[Anomalous coronary arteries originating in the contralateral sinus of Valsalva: registry of thirteen Spanish hospitals (RACES)].

The registry contains information collected during 2003 from thirteen Spanish hospitals on the incidence, clinical presentation, initial course, diagnostic imaging, and treatment of anomalous coronary arteries originating in the contralateral coronary sinus. In a total of 23,300 coronary angiograms, 98 anomalous coronary arteries were detected (incidence 0.4%): 46 circumflex coronary arteries (47%), 25 right coronary arteries (25.

Altered GH elimination kinetics in type 1 diabetes mellitus can explain the elevation in circulating levels: bicompartmental approach.

Type 1 diabetes mellitus (DM 1) is associated with elevated circulating GH concentrations. Because these high GH levels could be explained either by an augmented pituitary secretion and/or delayed elimination clearance or distribution, we sought to evaluate GH pharmacokinetics to propose a model that better explains the elimination kinetics in patients with DM 1 and assess possible differences with normal volunteers that could justify elevation in GH circulating levels in these patients. A multicompartmental analysis was applied to serum GH concentrations measured at different times for 150 min in six patients with DM 1 and six age-, sex-, and body mass index-matched normal subjects after the administration of an iv bolus of recombinant human GH (200 microg), previous suppression of endogenous GH release with octreotide.

[Results after treatment with sildenafil citrate in 100 patients with erectile dysfunction].

Objective: In order to know the efficiency, tolerance and acceptance of Sildenafil Citrate in our area as a new treatment for Eréctil Dysfunction (E.D.).

[Primary actinomycosis of the abdominal wall. Description of 2 cases and review of the literature].

We report two cases of isolated abdominal wall actinomycosis and review 18 previously reported cases to further characterize the clinical findings and the therapeutic management of this syndrome. This diagnosis would be advocated in patients with a palpable abdominal mass of subacute appearance with a previous history of digestive medical illness, diabetes, abdominal surgery, or prolonged IUD use. In contrast with other actinomycosis locations, remarkable data were a more elevated mean age of patients; a female predominance; a prevalent location of mass in abdominal lower left quadrant; and a shorter duration of symptomatology before to diagnosis.

[Disseminated encephalic cryptococcosis as a form of presentation of idiopathic T-CD4 lymphocytopenia].

Introduction: The term idiopathic T-CD4 lymphocytopenia is used to describe a new syndrome, defined as reduced T-CD4 lymphocytes in persons with no evidence of HIV infection or other causes which would explain the immunosuppression (secondary to neoplasties, immunosuppressive treatment, hereditary immunodeficiencies, infections, etc.). The reduced number of T-CD4 lymphocytes leads to deterioration in cellular immunity and therefore this leads to a predisposition to develop tumors and opportunist infections in patients with such defects.

[Urethral foreign bodies. Apropos 2 cases].

Objective: To report two cases of urethral foreign body. Although this condition is not uncommon, few cases are reported in the literature.

Methods/results: Two cases of urethral foreign body are described: a 74-year-old male with mental disorder who presented with acute urinary retention arising from a fragment of a metal tube in the bulbous urethra and a 34-year-old female with intense micturition syndrome arising from a calcified electrical cable located in the urethra.

[Acute epididymitis in a 3-month-old infant: an infrequent presentation].

The acute Epididymitis is a very uncommon disease in children under 3 years old. We present the clinic case in a suckling child of 3 months old with onset of an acute scrotum, being necessary the surgical exploration to define the exact diagnosis of acute Epididymitis. We make a revision on world medical references and found out a very low incidence in children under 1 year old (0.

[Adrenal hemangioma of atypical presentation. Bibliographical Review].

Objective: To report a case of adrenal hemangioma presenting as spontaneous massive retroperitoneal hemorrhage that required surgical treatment without preoperative hormonal study.

Methods/results: Due to the intense pain and hemodynamic instability, the patient described herein was immediately submitted to laparatomy, adrenalectomy and drainage. The literature is reviewed with special reference to the clinical and radiological findings that could permit making a correct preoperative diagnosis.

[Hematogenous meningitis caused by Staphylococcus aureus with sacro-iliitis and multiple abscesses. An infrequent association].

Introduction: Meningitis due to Staphylococcus aureus (MSA) is an uncommon infectious condition. It forms from 1-9% of all cases of bacterial meningitis, and is characterized by a high morbidity and mortality. Ever since the first publications dealing with this type of meningitis, two basic mechanism have been described for the development of this infection: post-neurosurgical and hematogenous, also known as spontaneous.

[Morbidity in hospital admission for stroke].

Introduction: In spite of advances in the prevention and treatment of ischemic vascular disease, this continues to be one of the main causes of disablement and prolonged hospitalization in developed countries. Also, hospitalization itself leads to complications which have a negative effect on the morbi-mortality of these patients during the time spent in hospital.

Objective: We decided to study the effect of systemic complications during the period of hospital stay, on the functional recovery of patients which ictusl.

[Fournier's gangrene: computerized tomography findings].

Objective: To describe a case of Fournier's gangrene. The CT findings confirmed the diagnosis and showed the extent of the lesion.

Methods/results: A young, male alcoholic developed Fournier's gangrene after an episode of urinary tract infection.

[The handicaps and the need for services among the aged detected in the health survey OARS-Vigo].

Background: In populational studies the standardized questionnaires of multidimensional functional evaluation, particularly the Older Americans Resources and Services Program-Multidimensional Functional Assessment Questionnaire (OARS), have shown to be the most adequate tools to evaluate the elderly persons living within the community.

Methods: A health care survey was performed by personal interview in the homes of a stratified randomized sample of people over the age of 65 years in Vigo, Galicia, Spain obtained from the Municipal Inhabitants Patronage (n = 841) using complete validated versions of OARS in the Spanish and Gallician languages.

Results: The prevalence of severe/absolute handicap in the basic functional areas among this population over 65 years was 7.

[Experimental study of renal sutures and fibrin adhesive].

Objectives: An experimental study was conducted in the rat to demonstrate the utility of fibrin adhesive in renal parenchymal lesions and the enhanced anatomopathological results achieved in comparison with suturing.

Methods: 10 Wistar rats were utilized in the study. The animals were anesthetized with Ketolard, diazepam and atropine.

[Primary malignant melanoma of the female urethra].

Objectives: Primary malignant melanoma of the female urethra is a very uncommon tumor type that carries a poor prognosis. An additional case is reported herein.

Methods/results: A case of primary malignant melanoma in the advanced stages is described.

[Multiple aspergillomas in a patient with sarcoidosis].

Sarcoidosis is a disease which occasionally produces severe pulmonary fibrosis. Cystic cavitary lesions, which may or may not be colonized by mycetomas, are seen less often. We describe a patient with long-standing sarcoidosis who developed multiple cystic cavities mainly in the upper lobes.

[Maxillary ameloblastoma].

Ameloblastoma is a tumor constituted by proliferative odontogenic epithelium that, in 20% of the cases, originates in the maxilla. Clinical and radiologically it can be multicystic, monocystic and peripheral. Although it is considered benign, the tumor may grow slowly, with intracranial invasion or distant spread.

[Pulmonary mycetoma].

Ten cases of pulmonary mycetoma diagnosed in our service between 1985-1992 were retrospectively studied. Clinical methodology followed in the study is commented and the different therapeutic options are reviewed, so the literature concerning this process. The unspecificity of serum precipitins with Aspergillus is emphasised.

[Localization of the urinary tract infection by the ACB method].

We used the ACB (antibody coated bacteria) on 214 urinary samples with bacteriuria. Patients were grouped in 14 clinical entities at the beginning of the study. Later, after supplementary examinations had been conducted, the findings were compared.

[Pleural effusion as the only manifestation of cryptococcosis in an AIDS patient].

Cryptococcosis is often seen in immunodeficient patients, including those with AIDS. It usually affects mainly the respiratory tract and central nervous system. We present a rare case of pleural involvement with no sign of disease at other sites.

[Droxicam-induced hepatitis. Description of 3 new cases and review of the literature].

Three new cases of cholestatic hepatitis caused by droxicam are described, along with a revision of the other eight cases published to date. Itching, asthenia, and jaundice were the most common symptoms. Average age was 62.

[Bilateral renal angiomyolipoma associated with tuberous sclerosis. Right nephrectomy following arterial embolization].

Presentation of the case of a 23-year old male diagnosed with bilateral renal angiomyolipomas associated to florid tuberous sclerosis, who presented with intense haematuria. The patient was treated conservatively by means of arterial selective embolization, later followed by nephrectomy due to persistence of bleeding. Assessment of the different therapeutic possibilities.

[Enteral nutrition and changes in taste in diabetic patients: a double-blind prospective study].

The authors present a prospective double blind test aimed at objectively determining the acceptance of flavoured orally administered enteric diets specific to patients with glucose metabolism alterations (Glucerna and Precitene Diabet), in the light of the taste disorders described in such patients. Sixty-two patients were studied, 32 diabetics and 32 control patients, who were given a sample of each product; the level of acceptance was quantified on a modified wine-tasting scale. The average taste of the diabetics was 12.