Réka Gál, Rodica Bălaşa, Zoltán Bajkó, Smaranda Maier, Iunius Simu and Adrian Bălaşa
Giant cell arteritis is a systemic inflammatory vasculitis, typically involving the superficial temporal arteries, but with possible ischemic and hemorrhagic cerebrovascular complications.
The case is reported of a patient with a clinical picture of giant cell arteritis, who had multiple occupational exposures to various infectious agents.
His initial favourable progress was followed by an atypical outcome. Despite immunosuppressive treatment, he developed fatal subarachnoid and intracerebral haemorrhages, possibly due to rupture of a microaneurysm of the posterior cerebral artery.
Olguța Diaconu, Ianis Siriopol, Laura Iulia Poloșanu and Ioana Grigoraș
Ventilator-associated pneumonia (VAP) is a common and serious nosocomial infection in mechanically ventilated patients and results in high mortality, prolonged intensive care unit- (ICU) and hospital-length of stay and increased costs. In order to reduce its incidence, it is imperative to better understand the involved mechanisms and to identify the source of infection. The role of the endotracheal tube (ET) in VAP pathogenesis became more prominent over the last decades, along with extensive research dedicated to medical device-related infections and biofilms. ET biofilm formation is an early and constant process in intubated patients. New data regarding its temporal dynamics, composition, germ identification and consequences enhance knowledge about VAP occurrence, microbiology, treatment response and recurrence. This paper presents a structured analysis of the medical literature to date, in order to outline the role of ET biofilm in VAP pathogenesis and to review recommended methods to identify ET biofilm microorganisms and to prevent or decrease VAP incidence.
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Janos Szederjesi, Emoke Almasy, Alexandra Lazar, Adina HuȚanu and Anca Georgescu
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Manuela Cucerea, Marta Simon, Elena Moldovan, Marcela Ungureanu, Raluca Marian and Laura Suciu
1. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–900.
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Cristina Petrișor, Sebastian Trancă, Andreea Cordoș and Vasile Bințințan
patient was immediately intubated using propofol and esmeron rapid sequence induction, a pulsating structure was noticed in the left parietal head region. Blood pressure was invasively monitored and the patient received continuous propofol infusion and continuing mechanically ventilation.
The patient was referred for a cranial CT scan which revealed a large porencephalic cyst located in the frontoparietal and temporal left lobes, communicating with the left lateral ventricle ( Figure 1A, B, C) . The porencephalic cyst measured 7.8 cm in the sagittal plane and 5cm in