Elevation of serum procalcitonin (sPCT) in a non-infected patient: diabetes mellitus as a neglected cause of high sPCT values

2020 ◽  
Vol 86 (4) ◽  
Author(s):  
Chiara Robino ◽  
Christian A. Compagnone ◽  
Federico Pozzi ◽  
Francesco Curto ◽  
Arturo Chieregato
Gesnerus ◽  
1992 ◽  
Vol 49 (2) ◽  
pp. 137-150
Author(s):  
Richard B. Welbourn

Endocrinology was recognized as a new branch of biological science mainly as a result of events which took place between about 1890 and 1905, but ideas and discoveries dating from antiquity contributed to it also. Experiments supporting the concept of internal secretions by the testicles were described by Aristotle (4th c. B.C.) and by Hunter (18th c.) and Berthold (19th c.). In 1855 Bernard described glucose as an internal secretion of the liver and Addison reported the effects of adrenal disease in man. Adrenalectomy was fatal in animals. Goitre was known in antiquity and cretinism had been described by Paracelsus. Myxoedema was reported by Gull in 1873, and Kocher described cachexia strumipriva in 1883. In 1888 cretinism, myxoedema and cachexia strumipriva were attributed to thyroid insufficiency. In the 1890s Gley found that tetany after thyroidectomy was due to removal of the parathyroids. In 1884 Rehn proposed that toxic goitre was due to thyroid excess. In 1889 Brown-Sequard claimed that injections of testicular extract rejuvenated the elderly, and in 1893 he introduced organotherapy. In 1891 Murray treated myxoedema successfully with thyroid extract. In 1893 Oliver and Schäfer found that an adrenal extract raised the blood pressure, and soon adrenaline was extracted from the adrenal medulla. Adrenocortical deficiency was proposed as the cause of Addison’s disease, and in 1896 Osler prepared an extract which relieved one patient. Diabetes mellitus, described in the first century, was usually fatal. Thirst and polyuria followed experimental pancreatectomy, and pancreatic lesions were found in some human diabetics. In the 19th century workers in France and Germany found that diabetes resulted from absence of an internal secretion by the islets of Langerhans and, in 1893, Laguesse described the function of the islets as “endocrine”. In 1895 Beatson treated advanced breast cancer successfully by oophorectomy. In 1895 Schäfer commended study of the internal secretions to physiologists. In 1902 Bayliss and Starling discovered secretin, a chemical messenger secreted by the intestinal mucosa. In 1905 Starling proposed the name “hormone” for this class of internal secretions. By then endocrinology had been launched as a new branch of science.


1994 ◽  
Vol 20 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Robert M. Anderson ◽  
James Thomas Fitzgerald ◽  
Martha M. Funnell ◽  
Patricia A. Barr ◽  
Cathie J. Stepien ◽  
...  

This study evaluated a monthly; activated patient newsletter sent to over 7000 patients in Michigan with diabetes. The newsletter provided concise and action-oriented information about diabetes care. Patients who had signed up to receive the newsletter during the first 4 months of the project (1863) were surveyed to determine how many patients found the newsletter helpful; 80% (1498) of the patients replied. Patients who found the newsletter most helpful were older, had lower incomes, and reported more corrtplications, less understanding of diabetes, and being in poorer overall health. They also were more likely to have non-insulin-dependent diabetes mellitus (NIDDM) than insulin-dependent diabetes mellitus (IDDM). We concluded that the activated patient newsletter is a useful public health/patient education intervention for persons with diabetes. Such a newsletter should be part of a coordinated system of ongoing patient care, education, screening, and social and psychological support.


2021 ◽  
Vol 5 (1) ◽  
pp. 11-13
Author(s):  
Junior Julio Zapata Choque

Hydatidosis is a parasitic zoonosis caused by Echinococcus Granulosus, its life cycle includes dogs, sheep and others; liver involvement is the most frequent (65%-75%), followed by the lung (10%-25%), in Peru the pulmonary location is 60%. Its signs and symptoms are produced by the mass effect, its superinfection or anaphylactic reactions secondary to its rupture. We present the case of a 24-year-old insulin-dependent patient with type I diabetes mellitus, hypertension and diabetic retinopathy with bilateral pulmonary hydatidosis. A cystectomy was performed without complications and a lobectomy that was complicated with admission to the ICU until the death of the patient. Diabetes mellitus causes a state of immunosuppression which caused the advanced state of the patient's parasitosis, as well as being related to multiple intra- and postoperative complications and even leading to the death of the patient.


2012 ◽  
Vol 126 (8) ◽  
pp. 833-836 ◽  
Author(s):  
D M Oosterveer ◽  
C P Bénit ◽  
E L L M de Schryver

AbstractObjective:To describe the differential diagnosis of recurrent or bilateral peripheral facial palsy.Method:Case report and literature review.Results:Two patients with recurrent, alternating, peripheral facial palsy are described. In both patients, additional investigation was performed to search for a specific diagnosis. In the first patient, only a positive family history was found, indicating a possible familial susceptibility. In the other patient, diabetes mellitus and hypertension were identified as risk factors.Conclusion:There is an important and extensive differential diagnosis of recurrent or bilateral facial palsy. However, in a large proportion of patients the cause remains unknown.


2018 ◽  
Vol 2 (1) ◽  
pp. 54
Author(s):  
Dania Dwi Nurcahyani ◽  
Cholik Harun Rosjidi ◽  
Lina Ema Purwanti

AbstactDiabetes mellitus causes a DM complication where the wound complication are hard to recover, red to black, spoiled smell so there is amputation must be done in the end. This condition clearly disturbs body image which causes the patient feel embarrassed, low, and rejects this body condition. This purpose of this research is to know body image of gangrene diabetes mellitus patient in Dr. Sayidiman Magetan hospital.This research design is descriptive. The sampling technique is purposive sampling, with 589 populations. The sample is 49 respondents. The data collecting technique is questionnaire with T Score as data analysis technique.The result of this research is 25 respondents (51%) have positive body image, and 24 respondents (49%) has negative body image. This depends on gender, age, time of DM and gangrene suffer, living together, kind of dysfunction, education.Based on this research, it is hoped the patients can increase good body image in order to help the healing process, for next researcher suggested not to stop doing research about body image of gangrene diabetes mellitus with wider populations so reach optimal carefulness.Keyword : Body Image, Patient, Diabetes Mellitus, Gangrene. AbstrakPenyakit DM mengakibatkan salah satu komplikasi DM dimana komplikasi pada luka sukar sembuh, luka berwarna merah kehitaman, berbau busuk yang akhirnya dilakukan amputasi kondisi ini jelas mengganggu body image yang mengakibatkan pasien merasa malu, rendah diri, dan tidak menerima keadaan tubuhnya. Penelitian ini diuntukkan mengetahui body image pasien DM yang mengalami ganggren di RSUD dr.Sayidiman Magetan. Desain penelitian yang digunakan adalah deskriptif. Teknik sampling yang digunakan adalah Purposive Sampling, dengan populasi 589 orang, sampel berjumlah 49 responden, teknik pengumpulan data dengan kuisioner, teknik analisa menggunakan skor T. Hasil penelitian dari 49 responden didapatkan hasil 25 responden (51%) memiliki body image positif, dan 24 responden (49%) memiliki body image negatif. Hal ini dipengaruhi jenis kelamin, usia, lama menderita DM, lama menderita ganggren, tinggal bersama, jenis gangguan fungsi, pendidikan. Berdasarkan hasil penelitian diharapkan pasien dapat meningkatkan body image yang baik agar membantu proses penyembuhan dengan cepat, bagi peneliti selanjutnya disarankan untuk tidak berhenti melakukan penelitian tentang body image pasien DM yang mengalami ganggren dengan populasi yang lebih banyak agar tercapai ketelitian penelitian optimal.Kata Kunci : Body Image, Pasien, Diabetes Mellitus, Gangren


2016 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Widuri Widuri ◽  
Dwi Agustiana Sari ◽  
Akhmad Faisal

Background: Satisfaction is the degree of one's feelings after comparing the performance or results which felt with expectations. In this case the patient satisfaction as a benchmark the quality of Sleman hospital where the vision and mission is a quality health service delivery. Especially for compliance using SOP, the Sleman hospital is part of the process of achieving Satisfaction Patient Diabetes Mellitus User BPJS PBI at Sleman Hospital. Objective:Knowing the relationship between compliance procedures care diabetic ulcers with satisfaction the patient diabetes mellitus user BPJS PBI at Sleman Hospital. Methods:This research is research non experiment using the design descriptive correlative.This research was at Sleman Hospital, from May to July. With the methods samples being used were a total of sampling and the number of samples in this research is 26 of respondents. Result:Of the 26 respondents there are as many as 23 nurses (88.5%) carry out the action in accordance with procedures still make a high percentage of the level of satisfaction. Conclusions:There is a correlation between compliance procedures care diabetic ulcers with satisfaction the patient diabetes mellitus user BPJS PBI at Sleman Hospital,with the result Asymp.Sig(2-sided)0,001<0,05.


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