851
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Lusk RH, Fekety FR, Silva J, Bodendorfer T, Devine BJ, Kawanishi H, Korff L, Nakauchi D, Rogers S, Siskin SB. Gastrointestinal side effects of clindamycin and ampicillin therapy. J Infect Dis 1977; 135 Suppl:S111-9. [PMID: 850084 DOI: 10.1093/infdis/135.supplement.s111] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Hospitalized patients who received clindamycin or ampicillin were evaluated for gastrointestinal side effects for a period of up to six weeks after therapy was discontinued. Of 104 patients receiving clindamycin therapy, 31 (29.8%) developed diarrhea, and two (1.9%) developed pseudomembranous colitis (PMC). Of 138 patients receiving ampicillin, 24 (17.3%) developed diarrhea, and one (0.7%) developed PMC. Diarrhea persisting for three days or more was noted in 13 (12.5%) of the patients receiving clindamycin and in seven (5.1%) of those receiving ampicillin. The tendency to develop diarrhea was positively correlated with serious illness, abdominal or pelvic sepsis, and total dosage of clindamycin. Examination of stools from a patient with PMC that was associated with clindamycin therapy showed a decrease in the number of anaerobic bacteria from the numbers found in stool cultures of normal controls. Those patients who did not develop diarrhea also had fewer anaerobic bacteria and coliform organisms. Lymphocytes from the patient with PMC were hyporeactive to phytohemagglutinin and hyperreactive to clindamycin.
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852
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Abstract
Seventeen of 68 patients (25 percent) who required the use of hemovac drainage system after major head and neck procedures had positive anaerobic islates. Co-isolation of aerobic (94 percent) and other anaerobic (29 percent) microorganisms are common. There was an increased rate of psoitive anaerobic islates with procedures requiring exposure of mucosa. Radiotherapy, except in doses greater than 6,800 rads, did not affect the culture rate. Eight of 17 patients (47 percent) with positive anaerobic isolates had infectious-related complications while five of 51 patients (10 percent) with negative cultures had similar complications. Positive anaerobic isolates in hemovac lines can be correlated with pathogens isolated from subsequent complications.
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853
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Silva J. Anaerobic infections. Heart Lung 1976; 5:406-10. [PMID: 1046048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The treatment of anaerobic infection will be improved by: (1) having a high index of suspicion of anaerobic bacteria in all infections, (2) recognition of clinical signs characteristic of some of these infections, and (3) institution of antibiotics that are likely to be appropriate before the culture results become available 4 to 7 days later.
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854
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Silva J, Hoogerland D, Fekety R. Quantitative nitro blue tetrazolium test in febrile patients. Correlation with diagnosis and bacterial activity of leukocytes. ARCHIVES OF INTERNAL MEDICINE 1975; 135:1569-74. [PMID: 1106339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The quantitative nitro blue tetrazolium (NBT) test did not show increased NBT reduction in bacterial infections as frequently as has been reported with the qualitative NBT test in untreated infections. Lower than normal values were seen in septic shock and bacterial endocarditis, and normal results were seen in most other bacterial infections. Increased NBT reduction was seen with reticulum cell sarcoma, Hodgkin disease, postoperative wound infections, and upper respiratory tract infections. Thus, the quantitative NBT was of little use in diagnosis of acute infections. The correlation between quantitative tests and tests of bactericidal capacity of leukocytes was poor. These data suggest that NBT reduction and bactericidal activity are dissociative events within phagocytes. Patients with low NBT results usually had bactericidal activity within normal limits.
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855
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Pascual AM, Silva J, García-Pérez A. [Idiopathic progressive atrophodermia of Pasini Pierini]. ACTAS DERMO-SIFILIOGRAFICAS 1975; 66:605-10. [PMID: 1211276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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856
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Blair DC, Fekety FR, Bruce B, Silva J, Archer G. Therapy of Pseudomonas aeruginosa infections with tobramycin. Antimicrob Agents Chemother 1975; 8:22-9. [PMID: 809002 PMCID: PMC429254 DOI: 10.1128/aac.8.1.22] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
The efficacy of tobramycin in doses of 2.7 to 5.6 mg/kg per day in 29 courses of therapy in 25 hospitalized patients with serious Pseudomonas aeruginosa infections was studied. Eighty-three percent of the P. aeruginosa strains showed zones of inhibition of 16 mm or more around a 10-mug tobramycin disk in the Bauer-Kirby disk method. Tobramycin minimal inhibitory concentration ranged from <0.05 to 1.5 mug/ml (microtiter twofold dilution method); for gentamicin they ranged from 0.05 to 6.2 mug/ml; corresponding geometric means were 0.19 and 0.49 mug/ml. Therapy was given for a median of 10 days (mean 19, range 1 to 83). The clinically satisfactory response rate for the 29 courses of therapy was 52%: critically ill, 44%; seriously ill, 50%; moderately ill, 80%. The response rates for various sites of infection were bone and cartilage, 100%; urinary tract infection, 56%; wound, 50%; respiratory tract, 67%; septicemia, 40%; abscess, 0%; burns, 44%. No adverse reactions were seen. Serum concentration (mug/ml +/- standard deviation) of tobramycin determined by an agar-well plate method, were 4.81 +/- 2.17 (1 h); 3.24 +/- 1.43 (2 h); 2.35 +/- 1.30 (4 h); and 1.40 +/- 1.09 (8 h). Tobramycin appears to be as effacacious as gentamicin in the treatment of serious P. aeruginosa infections and has a theoretical advantage of lower minimal inhibitory concentration for P. aeruginosa. The data suggest that, for life-threatening infections, dosages of tobramycin may need to be increased over those used in this study.
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857
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Barnes RV, Dopp AC, Gelberg HJ, Silva J. Neisseria meningitidis: a cause of nosocomial pneumonia. THE AMERICAN REVIEW OF RESPIRATORY DISEASE 1975; 111:229-31. [PMID: 803357 DOI: 10.1164/arrd.1975.111.2.229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
A 24-year-old man developed coma and many neurologic abnormalities for 2 weeks after ingesting phencyclidine. On admission, pulmonary aspiration occurred, for which he was given large doses of methylprednisolone, clindamycin, and gentamicin. These antimicrobial drugs were continued for 2 weeks until new pulmonary infiltrates were recognized. Neisseria meningitidis was subsequently isolated from cultures of conjunctival discharge, sputum, and blood and found to be resistant to clindamycin and gentamicin. N. meningitidis as a cause of nosocomial pneumonia in the setting of broad spectrum antimicrobial drugs is discussed.
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858
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Blair DC, Carroll M, Silva J, Fekety FR. Localization of infectious processes with gallium citrate Ga 67. JAMA 1974; 230:82-5. [PMID: 4479236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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859
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Silva J, Harvey WC. Detection of infections with gallium-67 and scintigraphic imaging. J Infect Dis 1974; 130:125-31. [PMID: 4842333 DOI: 10.1093/infdis/130.2.125] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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860
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Harvey WS, Silva J. Letter: Detection of abscesses with 51Cr-labeled leukocytes. J Nucl Med 1974; 15:375. [PMID: 4823279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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861
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Silva J, Intaglietta M. The correlation of photometric signals derived from in vivo red blood cell flow in microvessels. Microvasc Res 1974; 7:156-69. [PMID: 4823656 DOI: 10.1016/0026-2862(74)90002-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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862
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Silva J, Hoeksema H, Fekety FR. Transient defects in phagocytic functions during cardiopulmonary bypass. J Thorac Cardiovasc Surg 1974; 67:175-83. [PMID: 4590015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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863
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Ellenbogen C, Graybill JR, Silva J, Homme PJ. Bacterial pneumonia complicating adenoviral pneumonia. A comparison of respiratory tract bacterial culture sources and effectiveness of chemoprophylaxis against bacterial pneumonia. Am J Med 1974; 56:169-78. [PMID: 4359823 DOI: 10.1016/0002-9343(74)90594-4] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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864
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Graybill JR, Silva J, Fraser DW, Lordon R, Rogers E. Disseminated mycobacteriosis due to Mycobacterium abcessus in two recipients of renal homografts. THE AMERICAN REVIEW OF RESPIRATORY DISEASE 1974; 109:4-10. [PMID: 4588091 DOI: 10.1164/arrd.1974.109.1.4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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865
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Harvey WC, Silva J. 51Cr labeling of concentrated phagocytes. J Nucl Med 1973; 14:890-4. [PMID: 4753448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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866
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Silva J, Graybill JR. Pseudoendocarditis. South Med J 1973; 66:1154-6. [PMID: 4745101 DOI: 10.1097/00007611-197310000-00017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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867
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Graybill JR, Silva J, Alford RH, Thor DE. Immunologic and clinical improvement of progressive coccidioidomycosis following administration of transfer factor. Cell Immunol 1973; 8:120-35. [PMID: 4738313 DOI: 10.1016/0008-8749(73)90099-3] [Citation(s) in RCA: 56] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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868
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Silva J, Intaglietta M. Measurement of pulsatile blood flow velocity in microvessels from single photometric detector. IEEE Trans Biomed Eng 1973; 20:310-2. [PMID: 4708773 DOI: 10.1109/tbme.1973.324203] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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869
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Sanderson JN, Silva J. Multiple thoracic nodules in a young asymptomatic woman. Chest 1973; 63:1019-20. [PMID: 4351263 DOI: 10.1378/chest.63.6.1019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
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870
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Harvey WC, Silva J, Haines RS. Detection and delineation of abdominal abscesss in rabbits with 67 Ga. Radiology 1973; 107:681-2. [PMID: 4573949 DOI: 10.1148/107.3.681] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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871
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Graybill JR, Silva J, O'Brien MS, Reinarz JA. Epidemic neuromyasthenia. A syndrome or disease? JAMA 1972; 219:1440-3. [PMID: 5066895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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872
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Case DB, Goforth JM, Silva J. A case of Clostridium perfringens endocarditis. THE JOHNS HOPKINS MEDICAL JOURNAL 1972; 130:54-6. [PMID: 4334030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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873
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Fortier NL, Lionetti FJ, Silva J. Conversion of deoxyribose 5-phosphate to pentose phosphates by components of human erythrocytes. BIOCHIMICA ET BIOPHYSICA ACTA 1970; 208:181-8. [PMID: 5420972 DOI: 10.1016/0304-4165(70)90236-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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874
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Silva J, Fekety FR. Gentamicin: a clinical review. UNIVERSITY OF MICHIGAN MEDICAL CENTER JOURNAL 1970; 36:84. [PMID: 5430241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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875
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Ortiz Vázquez J, Muro J, Olmo A, Silva J, Villamor J, Sanmartín P. [Cruveilhier-Baumgarten syndrome (review of 37 personal cases)]. Rev Clin Esp 1969; 112:459-72. [PMID: 5390789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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876
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Silva J, Newell GR, Schlott DW. Macroglobulinemia associated with subcutaneous tumors: report of two cases. THE JOHNS HOPKINS MEDICAL JOURNAL 1969; 125:84-91. [PMID: 4981523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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877
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Zárate A, Garcia-Reyes JA, Castelazo-Ayala L, Estevez R, Silva J. Turner's phenotype with menstruation, XO karyotype and germ cells in the ovary. Report of a case. Obstet Gynecol 1969; 33:818-21. [PMID: 5770556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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878
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Ortiz Vázquez J, Silva J, Olmo A, Muro J. [Pancreatic pseudocyst as an immediate complication of acute pancreatitis]. Rev Clin Esp 1968; 111:493-504. [PMID: 5732469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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879
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Fortier NL, Silva J, Lionetti FJ. Separation of deoxyribose 5-phosphate and ribose 5-phosphate by anion-exchange chromatography. Anal Biochem 1968; 26:488-90. [PMID: 5716204 DOI: 10.1016/0003-2697(68)90222-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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880
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Rodríguez Cuevas H, Gurrola H, Silva J. [Cancer of the paranasal sinuses. Statistical analysis, Mexico 1950-59]. REVISTA MEDICA DEL HOSPITAL GENERAL 1965; 28:535-44. [PMID: 5858938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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