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6篇 您的检索式:作者名="Brensilver"
    题名 作者 年代 出处 被引量
1Pancreatic tuberculosis in a human immunodeficiency virus positive patient:A case report显示文摘Despite the increased incidence of tuberculosis related to human immunodeficiency virus (HIV) in recent decades, pancreatic tuberculosis has rarely been described. We report a case of pancreatic tuberculosis in a 39-year- old African man who presented with progressive dysphagia, vomiting, weight loss and productive cough, accompanied by localized epigastric pain and one episode of melena. HIV-1 testing was positive and lymphocyte subset profile showed CD4 count of 9/mm3. Abdominal computed tomography (CT) scan with contrast revealed a cystic mass in the body of the pancreas, significant portal and retroperitoneal cystic adenopathy, and multiple cystic lesions in the spleen and liver. CT guided cyst aspiration and node biopsy detected Mycobacterium tuberculosis. The patient responded well on antituberculosis and antiretroviral therapy. Tuberculosis rarely involves the pancreas, probably due to the presence of pancreatic enzymes which interfere with the seeding of Mycobacterium tuberculosis. Pancreatic tuberculosis is considered to be the result of dissemination of the infection from nearby lymphatic nodes. Endoscopic ultrasound or CT guided fine needle aspiration for cytology is the recommended diagnostic technique. Although the prognosis is good with anti-tuberculosis treatment, it could be fatal without correct diagnosis and treatment. The clinician’s high index of suspicion of pancreatic tuberculosis and application of FNAB to obtain pathological evidence are extremely important to a correct diagnosis, especially in young HIV positive patients.Kiranmayi Tadi Michelle Halpern Mirela Feurdean Joseph McNelis Jeffrey Brensilver 2008World Journal of Gastroenterology2008,14,6:4
2Utility of brain natriuritic peptide as a diagnostic tool for congestive heart failure in the elderly显示文摘Parab R Vasudevan A Brensilver J 2005Crit Pathw Cardiol2005,4,3:1
3Utility of brain natriurit- ic peptide as a diagnostic tool for congestive heart failure in the elderly显示文摘Parab R Vasudevan A Brensilver J 2005Crit Pathw Cardio12005,4,3:1
4Utility of brain natriuritic peptide as a diagnostic tool for congestive heart failure in the elderly显示文摘Parab R Vasudevan A Brensilver J 0,,03:1
5Letter to the Editor:Response to ' A systematic review of neurobiological and clinical features of mindfulness meditations' 显示文摘Brensilver M 2011Psychological medicine2011,41,03:1
6Cardiopul- monary physiology as a consequence of laparo scopic surgery 显示文摘Sharma KC Bradestetter RD Brensilver JM 1996Chest1996,110,:1
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