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Query: UMLS:C0085593 (chills)
 4,268 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study evaluated the effectiveness of filtering amphotericin B (ampho B) on the incidence and severity of drug-related complications. Fifteen males receiving ampho B via peripheral vein infusion participated in this randomized, double-blind study. Each patient had his dose of ampho B diluted in 500 ml of dextrose 5% in water, to which hydrocortisone 25 mg was admixed and infused over four to six hours. Eight patients had their ampho B infusions filtered through a 1 micron filter after preparation, while seven patients did not have their ampho B infusions filtered. Patients were evaluated daily for phlebitis and selected adverse effects. The two groups were comparable with regard to diagnosis, concomitant drugs, cannula type and size, vein selection, and frequency of iv site change. Four patients in each group developed phlebitis. Statistical testing using the Mann-Whitney U test revealed no difference between groups with regard to patient age, dose of ampho B, frequency and severity of phlebitis, time to onset of initial phlebitis, and frequency of adverse effects (fever, chills, headache, nausea, vomiting, and anorexia). Filtration of ampho B infusions using a 1 micron filter does not appear to decrease the incidence or severity of phlebitis and associated adverse effects.
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PMID:Effect of filtering amphotericin B infusions on the incidence and severity of phlebitis and selected adverse reactions. 389 Dec 85

Fourteen of 23 female members of a church group experienced an acute self-limited illness characterized by chills, fever, chest pain, cough, and nausea, consistent with the diagnosis of Pontiac fever. All 14 affected women had used a whirlpool located in the women's locker room during a racquetball party. Legionella pneumophila serogroup 6 was isolated from the women's whirlpool. Nine of 14 cases showed a seroconversion to heat-fixed antigen prepared from the L pneumophila serogroup 6 isolate. Aerosol size studies show that the whirlpool aerator produced water droplets small enough to travel deep into the tracheobronchial tree but large enough to transport L pneumophila. This outbreak demonstrated that Pontiac fever may be associated with L pneumophila serogroup 6, that whirlpools can serve as a reservoir for these organisms, and that seroconversion can occur in the absence of illness.
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PMID:An outbreak of Pontiac fever related to whirlpool use, Michigan 1982. 396 86

An illness among office workers, consisting of cough, fever, chills, muscle aches, and chest tightness was associated with water leaks from a cafeteria. Mean single breath carbon-monoxide diffusing capacity (DLCO) of cases differed significantly from that of non-cases. There was a significant decrease in the percent of predicted DLCO with increasing number of symptoms. Testing for precipitating antibodies to microbial agents found in the building revealed no differences between cases and non-cases. DLCO is an appropriate cross-sectional instrument for field investigations of building-associated respiratory disease.
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PMID:Pulmonary disease associated with cafeteria flooding. 400 48

In awake sheep, we compared the responses of lung lymph flow and lymph and plasma protein concentrations to steady state elevations of pulmonary vascular pressures made by inflating a left atrial balloon with those after an intravenous infusion of 10(5)-10(10)Pseudomonas aeruginosa. Lymph flow increased when pressure was increased, but lymph-plasma protein concentration ratios always fell and lymph protein flow (lymph flow x lymph protein concentration) increased only slightly. After Pseudomonas, sheep had transient chills, fever, leukopenia, hypoxemia, increased pulmonary artery pressure and lymph flow and decreased left atrial pressure and lymph protein concentration, 3-5 h after Pseudomonas, when vascular pressures and lymph protein concentrations had returned to near base line, lymph flow increased further to 3-10 times base line and remained at a steady level for many hours. During this steady state period, lymph-plasma protein concentration ratios were similar to base line and lymph protein flow was higher than in the increased pressure studies. Two sheep died of pulmonary edema 7 and 9 h after Pseudomonas, but in 16 studies, five other sheep appeared well during the period of highest lymph flow and all variables returned to base line in 24-72 h. Six serial indicator dilution lung water studies in five sheep changed insignificantly from base line after Pseudomonas. Postmortem lung water was high in the two sheep dead of pulmonary edema and one other, but six sheep killed 1-6 h after Pseudomonas had normal lung water. Because of the clear difference between the effects of increased pressure and Pseudomonas on lymphplasma protein concentration ratios and lymph protein flow, we conclude that Pseudomonas causes a prolonged increase in lung vessel permeability to protein. Because we saw lung lymph flow as high as 10 times base line without pulmonary edema, we conclude that lung lymphatics are a sensitive high-capacity mechanism for removing excess filtered fluid. An equivalent pore model of sheep lung vessels suggests that the changes we saw after Pseudomonas could result from small changes in the structure of exchanging vessel walls.
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PMID:Increased sheep lung vascular permeability caused by pseudomonas bacteremia. 443 Jul 13

1. Finger blood flow was estimated, by strain-gauge plethysmography, before and during a 1 hr immersion in ice water, on twenty-five men throughout a year at Wilkes, Antarctica. A total of 121 satisfactory immersions were made.2. Blood flow before and during immersion decreased significantly in the colder months of the year, and the increase caused by cold-induced vasodilatation (CIVD) became less as the year progressed. The time of onset, blood flow at onset, and frequency of the cycles of CIVD showed no significant relation to the coldness of the weather (as measured by mean monthly wind chill) or the time in months. Comparisons of blood flow before and after five field trips (average duration 42 days), on which cold exposure was more severe than at Wilkes station, gave similar results.3. The results suggest that vasoconstrictor tone increased. This interpretation agrees with previous work on general acclimatization in Antarctica, but contrasts with work elsewhere on local acclimatization of the hands.
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PMID:Finger blood flow in Antarctica. 568 34

The effect of chilling at the time of death on the postmortem chemistry of the vitreous humor was studied by using sheep heads obtained immediately following decapitation. One group of heads was kept at room temperature, while the remainder were chilled on ice or in ice water, then refrigerated or frozen. Vitreous humor specimens were taken at intervals over a 48-h period. Chilling inhibited the fall in the glucose concentration and the total carbon dioxide content and lessened the increase in lactic acid, compared to the room temperature group. Rapid glycolysis resumed when the heads rewarmed to room temperature starting at 6-h postmortem, but did not resume at later points. The rate of rise of the potassium and magnesium concentrations was also diminished in the chilled eyes. Freezing and thawing caused an abrupt increase in the potassium and magnesium levels, but other solutes were unaffected.
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PMID:The effect of chilling, freezing, and rewarming on the postmortem chemistry of vitreous humor. 642 91

Pseudomonas stutzeri bacteremia developed in six patients undergoing hemodialysis. Fever, shaking chills, nausea, and vomiting were observed. All patients recovered, although only two received specific antibiotic therapy. The infections occurred sporadically over a period of nine months. Pseudomonas stutzeri was subsequently isolated from the dialysate that circulates within the hemodialysis machine. The ultimate source was the deionized water that is combined with the liquid concentrate to form the dialysate. Pseudomonas stutzeri could be localized to the top cannister of the dialysis machine but was also isolated throughout the machine, including the bottom reservoir and the recirculating pump. The emphasis on handwashing, strict compliance with disinfection procedures, and elimination of prolonged sitting times for the filled machine after disinfection resulted in no further cases of P stutzeri infection.
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PMID:Pseudomonas stutzeri bacteremia associated with hemodialysis. 662 77

The patient was a 59-year-old man who had been in hospital suffering from aplastic anemia with transfusion hemosiderosis. Sudden onset of weakness, shaking chills and headache was observed after his staying out overnight on July 25, 1981. His temperature was 39.3 degrees C and he complained of abdominal pain and abdominal distension. His blood pressure dropped to a dangerous level and tonic convulsions that had begun in the upper body gradually extended to the whole body and he died 23 hours after his return. V. vulnificus was isolated by the blood culture performed before death. During his stay away from the hospital, he had eaten raw cuttlefish, which was considered to be the source of infection. V. vulnificus is one of the halophilic marine vibrios and is isolated frequently in summertime from the sea foods and sea water near Japan. It has been disclosed that the presence of underlying diseases such as liver cirrhosis, hemochromatosis can predispose a person to fatal sepsis by V. vulnificus. In this case, besides leukocytopenia, the presence of hemosiderosis induced by many transfusions was considered to be a major cause leading to the fulminating course of the disease.
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PMID:[Fatal Vibrio vulnificus infection in a patient with aplastic anemia]. 667 24

The presence of humidifier disease in a printing factory was investigated with particular emphasis on airborne endotoxins. The water in the humidifier was contaminated with Pseudomonas. The amount of airborne endotoxin when the humidifier was operating was 0.13-0.39 microgram/m3. Twenty of the fifty workers investigated reported typical symptoms of fever, chills, and chest tightness when the humidifiers were operating. Symptoms were more frequent among non-smokers. The estimated inhaled dose of endotoxin was found to be sufficient to cause the observed symptoms. The determination of airborne endotoxins in future episodes of humidifier disease is recommended.
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PMID:Airborne endotoxins and humidifier disease. 669 69

A large spin-type chiller in an Ontario poultry processing plant was adapted so that the chill water could be treated with various levels of chlorine dioxide ( ClO2 ), increasing the concentration of ClO2 from 0 to 1.39 mg/liter resulting in reducing the bacteria count to the point where salmonellae could not be isolated from the chill water or the chilled broiler carcasses. In addition, coliform, psychrotroph , and aerobic plate counts were all greatly reduced (less than 1 log cycle) in chill water but were only slightly reduced (less than .5 log cycle) in macerated chicken broiler breast skin. Shelf-life was lengthened for broiler carcasses treated with 1.33 and 1.39 mg/liter ClO2 as compared to control carcasses. Sensory panelists reported no off flavors for any ClO2 concentration but rated broiler skin as being slightly lighter in color compared to control carcasses at all concentrations of ClO2 treatment.
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PMID:The efficacy of chlorine dioxide in controlling Salmonella contamination and its effect on product quality of chicken broiler carcasses. 672 67


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