The Results of Helicobacter Pylori Eradication on Repeated Bleeding in Patients with Stomach Ulcer

The triple therapy of Helicobacter pylori eradication prevents repeated bleeding from stomach ulcer. The aim of this one-way blind prospective study was to evaluate the efficiency of the two-week triple therapy for Helicobacter pylori eradication in preventing renewed bleeding in patients with stomach ulcer within one year. This research included 60 hospitalized patients with bleeding stomach ulcer and positive Helicobacter pylori infection, 34 men and 26 women (average age 59.7 years). The patients were given therapeutic scheme of omeprazol – amoxicilin – metrodinazol (OAM) eradication for 14 days. Eradication of H. pylori infection was defined as lack of proof of the infection one month or several months after therapy suspension. By applying triple OAM therapy within two weeks the eradication was successful in 72%. In the group of 17 H. pylori positive patients there were 8 patients (47.6%) with repeated stomach ulcer and 3 patients (18%) with bleeding. Within the group of 43 H. pylori negative patients there were only 2 patients (4.65%) with repeated stomach ulcer and 1 patient (2%) with bleeding, during the observed period of 12 months. This research confirms the hypothesis about the necessity of eradication of Helicobacter pylori infection in patients with bleeding stomach ulcer as prevention of repeated bleeding

Encephalitis or Encephalopathy During an Influenza-A Epidemic

Six female patients with encephalitis, mean age 36.5 (17–60) years, were admitted to the hospital during the 2000–2001 influenza A (H1N1) epidemic in the Osijek – Baranja County. In three (50.0%) patients, the manifestation of encephalitis occurred on day 4 or 5, and in two (33.3%) patients within 24–48 hours of the onset of influenza symptoms. The disease manifestations included headache, elevated body temperature, generalized fatigue, and consciousness disturbance through coma. Three (50.0%) patients had grand mal seizures. Pathologic electroencephalography findings were recorded in all six (100%) patients, whereas computed tomography showed cerebral edema in three (50.0%) patients. Elevated levels of hepatic enzymes and peripheral blood leukopenia were found in two (33.3%) patients in whom encephalitis developed early upon the onset of influenza. One (16.6%) of these patients died, whereas permanent sequels remained in the other two (33.3%) patients

Encefalitis ili encefalopatija tijekom epidemije influence-a

Six female patients with encephalitis, mean age 36.5 (17–60) years, were admitted to the hospital during the 2000–2001 influenza A (H1N1) epidemic in the Osijek – Baranja County. In three (50.0%) patients, the manifestation of encephalitis occurred on day 4 or 5, and in two (33.3%) patients within 24–48 hours of the onset of influenza symptoms. The disease manifestations included headache, elevated body temperature, generalized fatigue, and consciousness disturbance through coma. Three (50.0%) patients had grand mal seizures. Pathologic electroencephalography findings were recorded in all six (100%) patients, whereas computed tomography showed cerebral edema in three (50.0%) patients. Elevated levels of hepatic enzymes and peripheral blood leukopenia were found in two (33.3%) patients in whom encephalitis developed early upon the onset of influenza. One (16.6%) of these patients died, whereas permanent sequels remained in the other two (33.3%) patients.Tijekom epidemije influence A (H1N1) u Osječko-baranjskoj županiji od 2000. do 2001. godine liječeno je 6 bolesnica s encefalitisom. Najmla|a bolesnica imala je 17, a najstarija 60 godina. Srednja životna dob je 36.5 godina. Tri (50%) su bolesnice dobile encefalitis 4-tog i 5-tog dana od pojave simptoma influence, a dvije (33.3%) tijekom prvih 24–48 sati od početka bolesti. Bolest se očitovala glavoboljom, visokom temperaturom, općom slabošću i poremećajem svijesti do kome. Tri (50%) su bolesnice imale epi napad tipa grand mal. U svih je bolesnica (100%) na|en patolo{ki EEG, u tri (50%) je na CT-u nađen jači edem mozga. U dvije (33.3%) bolesnice u kojih se encefalitis javio prvih dana influence na|ene su povišene vrijednosti jetrenih enzima i leukopenija u perifernoj krvi. Jedna (16.6%) je bolesnica umrla, a u dvije (33.3%) ostale su trajne sekvele