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Fever in systemic lupus erythematosus.

The frequency, causes, clinical and laboratory features, and outcome of febrile episodes in 160 hospitalized patients with systemic lupus erythematosus were reviewed. Eighty-three febrile episodes were identified in 63 patients and were ascribed to active lupus erythematosus alone (60 per cent), infections (23 per cent) and miscellaneous causes (17 per cent). Bacteremia was present in nine of the 19 infectious episodes and resulted in a fatal outcome in a third of the patients. Leukocytosis, neutrophilia, shaking chills and normal levels of anti-DNA antibodies were associated with infection in

Смертельная Скалистая Гора заметила лихорадку.

Сорок четыре случая смерти пятна Рокки Маунтин (RMSF), произошедшего в 1974 году, были сопоставлены с 50 несмертельными случаями аналогичного возраста, пола, даты начала и места возникновения. Диагноз и начало лечения в случаях со смертельным исходом значительно задерживаются по сравнению с другими случаями смерти. Было выявлено несколько причин такой задержки: 1) сыпь появилась позднее в ходе болезни в случаях смерти, зачастую не до тех пор, пока пациент не остановился; 2) история укуса клещей в течение жизни была менее часто получена или была получена позднее в ходе клинического курса в случ

Совпадение в аннотации оригинала
Forty-four fatal cases of Rocky Mountain spotted fever (RMSF) occurring in 1974 were compared with 50 nonfatal cases of similar age, sex, date of onset, and place of occurrence. Diagnosis and initiation of treatment in fatal cases were substantially delayed compared with nonfatal cases. Several reasons for this delay were identified: (1) the rash appeared la…

[Mucoproteinuria in complicated scarlet fever].

Mucoproteinuria, determined by Bugard's semiquantitative method, revealed values of 100-350 mg/24 h in common scarlet fever and of 300-882 mg/24 h in scarlet fever complicated by early nephritis, pseudorheumatism and acute diffuse glomerulonephritis. These alterations appear to lend support to the recent hypothesis concerning the mucoprotein substrate of the autoimmune mechanism in the complications of streptoccal infection.

Q fever endocarditis in Queensland.

Thirteen patients with proven Q fever endocarditis and three additional patients with probable endocarditis are reviewed. The most helpful diagnostic test is the demonstration of a high complement fixing antibody titre to Phase 1 antigen of Coxiella burneti. The macroscopic pathology of the aortic valve is described and includes aneurysmal pockets in the aortic wall and valve annulus which are demonstrable angiographically. Evidence is presented that the infection may be controlled by prolonged tetracycline therapy and that this is accompanied by a falling antibody titre to Phase 1 antigen. Va…