Toxic shock syndrome due to group C streptococci. A case report.

Background: Streptococcal toxic shock-like syndrome is a life-threatening illness which is on the increase. In early reports, only group A beta-hemolytic streptococcus was associated with the disease, but recent evidence indicates non-A streptococci groups are also involved.

Observations: We describe the first reported case of streptococcal toxic shock-like syndrome caused by a group C strain in Italy.

Complications with fully implantable venous access systems in oncologic patients.

Aims: To evaluate the complications caused by long-term central venous catheterization in patients with malignant hemopathies or solid tumors.

Methods: Retrospective study from June 1988 to June 1993 in 211 consecutive patients who required 223 venous access devices for long-term use. A consistent analysis was possible only in 161 of these patients.

[Thrombocytopenia and thrombophilic state in heparin therapy].

The authors report two clinical cases of thrombocytopenia and thrombosis which occurred during profilaxys and therapy with heparin. The mechanisms involved are reviewed and the possible therapeutic role of heparin-like drugs is discussed according to data presented in the international literature.

[Anesthesia problems of patients with malignant oral neoplasms undergoing inductive chemotherapy protocol and surgery].

The Authors expand the results about thirty-nine Patients with advanced malignant tumours of the oral cavity treated with inductive chemotherapy and radical surgery. They considered the choice of a correct scheme of anaesthesia in the surgical treatment for Patients with particular health conditions and previously subjected to inductive chemotherapy. The necessity to practice a pre- and post-operative therapy for subduing the very frequent and serious concomitant diseases is underlined.