Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Apr 2014
Clinical TrialTransurethral bladder neck incision in women with primary bladder neck obstruction.
Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction. ⋯ The diagnosis of primary bladder neck obstruction in women is based on typical symptoms, uroflowmetry and multichannel urodynamics, including electromyography. Videourodynamics is obligatory in doubtful cases. Transurethral bladder neck incision is an effective therapy for female patients with primary bladder neck obstruction, and if necessary, a second procedure can be safely performed.
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Wien. Klin. Wochenschr. · Apr 2014
Case ReportsToxocarosis and putative DRESS syndrome in an oncological patient: a case report.
Toxocarosis is a parasitic infection caused by Toxocara canis or Toxocara cati. Their definite hosts are the domestic dog and cat, where their adult forms live within the lumen of the small intestine. In humans, infective larvae hatch after ingestion of eggs, but the juvenile stages fail to develop into mature adult worms. ⋯ Antiparasitic treatment with albendazole 400 mg bid for 5 days was initiated; eosinophilia resolved; and the patient had no further complaints. Although generalized exanthema due to Toxocara has not yet been described in literature, toxocarosis is known to cause a wide spectrum of cutaneous manifestations. Whether our patient had both, a drug reaction with eosinophilia and systemic symptoms and a parasitic infection, or whether a hypersensitivity reaction to Toxocara antigen was mimicking a DRESS syndrome remains unclear.
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Wien. Klin. Wochenschr. · Apr 2014
Biography Historical Article[Johann Gottfried Bremser (1767-1827) as a protagonist of the cowpox vaccine].
Vienna was the first city on the European continent where the cowpox vaccination was applied in 1799, shortly after Jenner's (1798) publication of his encouraging results in England. Nevertheless, substantial denial and distrust was evident among doctors and patients in Europe as well, particularly in Austria. The medical doctor Johann Gottfried Bremser remains well known even today among parasitologists as a pioneer of helminthological research in Austria. ⋯ He argued for an obligatory cowpox vaccination for all. On one hand, his argumentation summarizes the contrarian opinions of that time, on the other hand the discussion shows striking analogies with the controversies of today. In a way, Bremser's commitment was a forerunner for future health policies that led to vaccination laws and ultimately to the eradication of smallpox worldwide in the second half of the 20th century.