Pub Date : 2022-04-04DOI: 10.1007/s00108-022-01324-w
C. Lehmann
{"title":"Impfungen für das Immungedächtnis – immer wieder oder einmalig?","authors":"C. Lehmann","doi":"10.1007/s00108-022-01324-w","DOIUrl":"https://doi.org/10.1007/s00108-022-01324-w","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 1","pages":"476 - 483"},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51946476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2021-12-22DOI: 10.1007/s00108-021-01228-1
Lisa Hasselbach, Maximilian Dübbers
A 26-year-old male patient presented with left-sided pneumonia, endocarditis of the tricuspid and pulmonary valves and a pulmonary artery embolism. In 2004 a Ross operation was performed because of congenital aortic valve stenosis. There was an elevation of the antibody titer for Coxiella burnetii, the pathogen of Q fever. Under antibiotic treatment with levofloxacin and doxycycline there was an improvement of the symptoms and a normalization of the inflammation parameters. The treatment of the endocarditis was successful.
{"title":"[Pneumonia, endocarditis of two valves and pulmonary artery embolism in a 26-year-old male patient].","authors":"Lisa Hasselbach, Maximilian Dübbers","doi":"10.1007/s00108-021-01228-1","DOIUrl":"https://doi.org/10.1007/s00108-021-01228-1","url":null,"abstract":"<p><p>A 26-year-old male patient presented with left-sided pneumonia, endocarditis of the tricuspid and pulmonary valves and a pulmonary artery embolism. In 2004 a Ross operation was performed because of congenital aortic valve stenosis. There was an elevation of the antibody titer for Coxiella burnetii, the pathogen of Q fever. Under antibiotic treatment with levofloxacin and doxycycline there was an improvement of the symptoms and a normalization of the inflammation parameters. The treatment of the endocarditis was successful.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 4","pages":"443-447"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8956517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39751013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-03-17DOI: 10.1007/s00108-022-01300-4
O J Müller
{"title":"[64/m-Pain in the calves after 150 m walking distance : Preparation for the medical specialist examination: part 142].","authors":"O J Müller","doi":"10.1007/s00108-022-01300-4","DOIUrl":"https://doi.org/10.1007/s00108-022-01300-4","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 Suppl 2","pages":"242-246"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-02-07DOI: 10.1007/s00108-021-01241-4
Martin J Volz, Matthias Aurich, Mathias Konstandin, Hugo A Katus, Norbert Frey, Michael M Kreusser, Philip W Raake
Background: Atrial septal defects (ASD) following endovascular mitral valve clipping are potentially hemodynamically relevant complications. Immediate closure with an occluder can represent a safe and effective treatment. An 81-year-old female patient suffering from severe dyspnea due to previously known severe mitral valve regurgitation was scheduled for elective mitral valve clipping. The clip was successfully implanted. Removal of the transseptal cannula resulted in a sudden drop in oxygen saturation and systolic blood pressure as well as an immediate increase in central venous pressure. An iatrogenic left-right shunt was observed at the atrial level with a relevant shunt volume. Immediate closure using an atrial septal occluder successfully restored the oxygen saturation and hemodynamic parameters.
Conclusion: An increase in central venous pressure, reduction of systolic blood pressure or oxygen saturation after withdrawal of the transseptal cannula during mitral valve clipping should always be further investigated regarding a possible ASD.
{"title":"[Drop in oxygen saturation and blood pressure as well as increase in central venous pressure during mitral valve clipping in an 81-year-old female patient].","authors":"Martin J Volz, Matthias Aurich, Mathias Konstandin, Hugo A Katus, Norbert Frey, Michael M Kreusser, Philip W Raake","doi":"10.1007/s00108-021-01241-4","DOIUrl":"https://doi.org/10.1007/s00108-021-01241-4","url":null,"abstract":"<p><strong>Background: </strong>Atrial septal defects (ASD) following endovascular mitral valve clipping are potentially hemodynamically relevant complications. Immediate closure with an occluder can represent a safe and effective treatment. An 81-year-old female patient suffering from severe dyspnea due to previously known severe mitral valve regurgitation was scheduled for elective mitral valve clipping. The clip was successfully implanted. Removal of the transseptal cannula resulted in a sudden drop in oxygen saturation and systolic blood pressure as well as an immediate increase in central venous pressure. An iatrogenic left-right shunt was observed at the atrial level with a relevant shunt volume. Immediate closure using an atrial septal occluder successfully restored the oxygen saturation and hemodynamic parameters.</p><p><strong>Conclusion: </strong>An increase in central venous pressure, reduction of systolic blood pressure or oxygen saturation after withdrawal of the transseptal cannula during mitral valve clipping should always be further investigated regarding a possible ASD.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 4","pages":"448-452"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8956558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39773051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-01-04DOI: 10.1007/s00108-021-01226-3
S Iwantscheff
{"title":"[43/f-Allergic complaints outside the season : Preparation for the medical specialist examination: part 135].","authors":"S Iwantscheff","doi":"10.1007/s00108-021-01226-3","DOIUrl":"https://doi.org/10.1007/s00108-021-01226-3","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 Suppl 2","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39660803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-02-17DOI: 10.1007/s00108-022-01265-4
M Angstwurm
{"title":"[32/f-Hip and back pain : Preparation for the medical specialist examination: part 146].","authors":"M Angstwurm","doi":"10.1007/s00108-022-01265-4","DOIUrl":"https://doi.org/10.1007/s00108-022-01265-4","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 Suppl 2","pages":"264-269"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-03-22DOI: 10.1007/s00108-022-01305-z
T Mosler, J U Marquardt, F Sayk
{"title":"[65/f-Fever and acute left lower quadrant abdominal pain : Preparation for the medical specialist examination: part 139].","authors":"T Mosler, J U Marquardt, F Sayk","doi":"10.1007/s00108-022-01305-z","DOIUrl":"https://doi.org/10.1007/s00108-022-01305-z","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":" ","pages":"224-229"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40313955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2022-03-25DOI: 10.1007/s00108-022-01295-y
Markus M Lerch
{"title":"[Infectious disease problems in gastroenterology].","authors":"Markus M Lerch","doi":"10.1007/s00108-022-01295-y","DOIUrl":"https://doi.org/10.1007/s00108-022-01295-y","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":" ","pages":"347-348"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8948455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40327734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01Epub Date: 2021-09-22DOI: 10.1007/s00108-021-01149-z
C Stephan
{"title":"[35/m-Unprotected sexual contact : Preparation for the medical specialist examination: part 136].","authors":"C Stephan","doi":"10.1007/s00108-021-01149-z","DOIUrl":"https://doi.org/10.1007/s00108-021-01149-z","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":"63 Suppl 2","pages":"207-212"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39441086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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