[Clinical manifestations of secondary pneumonia in patients of general surgical departments].

Analysis of records of surgical patients and protocols of anatomicopathological investigations in autopsy tissues with changes in the lungs characteristic of pneumonia suggest to us that secondary pneumonia comes up to 38.5% of all post mortem examinations. In 9 percent of the deceased, secondary pneumonia appeared to be a direct cause of death.

[Reiter disease: clinical manifestations and diagnostic criteria].

Reiter's disease in the majority of cases has a postenteral and urogenital genesis, with idiopatic one occurring much more seldom. The clinical picture is rather polymorphous, with typical (full) urethro-oculosinovial symptom complex being encountered in 55 percent of patients, partial one--in 33 percent; in 12 percent of patients there is an extensive urethro-oculoarticular symptom complex. Visceral lesions are noted as myocardiodystrophy, myocarditis, breakdown of the liver, damaged kidneys, lungs, pleura, nervous system.

[The characteristics of secondary pneumonia (the clinical, pathogenetic and bacteriological aspects)].

The analysis of 857 medical histories of patients presenting with different bodily afflictions and traumata that had come to be complicated by secondary pneumonia (SP) and of more than 2700 protocols of pathoanatomic studies made in those deceased in 35 percent of whom there had been identified morphologic changes in the lungs that presented a clinical picture of SP suggest to us that there are reasons to believe that in many instances, SP diagnosis is made difficult because of a grave condition of the patient, especially during the terminal period or the period of administering treatments when the underlying trouble symptomatology come forth rather than manifestations of pneumonia. The information secured in the pathoanatomical investigations permitted finding out that the clinical diagnosis of SP had come to be in agreement with the pathoanatomical one only in 70 percent of cases, with hypodiagnosis having come to 30%. Practitioners in their everyday work, should entertain a possibility of SP development in somatic troubles, extensive surgical interventions, traumata, wounds/injuries, burns, intoxications, and septic conditions, and they are supposed to actively prevent any possibility of origination and development of pulmonary complications.

[The evolution of the clinical course of infectious endocarditis].

As many as 188 records of IE patients were studied as were 67 autopsies of deceased persons. Significant changes in the clinical course of IE were disclosed over the past 10-15 years versus previous 15: more prominent role of staphylococcal and gram-negative flora in the etiology of the illness, with microbial associations-caused IE cases having become more common. Diagnostic value of hemoculture did not appear to show much promise.

[Pfeifer-Weber-Christian disease with a 20-year course].

The reported case belongs in rarely occurring general diseases running a chronic relapsing course. The case is uncommon because of not only general affection of the adipose tissue presenting with immunologic inflammation, but also of the development of manifest abnormal changes in the internals, amyloidosis in particular. 20-year follow-up of the patient suggests that the evolution of the above pathological processes might be caused by both the nature of the underlying disease and a long-continued administration of corticosteroids.