Value of computer tomography in the detection of bullae and blebs in patients with primary spontaneous pneumothorax.

In this prospective study, the value of computed tomography (CT) in detecting bullae and bleb formation of the lung in 35 patients with primary spontaneous pneumothorax (PSP) has been determined. The ability of CT in the detection of bullae and bleb formation and fibrotic changes is compared with the chest film in PSP. CT showed pathological lung changes in 31/35 patients.

Death due to fulminant toxic-shock syndrome: differential diagnosis of a multilayered clinical picture.

Reported is the case study of a 27-year-old top-performance sportswoman who died of a fulminant illness with multiple organ failure. Long-term polypragmatic therapy and pharmacotherapy as well as acute analgesic and non-steroid antirheumatic treatment due to lumbago led to the diagnosis of a "complex toxic-allergic process". Numerous pathologic-anatomical findings, including the absence of septic spleen reaction and the demonstration of hyperacute polyradiculitis, supported this diagnosis.

[2 cases of death following cell therapy].

Fresh-cell therapy is a paramedical procedure whose claimed therapeutic success has not been proven by customary clinical tests (randomized, double-blind trials). In addition, the qualitatively and quantitatively non-standardized parenteral application of heterologous antigens presents considerable danger for the recipient in the form of fatal immune reactions. Two cases are reported in which history, clinical findings and autopsy provided evidence of a causal relationship between cell therapy and death.

[Pseudotumorous liver tuberculosis with multiple organ abscesses. A contribution to the differential diagnosis of liver abscess].

In a patient hospitalized with the diagnosis "fever of unclear etiology", a large liver abscess with multiple organ abscesses (soft tissues of the throat, spleen) was found. The bacteriological investigation of the liver abscess punctation material and the histological investigation of material from a throat abscess did not lead to a diagnosis. The causative organism was only detected by a specific investigation for M.