Nursing management of the parenteral drug abuser with infective endocarditis.

Caring for the parenteral drug abuser with infective endocarditis is a challenge. In many ways, the nursing care needed for these patients differs from that needed by other patients with infective endocarditis. This article has identified some of the important considerations: maximizing the effectiveness of the treatment regimen, fostering patient adaptation to hospitalization, and planning for discharge to minimize the risk of recurrence.

Coexisting malignant lymphoma and adenocarcinoma of the stomach.

The fourth case of malignant lymphoma coexisting with an adenocarcinoma in the stomach is presented. Although an increased incidence of systemic malignant lymphoma in association with gastrointestinal tumors has recently been emphasized, primary gastric lymphoma and adenocarcinoma coexisting in the same stomach is still rare.

Extracardiac rhabdomyoma: a rare entity.

Extracardiac rhabdomyomas are rare benign lesions of striated muscle origin. A review of the world literature revealed about 27 acceptable cases of benign, adult-type rhabdomyoma with a distinct male predominance. In most of the reported cases, the tumor was located in the head and neck region, usually submucosal or deeper.

Psoriatic spondylitis. Association with advanced nongranulomatous upper lobe pulmonary fibrosis.

We describe the case of a patient with psoriasis, peripheral and axial arthropathy, and upper lobe fibrosis. This association of findings has not, to the best of our knowledge, been described in the past. Pulmonary fibrosis is not found to be more common in people with psoriasis than would be expected in a control Veterans Administration population and, while this association may be coincidental, pulmonary fibrosis in psoriatic spondylitis should be searched for in other patients.

Peutz-Jeghers polyposis with metastasizing duodenal carcinoma.

A case of Peutz-Jeghers polyposis associated with duodenal carcinoma but without cutaneous pigmentation was presented. Duodenal carcinoma is the most commonly associated neoplasm. The presence of vitiligo in this patient is coincidental.

99m Technetium-pyrophosphate scintiphotography in bone sarcoidosis.

Comparative studies between routine roentgenograms and scintiphotographs using 99mTc-pyrophosphate, of the hands and feet are documented in three cases of bone sarcoidosis. All the abnormal roentgenographic findings were also detected by 99mTc-pyrophosphate bone imaging. However, several areas of increased radiopharmaceutical uptake were found in areas with normal roentgenographic studies.

[Hyperlipoproteinemia in children. Correlation between changes in the parents and newborn infant].

The families of 13 children who had presented hyperlipoproteinemia at birth were studied. Total cholesterol, LDL cholesterol, triglycerides and electrophoresis of LP were performed. The parameters studied were divided in three groups: a) Inespecific indicators (alpha-LP, betas/alphas relation).