1/7. Exogenous candida endophthalmitis in a hop grower--a case report.A case is reported of exogenous candida endophthalmitis after ocular injury with a metal wire used for hop growing. A detailed description of treatment with vitrectomy and intravitreal amphotericin b injection is presented. On the basis of our experience, in such cases it is advisable to perform vitrectomy with amphotericin b intravitreal injection and silicone oil tamponade to prevent retinal detachment.- - - - - - - - - - ranking = 1keywords = hop (Clic here for more details about this article) |
2/7. Occupational airborne and hand dermatitis to hop (humulus lupulus) with non-occupational relapses.We report a case of a 57-years-old female farmer with occupational airborne dermatitis and hand dermatitis to hop (humulus lupulus). The disease appeared at the age of 46, after 30 years of working with hop without any health problems. The patient had skin erythema of the face, neck and decollete , oedema of the eyelids, conjunctivitis, as well as acute dermatitis of the hands. The symptoms were provoked both by fresh and dried hop, appeared after half-an-hour of working and persisted over 1-2 days. There were no other skin or allergic problems. skin tests were carried out with hop leaves (saline extract: prick positive, patch negative; glycerol extract: prick positive, patch negative) and hop cones (saline extract: prick positive, patch negative; glycerol extract: prick negative, patch positive after 48 and 72 hours). Despite discontinuing work, the patient experienced several relapses of her dermatitis. We identified new sources of hop allergens: a beauty cream and a herbal sedative, both containing hop extract. During the next hop cultivation period it also turned out that sleeping in one bed with her husband was provoking relapses of the patient's dermatitis. The husband admitted that sometimes he felt too tired to wash thoroughly after working on the plantation. Our case shows that connubial contacts with husband working in the same workplace may cause relapses of occupational dermatitis. To our knowledge, this is the first report on the concurrent occupational and connubial dermatitis to hop.- - - - - - - - - - ranking = 2.6keywords = hop (Clic here for more details about this article) |
3/7. Perniosis-like tinea corporis caused by trichophyton verrucosum in cold-exposed individuals.trichophyton verrucosum is a zoophilic infectious agent causing 98% of the dermatophytic infections of cattle. Transmission to humans has, until recently, been rare. One reason for an increase of infection in humans and animals seems to be the decrease in immunisation of cattle. We report on three cases of pertinent human infections with disseminated, sharply defined, bluish red, partly oedematous nodules and plaques in particular not only on the thighs, but also on the trunk and arms. Two of our patients work with farm animals. The third one works as an assistant in a butcher shop, but lives on a cow farm. All three patients are often exposed to the cold. In all three cases T. verrucosum was detected by culture. tinea corporis was histologically confirmed in two patients. Based on the microbiological results, we began a combined systemic and local antimycotic therapy with fluconazole 50 mg day(-1) in two patients, itraconazole 100 mg day(-1) in one patient p.o. combined with topical ciclopiroxolamine. All patients were cured. Dermatophytosis caused by T. verrucosum can, under certain circumstances, such as frequent exposure to cold or a long-term corticosteroid therapy, mimic the characteristic clinical picture of perniosis, as we demonstrate here.- - - - - - - - - - ranking = 1.2keywords = hop (Clic here for more details about this article) |
4/7. Anhydrous ammonia injuries.Anhydrous ammonia is a relatively common cause of chemical injuries. Most injuries are the result of accidental exposure, frequently in the course of work. Exposure to anhydrous ammonia may produce serious injury to the eyes, respiratory system, and integument. Anhydrous ammonia injuries occurring in a predominantly agricultural region are reviewed. The pathophysiology of anhydrous ammonia injury is reviewed. Therapeutic modalities are described. Guidelines to prevent or minimize injury are delineated.- - - - - - - - - - ranking = 0.2keywords = hop (Clic here for more details about this article) |
5/7. A remarkable case of hyperventilation.We have seen a case of hyperventilation which appeared to have been caused by contact with an insecticide. Pathophysiology, epidemiology and treatment are discussed. Familiarity with the clinical symptoms greatly facilitate diagnosis, especially in emergency situations.- - - - - - - - - - ranking = 0.2keywords = hop (Clic here for more details about this article) |
6/7. Pulmonary nocardia otitidiscaviarum infection in a patient with chronic respiratory infection.We report a case of pulmonary nocardia (N.) otitidiscaviarum infection in a 76-year-old man with chronic respiratory infection. The patient responded poorly to intravenous imipenem and oral minocycline, but later improved after treatment with trimethoprim-sulfamethoxazole. Pulmonary infection with N. otitidiscaviarum should be considered in the differential diagnosis of chronic respiratory infections. Further studies are needed to evaluate the correlation between species and drug susceptibility.- - - - - - - - - - ranking = 0.2keywords = hop (Clic here for more details about this article) |
7/7. Acute carbamate and organochlorine toxicity causing convulsions in an agricultural pilot: a case report.Agricultural pilots are involved in a particularly hazardous occupation with a high occupational mortality rate. They face many risks, not least of which is exposure to the agricultural chemicals that they spray. Many accidents and illnesses have been reported previously in the literature, attributable to the acute and chronic effects of chemical exposure, most notably the organophosphate family of insecticides. There are few reports of post-crash exposure to carbamate and organochlorine insecticides. This report documents the case of a professional agricultural pilot who, following an emergency landing, was soaked with methomyl (a carbamate) and endosulfan (an organochlorine) leaking from his aircraft. He developed cholinergic symptoms within an hour of the accident, which settled spontaneously, but suffered a tonic-clonic seizure some 6 h later while in the hospital. The seizure was attributed to exposure to the organochlorine, however, subsequent EEG recordings demonstrated a non-specific epileptiform focus in the frontal lobes. The pilot made a full recovery and has remained seizure-free without treatment. The pathophysiology of carbamate and organochlorine poisoning is reviewed, and the differential diagnoses of seizures in this pilot discussed. The difficulty facing a licensing authority in determining the aeromedical disposition of a pilot who has suffered a provoked seizure is also highlighted.- - - - - - - - - - ranking = 0.2keywords = hop (Clic here for more details about this article) |