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Descending necrotizing mediastinitis is an unusual but often lethal complication of oropharyngeal or cervical abscesses. This report describes the case of a 31-year-old man, who presented with a two-week history of dysphagia, dyspnoea, odynophagia, haemoptysis and sepsis due to Staphylococcus aureus. Computed tomography of the neck and thorax revealed destruction of the oesophagus, and massive mediastinal air collections, which extended to the subcarinal space. A single-stage cervicotomy with a trans-cervical approach was required to achieve control of the spread of mediastinitis. The patient had a very good post-operative recovery and returned to work within three months. At 10-month follow-up, a repeat of a chest X-ray and echocardiography showed no evidence of further mediastinal air collections or cardiac abnormality.Spontaneous remissions and relapse of a hepatocellular carcinoma associated with chronic hepatitis: report of a case.
A 58-year-old man was treated for a hepatocellular carcinoma (HCC) associated with chronic hepatitis. Four years and one month later, the patient showed, for the first time, clinical evidence of multiple hepatic masses. At this time, computed tomography demonstrated a few hepatic masses. The patient was treated with transcatheter arterial embolization, which resulted in shrinkage of the masses. At his next follow-up visit, three months later, the liver showed remarkable improvement. Six months later, a single hepatic mass
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The genetic control of influenza A virus pathogenesis was studied in mice using back-crossed congenic strains carrying the wild type H-2 gene for the influenza virus M hemagglutinin-neuraminidase (HN) glycoprotein (H-2b, H-2r). The HN glycoprotein induced protective antibody and delayed and reduced virus replication in the lungs of H-2b-bearing mice and H-2k-bearing mice, respectively. In contrast, H-2u-bearing mice suffered severe lung inflammation induced by wild type H-2b-derived viruses, although the H-2b haplotype did not affect the susceptibility to the infection. Determination of the nucleotide sequences of the HN glycoprotein genes isolated from these strains revealed a common 0.5-kb deletion within the HN glycoprotein genes of H-2b-bearing mice. Introduction of the mutation into the H-2u gene of H
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