction of ongoing hemorrhage and the need for massive transfusion in severe ...

discussions as one ich patient whose pt and aptt suggest a coagulation disorder secondary to vitamin k deficiency or coagulation factor deficiency, unresponsiveness to vitamin k therapy should be useful to take fx deficiency into consideration. background inborn factor x deficiency (fxd) is a very rare (1: 500,000) hereditary coagulation disorder, which is characterized by clinical manifestatio...

autoimmune lymphoproliferative syndrome (alps) is an uncommon nonmalignant lymphoproliferative disease which is characterized by chronic, persistent or recurrent lymphadenopathy, splenomegaly, hepatomegaly, immune cytopenia, hypergammaglobinemia and increased risk of lymphoma. we report a 2-year old boy with hepatosplenomegaly as first presentation. petechial and purpuric rashes with massive ce...

background the anesthesia planning is an important and determining factor in the amount of intraoperative hemorrhage, which can affect the rate of intraoperative and postoperative complications. objectives in this study we used two different anesthesia techniques in functional endoscopic sinus surgery (fess) and compared the amount of hemorrhage in the two groups. patients and methods in a sing...

A wide variety of neurological syndromes have been described following hymenoptera sting like encephalopathy, myeloradiculopathy, optic neuropathy, seizures, parkinsonism, exacerbation of multiple sclerosis, myasthenia gravis, encephalomyelopolyradiculoneuritis and obsessive compulsive behaviour. While petechial haemorrhages, cerebral edema, meningeal hyperemia and intraventricular haemorrhage ...

We report on a German couple found dead at home 7 days after returning from Burkina Faso. Postmortem evaluation revealed Plasmodium falciparum infection with a parasitemia of approximately 80% in both cases. No pathological findings of the organs were present at autopsy except moderate splenomegaly in both cases and myocarditis in one case. Typical findings of fatal malaria like petechial hemor...

Rat bite fever is a rarely reported acute febrile bacterial illness caused by Streptobacillus moniliformis or Spirillum minus following a rat bite. It is classically characterised by abrupt onset of fever with rigors, myalgias, headache, and the appearance of a generalised maculopapular petechial skin rash. Polyarthritis complicates the course of the disease in up to 50% of infected patients, a...

Cases of " cryptogenetic " septicaemia are always of interest, and the B. pyocyaneus is not one of the common organisms in septicaemia, although it has been found more frequently with the improvement of bacteriological methods. Muir and Ritchie state that the B. pyocyaneus is generally found in association with other microorganisms , but that it has been found lately in some diseases in childre...