Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Feb 2019
Case Reports[Hemiballism-Hemichorea Induced by Non-Ketotic Hyperglycemia].
A non-ketotic hyperglycaemia may cause an affection of basalganglia and, in the following, lead to a hemiballism-hemichorea movement-disorder. ⋯ The exact pathophysiology of this phenomenon is still not fully understood and will need to be investigated. Nevertheless, this disease should always be taken into consideration if the typical clinical presentation as well as matching laboratory tests and imaging features are found.
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Respiratory tract infections and acute bronchitis are one of the major indications for which antibiotics are prescribed. As most of respiratory tract infections are caused by viruses and antibiotic therapy is rarely indicated. Reasons for the unnecessary prescription of antibiotics in this patient population are false expectations regarding the course and duration of common cold symptoms and especially coughing. ⋯ The most common expectorants used in Germany are Ambroxol and N-Acetylcytein. For both substances there is little data supporting a benefit in patients with an acute bronchitis. Antitussiva reduce the symptom burden, but there is also a strong placebo-effect on the cough reflex.