A 50-year-old Japanese man presented with fever and upper respiratory tract symptoms that required urgent inpatient admission. A physical examination revealed conjunctival hemorrhages and peripheral embolic phenomena. Blood cultures grew Pasteurella multocida, and an echocardiography revealed a mitral valve vegetation suggestive of infective endocarditis (IE), which was confirmed using the Modified Duke Criteria. After several antibiotic regimens proved ineffective, valve replacement was performed, with a good eventual outcome. P. multocida IE is rare and may sometimes have no preceding risk factors. P. multocida infections of the upper respiratory tract are unusual but may be an inciting event for IE. It is essential to check blood cultures and to repeat the performance of physical examinations to appreciate the developing features of IE.
Transection-anastomosis of the canine stomach generally caused frequent development of vigorous anti-peristalsis in the portion distal to the anastomosis. With the use of electromyography, effect of vagotomy or splanchnicectomy on this alteration of the gastric motility was studied.
A 61-year-old woman was admitted with severe hip pain causing immobility and high serum levels of inflammatory markers. The patient had a medical history of diabetes. She had been scheduled to undergo right hip replacement surgery for the treatment of osteoarthritis associated with gradually progressive pain. On admission, an enhanced abdominal computed tomography scan showed an abnormal increase in synovial fluid surrounding the right ilium, with piriformis muscle calcification. Subsequent blood and specimen cultures identified Campylobacter fetus subspecies fetus. This is a rare report of a case of myositis ossificans followed by C. fetus pyogenic arthritis of the hip.
This paper deals with the effect of pyloroplasty on the motility of the stomach observed by the use of electromyography.Twenty adult dogs were subjected to the Heineke-Mikulicz type pyloroplasty and the electromyographical study was carried out on the motility of the stomach following the operation.When the pyloroplasty was done on the normal stomach, peristaltic movement of the stomach was seen slightly weakened.Transection and anastomosis of the body or antral portion of the stomach was followed by the increase in peristaltic movement distal to the anastomotic line and the multiple discharges of the antiperistalsis were also observed. Under these conditions, addition of the pyloroplasty remarkably reduced the discharge of antiperistalsis.It is presumed that the clinical significance of the pyloroplasty as an additional procedure to vagotomy or various kinds of gastric surgeries is the reduction of abnormally excited condition of the antrum as well as antral spasm and antiperistalsis.
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