Chryseobacterium in burn wounds

Chryseobacteria are gram negative organisms, formerly known as Flavobacteria, which rarely cause infections of burn wounds. This article documents three casts of Chryseobacterium infection in burn wounds and adds to the other two cases that have been reported in English literature. Two patients died, with one of the deaths linked to a Chryseobacteria bacteraemia. In two patients, there was an associated history of first aid treatment with untreated water. Patients whose burn wounds are suspected to be infected with Chryseobacterium require wound excision and coverage in combination with antibiotic therapy such as ciprofloxacin, vancomycin and rifampicin. (C) 2001 Elsevier Science Ltd and ISBI. All rights reserved.

Emotional distress induced rhabdomyolysis in an individual with carnitine palmitolytransferase deficiency

A 48-year-old male patient with underlying CPT II enzyme deficiency is described. Emotional stress appeared to precipitate recurrent myalgias, rhabdomyolysis and reversible renal impairment over a 40-year period. Our search of the English literature indicates this to be the first time that the emotional stress has been documented to precipitate the CPT II syndrome. Although the pathogenesis of this syndrome has yet to be established, existing knowledge is briefly reviewed and the likely metabolic and neuroendocrine mechanisms which link emotional stress to muscle metabolism are examined. These mechanisms influence the extent of lipolysis or glycolysis that occurs during the process of muscle ATP generation. It is suggested that neuroendocrine and other stress related changes which favour lipolysis over glycolysis adversely effect muscle energy metabolism in patients whose mitochondria are deficient in CPT II enzyme. Possible treatment strategies are those that favour glycolysis over fatty acid metabolism and include a variety of ways of modulating sympathetic and parasympathetic tone. The use of carbohydrate supplementation P-blockers and anxiolytic agents is discussed.

Pancreatic involvement in co-infection visceral leishmaniasis and HIV: histological and ultrastructural aspects

The involvement of the gastrointestinal tract in the co-infection of HIV and Leishmania is rarely reported. We report the case of an HIV-infected adult man co-infected with a disseminated form of leishmaniasis involving the liver, lymph nodes, spleen and, as a feature reported for the first time in the English literature, the pancreas. Light microscopy showed amastigote forms of Leishmania in pancreatic macrophages and immunohistochemical staining revealed antigens for Leishmania and also for HIV p24. Microscopic and ultrastructural analysis revealed severe acinar atrophy, decreased zymogen granules in the acinar cytoplasm and also nuclear abnormalities such as pyknosis, hyperchromatism and thickened chromatin. These findings might correspond to the histologic pattern of protein-energy malnutrition in the pancreas as shown in our previous study in pancreas with AIDS and no Leishmania. In this particular case, the protein-energy malnutrition may be due to cirrhosis, or, Leishmania or HIV infection or all mixed. We believe that this case represents the morphologic substratum of the protein energy malnutrition in pancreas induced by the HIV infection. Further studies are needed to elucidate these issues.

Embrutar-se les mans : una aproximació al pensament de la novel·la d'Ian McEwan

El treball pretén fer una aproximació al pensament de la novel·la de l'autor britànic Ian McEwan, fent especial èmfasi en els trets postmoderns de la seva producció enmarcats dins la nova ficció britànica.

Giant extra-hepatic thrombosed portal vein aneurysm: a case report and review of the literature.

BACKGROUND: Extrahepatic Portal vein aneurysm (EPVA) is a rare finding that may be associated with different complications, e.g. thrombosis, rupture, portal hypertension and compression of adjacent structures. It is being diagnosed more frequently with the advent of modern cross-sectional imaging. Our review of the English literature disclosed 13 cases of thrombosed EPVA. CASE PRESENTATION: A 50-years-old woman presented with acute abdominal pain but no other symptom. She had no relevant medical history. Palpation of the right upper quadrant showed tenderness. Laboratory tests were unremarkable. A computed tomography showed portal vein aneurysm measuring 88 × 65 mm with thrombosis extending to the superior mesenteric and splenic vein. The patient was treated conservatively with anticoagulation therapy. She was released after two weeks and followed on an outpatient basis. At two months, she reported decreased abdominal pain and her physical examination was normal. A computed tomography was performed showing a decreased thrombosis size and extent, measuring 80 × 55 mm. CONCLUSIONS: Although rare, surgeons should be made aware of this entity. Complications are various. Conservative therapy should be chosen in first intent in most cases. We reported the case of the second largest thrombosed extra-hepatic PVA described in the literature, treated by anticoagulation therapy with a good clinical and radiological response.

"Maurice" de James Ivory . ¿Traïció a la Tradició Clàssica en adaptar la novel·la d'E. M. Forster?

D'acord amb els estudis sobre literatura i cinema i des del punt de vista de la influència de la Tradició Clàssica -Tradició Grega Clàssica, en aquest cas-, aquest article és una anàlisi acurada de les traïcions inevitables -fins a un cert punt- dels guionistes respecte dels textos literaris que adapten. Tanmateix, malgrat ser pràcticament inevitable, el Dr. Pau Gilabert Barberà indica quins són en opinió seva els límits que Ivory/Hesketh-Harvey no haurien d'haver ultrapassat a fir de no diluir el temperament hel·lènic de "Maurice" d'E. M. Forster.

Grècia i amor platònic a Maurice d'E. M. Forster, o la grandesa i els límits de l'Antiguitat com a inspiració.

L'objectiu d¿aquest article és mostrar com, malgrat la idealització evident de Grècia i l'amor platònic en diferents autors de l'Anglaterra Victoriano-Eduardina, ambdós tenen els seus límits. Per explicar-ho, doncs, l'autor presenta una anàlisi minuciosa del text anglès i, alhora, fa constants referències al textos grecs implícits, com ara el Simposi i el Fedre de Plató i tal vegada fins i tot l'Eròtic de Plutarc en cerca d'una tradició clàssica que és cabdal per entendre l'Anglaterra de principis del segle XX.

Grecia y amor platónico en Maurice de E.M. Forster, o la grandeza y los límites de la Antigüedad como inspiración

El objetivo de este artículo es mostrar cómo, pese a la evidente idealización de Grecia y el amor platónico en la Inglaterra Victoriano-Eduardina, ambos tienen sus límites. Para explicarlo, pues, el autor presenta un análisis minucioso del texto inglés y, a la vez, se refiere constantemente a los textos griegos implícitos como el Simposio y el Fedro de Platón y tal vez incluso el Erótico de Plutarco en busca de una tradición clásica que es capital para entender la Inglaterra de principios del siglo XX

Greece and Platonic Love in E. M. Forster's Maurice, or the greatness and limits of Antiquity as a source of inspiration.

The aim of this article is to show how, although the evident idealization of Greece and Platonic love throughout the Victorian-Edwardian England, both also show their limits. In order to make it clear the author refers constantly to the implicit Greek texts such as Plato's Symposium and Phaedrus and perhaps even to Plutarch¿s Eroticus in search of a Classical Tradition which is highly significant in order to understand that England at the beginning of the twentieth century.

"Maurice" de James Ivory . ¿Traición a la Tradición Clásica al adaptar la novela de E. M. Forster?

De acuerdo con los estudios sobre literatura y cine y desde el punto de vista de la influencia de la Tradición Clásica -Tradición Griega Clásica, en este caso-, este artículo es un análisis minucioso de las traiciones inevitables ¿hasta un cierto punto- de los guionistas a los textos literarios que adaptan. Sin embargo, a pesar de ser prácticamente inevitable, el Dr. Pau Gilabert Barberà indica cuáles son en su opinión los límites más allá de los cuales Ivory/Hesketh-Harvey no deberían haber ido a fin de no diluir el temperamento helénico de "Maurice" de E. M. Forster.

Was the Classical Tradition Betrayed by J. Ivory's adaptation of E. M. Forster's "Maurice"?

According to Literature and Film studies and from the point of view of the influence of Classical Tradition on Western Culture -Classical Greek Tradition, in this case-, this article is an accurate analysis of the inevitable -to a certain degree- screenwriters betrayals regarding the literary texts that they adapt. However, in spite of being practically inevitable, Dr. Pau Gilabert Barberà indicates which are in his opinion the limits beyond which Ivory/Hesketh-Harvey should have not gone in order not to dilute the Hellenic temper of E. M. Forster's Maurice.

"Classicisme versus Medievalisme a l'Anglaterra Victoriano-Eduardina; "A Room with a View" d'E. M. Forster com a exemple

L'objectiu d'aquest article és il·lustrar la ben coneguda oposició classicisme / medievalisme a l'Anglaterra Victoriano-Eduardina tot analitzant acuradament A Room with a View d'E. M. Forster des de la perspectiva de la Tradició Clàssica i, consegüentment, parant esment especial en el significant i la importància del conjunt de les seves referències clàssiques -grecollatines.

"Classicism versus Mediaevalism in Victorian-Edwardian England: E. M. Forter's "A Room with a View" as an example

The aim of this article is to illustrate the well-known opposition classicism / medievalism in the Victorian-Edwardian England by analysing accurately E. M. Forster's A Room with a View from the point of view of the Classical Tradition and, therefore, focusing on both the meaning and significance of all its classical -Greek and Roman- references.

Oscar Wilde. 'Camma', una severa y hedónica corrección estética de la ética plutarquea

El objetivo de este artículo es presentar un análisis minucioso del poema « Camma » de O. Wilde en relación al referente griego: la Camma del Amatorius (Erótico) y del Mulierum Virtutes de Plutarco. Es precisamente esta lectura la que permite comprobar cómo la severa y rígida ética plutarquea es corregida desde el hedonismo del esteticismo que O. Wilde profesa, convirtiendo así a Camma en un símbolo del placer de vivir

Oscar Wilde. 'Camma', a severe and hedonic aesthetic correction of Plutarch's ethics

The aim of this article is to present an accurate analysis of O. Wilde's poem 'Camma' by referring it to its Greek model: that Camma both in Plutarch's Amatorius (Eroticus) and Mulierum Virtutes. It is precisely this accurate reading which permits us to verify how Plutarch's Ethics is corrected from the parameters of the hedonism which is peculiar to O. Wilde's aestheticism, thus turning Camma into a symbol of a pleasant life.