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247篇 您的检索式:作者名="Sanjiv"
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1Role of prophylactic antibiotics in cirrhotic patients with variceal bleeding显示文摘Bacterial infections are common in cirrhotic patients with acute variceal bleeding,occurring in 20%within48 h.Outcomes including early rebleeding and failure to control bleeding are strongly associated with bacterial infection.However,mortality from variceal bleeding is largely determined by the severity of liver disease.Besides a higher Child-Pugh score,patients with hepatocellular carcinoma are particularly susceptible to infections.Despite several hypotheses that include increased use of instruments,greater risk of aspiration pneumonia and higher bacterial translocation,it remains debatable whether variceal bleeding results in infection or vice versa but studies suggest that antibiotic prophylaxis prior to endoscopy and up to 8 h is useful in reducing bacteremia and spontaneous bacterial peritonitis.Aerobic gram negative bacilli of enteric origin are most commonly isolated from cultures,but more recently,gram positives and quinolone-resistant organisms are increasingly seen,even though their clinical significance is unclear.Fluoroquinolones(including ciprofloxacin and norfloxacin)used for short term(7 d)have the most robust evidence and are recommended in most expert guidelines.Short term intravenous cephalosporin(especially ceftriaxone),given in a hospital setting with prevalent quinolone-resistant organisms,has been shown in studies to be beneficial,particularly in high risk patients with advanced cirrhosis.Yeong Yeh Lee Hoi-Poh Tee Sanjiv Mahadeva 2014World Journal of Gastroenterology2014,20,7:31
2Beyond the Pediatric end-stage liver disease system: Solutions for infants with biliary atresia requiring liver transplant显示文摘Biliary atresia(BA), a chronic progressive cholestatic disease of infants, is the leading cause for liver transplant in children, especially in patients under two years of age. BA can be successfully treated with the Kasai portoenterostomy; however most patients still require a liver transplant, with up to one half of BA children needing a transplant by age two. In the current pediatric end-stage liver disease system, children with BA face the risk of not receiving a liver in a safe and timely manner. In this review, we discuss a number of possible solutions to help these children. We focus on two general approaches:(1) preventing/delaying need for transplantation, by optimizing the success of the Kasai operation; and(2) expediting transplantation when needed, by performing techniques other than the standard deceased-donor, whole, ABO-matched organ transplant.Mary Elizabeth M Tessier Sanjiv Harpavat Ross W Shepherd Girish S Hiremath Mary L Brandt Amy Fisher John A Goss 2014World Journal of Gastroenterology2014,20,32:14
3Factors influencing quality of bowel preparation for colonoscopy显示文摘Recent technological advances in colonoscopy have led to improvements in both image enhancement and procedural performance.However,the utility of these technological advancements remain dependent on the quality of bowel preparation during colonoscopy.Poor bowel preparation has been shown to be associated with lower quality indicators of colonoscopy performance,such as reduced cecal intubation rates,increased patient discomfort and lower adenoma detection.The most popular bowel preparation regimes currently used are based on either Polyethylene glycol-electrolyte,a non-absorbable solution,or aqueous sodium phosphate,a lowvolume hyperosmotic solution.Statements from various international societies and several reviews have suggested that the efficacy of bowel preparation regimes based on both purgatives are similar,although patients' compliance with these regimes may differ somewhat.Many studies have now shown that factors other than the type of bowel preparation regime used,can influence the quality of bowel preparation among adult patients undergoing colonoscopy.These factors can be broadly categorized as either patient-related or procedure-related.Studies from both Asia and the West have identified patient-related factors such as an increased age,male gender,presence of co-morbidity and socioeconomic status of patients to be associated with poor bowel preparation among adults undergoing routine out-patient colonoscopy.Additionally,procedure-related factors such as adherence to bowel preparation instructions,timing of bowel purgative administration and appointment waiting times for colonoscopy are recognized to influence the quality of colon cleansing.Knowledge of these factors should aid clinicians in modifying bowel preparation regimes accordingly,such that the quality of colonoscopy performance and delivery of service to patients can be optimised.Ronald V Romero Sanjiv Mahadeva 2013World Journal of Gastrointestinal Endoscopy2013,5,2:13
4Split-dose vs same-day reduced-volume polyethylene glycol electrolyte lavage solution for morning colonoscopy显示文摘AIM:To compare same-day whole-dose vs split-dose of 2-litre polyethylene glycol electrolyte lavage solution(PEG-ELS)plus bisacodyl for colon cleansing for morning colonoscopy.METHODS:Consecutive adult patients undergoing morning colonoscopy were allocated into two groups i.e.,same-day whole-dose or split-dose of 2-litre PEGELS.Investigators and endoscopists were blinded to the allocation.All patients completed a questionnaire that was designed by Aronchick and colleagues to assess the tolerability of the bowel preparation regime used.In addition,patients answered an ordinal fivevalue Likert scale question on comfort level during bowel preparation.Endoscopists graded the quality of bowel preparation using the Boston bowel preparation scale(BBPS).In addition,endoscopists gave an overall grading of the quality of bowel preparation.Cecal intu-bation time,withdrawal time,total colonoscopy time,adenoma detection rate and number of adenomas detected for each patient were recorded.Sample size was calculated using an online calculator for binary outcome non-inferiority trial.Analyses was based upon intent-to-treat.Significance was assumed at P-value<0.05.RESULTS:Data for 295 patients were analysed.Mean age was 62.0±14.4 years old and consisted of 50.2%male.There were 143 and 152 patients in the split-dose and whole-dose group,respectively.Splitdose was as good as whole-dose for quality of bowel preparation.The total BBPS score was as good in the split-dose group compared to the whole-dose group[6(6-8)vs 6(6-7),P=0.038].There was no difference in cecal intubation rate,cecal intubation time,withdrawal time,total colonoscopy time and adenoma detection rate.Median number of adenoma detected was marginally higher in the split-dose group[2(1-3)vs 1(1-2),P=0.010].Patients in the whole-dose group had more nausea(37.5%vs 25.2%,P=0.023)and vomiting(16.4%vs 8.4%,P=0.037),and were less likely to complete the bowel preparation(94.1%vs 99.3%,P=0.020).Patients in the split-dose group were less likely to refuse the same bowel preparation regime(6.3%vs 13.8%,P=0.033)and less likely to want to try another bowel preparation regime(53.8%vs 78.9%,P<0.001).CONCLUSION:Splitting reduced-volume PEG-ELS for morning colonoscopy is as effective as taking the whole dose on the same morning but is better tolerated and preferred by patients.Wah-Kheong Chan Najib Azmi Sanjiv Mahadeva Khean-Lee Goh 2014World Journal of Gastroenterology2014,20,39:7
5Inhibin/Activin信号对卵巢癌生长调控的初步研究显示文摘目的 :分析抑制素 (Inhibin)和激活素 (Activin)在卵巢癌上皮和间质中的表达 ,评估两种多肽信号对卵巢癌生长的调控作用 ,探讨卵巢癌发病机制。方法 :采用免疫组化法检测 10 2例卵巢癌上皮及间质中抑制素和激活素的表达。结果 :( 1)激活素在卵巢癌组织上皮和间质中的总阳性表达率显著高于抑制素 ( 79/ 2 0 4vs 5 2 / 2 0 4 ,P <0 .0 0 5 ) ;( 2 )卵巢癌上皮中激活素阳性表达率显著高于抑制素 ( 61/ 10 2vs 2 2 / 10 2 ,P <0 .0 0 5 ) ,而间质中抑制素阳性表达率显著高于激活素 ( 30 / 10 2vs 18/ 10 2 ,P <0 .0 5 ) ;( 3)高分化癌组织(G1、G2 )上皮中激活素阳性表达率显著低于低分化癌组织 (G3、G4 )上皮中激活素阳性表达率 ( 4 5 / 66vs 16/ 36,P <0 .0 0 5 )。结论 :抑制素和激活素在卵巢癌组织中的不平衡表达可能是卵巢癌发生、发展的原因之一 ;低分化癌组织较高分化癌组织合成更多的激活素 ,通过与受体结合 ,激活信号放大 。张慧娟 刘伯宁 Sanjiv Manek TravidiS.Ganesan 2003现代妇产科进展2003,12,1:6
6卵巢癌临床和生物学预测因子研究显示文摘目的 :研究影响卵巢癌患者预后的临床和生物学因素。方法 :回顾分析卵巢癌患者 88例的临床资料 ,并检测肿瘤组织上皮中血管内皮生长因子 (VEGF)和胸苷磷酸化酶 (TP)的表达及肿瘤间质内微血管密度 (MVD) ,应用Cox比例风险模型评估临床因素包括年龄、临床分期、组织学类型、细胞分化级别、术后残余癌灶及生物学因子 :VEGF、TP、MVD与总生存期 (OS)和无进展生存期 (PFS)之间的相关性。结果 :(1)患者的年龄、临床分期和术后癌灶大小显著影响其生存期的长短 ;(2 )Cox模型未发现VEGF、TP和MVD与OS和PFS之间的相关性 ;(3)低分化 (G3、G4 )肿瘤细胞中VEGF的表达显著高于高分化(G1、G2 )者。结论 :(1)年龄、临床分期和术后残余癌灶是三个独立的临床预测因子 ,表明早期诊断和适宜治疗极为重要 ;对老年患者应密切监护 ;(2 )低分化肿瘤细胞比高分化肿瘤细胞具有更恶的基因型和表现型 ,更易诱导间质内微血管生成 ,促进肿瘤的复发、转移和快速生长 。张慧娟 Sanjiv Manek Han Chen Trivadi S.Ganesan 2002现代妇产科进展2002,11,4:5
7Clinically unrecognized mitral regurgitation is prevalent in lone atrial fibrillation显示文摘AIM:To investigate the prevalence of clinically unrecognized mitral regurgitation(MR) in lone atrial fibrillation(AF).METHODS:We studied the prevalence and severity of MR by transesophageal echocardiography(TEE) in patients with 'lone' AF as compared to a matched cohort of patients in normal sinus rhythm(NSR) undergoing TEE for other indications besides recognized valvular heart disease.RESULTS:A total of 157 subjects(57 in the AF group and 100 in the NSR group) with structurally normal cardiac valves were included in the study.In the AF group,moderate MR or more was noted in 66% of thepatients,mild MR in 18%,trace or no MR in 16%.In the control group,moderate MR was noted in 6% of patients,mild MR 31%,trace or no MR in 63 % of patients.Moderate MR or greater was significantly more prevalent in the AF group compared to the NSR group(66% vs 6%,P < 0.0001).CONCLUSION:Clinically unrecognized moderate MR is prevalent in 'lone' AF-either as an etiologic factor leading to 'lone' AF or developing after onset of AF.Sanjiv Sharma Joel Lardizabal Mark Monterroso Neil Bhambi Rohan Sharma Rasham Sandhu Sarabjeet Singh 2012World Journal of Cardiology2012,4,5:5
8硝酸甘油对局部心肌氧代谢和心肌收缩功能的影响显示文摘目的评价硝酸甘油对局部心肌氧代谢和心肌收缩功能的影响。方法实验应用8只具有静息状态血流限制的左前降支或左回旋支近端狭窄的开胸犬。以二维超声心动图评价室壁增厚率(%WT),放射性微球定量心肌血流量(MBF),用磷猝熄法在体直接测定心肌组织氧压(tPO_2)。分别在静息和左冠脉主干内输注硝酸甘油(0.3~0.6mg·kg-1)状态下,进行二维超声检查、核素微球注射,以及tPO_2和心肌氧耗量(MVO_2,ml·min-1·100g-1)测定,MVO_2等于冠状动脉与冠状静脉氧浓度差乘以MBF,心肌氧输送能力等于冠状动脉氧浓度差乘以MBF。结果与静息状态相比,经左冠脉主干内输注硝酸甘油时,无论是正常灌注区抑或是缺血灌注区的MBF明显增加(P<0.05),同时伴有%WT明显增加(P<0.05)。正常和缺血灌注区的心肌氧输送能力明显增加(P<0.05),尽管缺血灌注区的MVO2有明显增加(P<0.05),但是缺血灌注区的tPO_2仍明显增高(P<0.05)。缺血区心肌tPO_2增加的程度明显大于MBF增加的程度。结论硝酸甘油可明显提高正常和缺血灌注区心肌氧浓度,提高缺血灌注区血氧的解离和释放,可能具有正性肌力效应。除了其直接血管效应之外,硝酸甘油还通过对心肌氧代谢和收缩功能的影响在心血管中发挥重要的调节作用。宾建平 D.Elizabeth Le 陈少敏 查道刚 刘伊丽 Sanjiv Kaul 2007南方医科大学学报2007,27,4:4
9双嘧达莫负荷超声心动图探测冠状动脉狭窄的病理生理基础显示文摘目的 探讨双嘧达莫负荷超声评价冠状动脉狭窄的病理生理基础。方法 双嘧达莫负荷超声评价慢性冠脉狭窄犬的室壁增厚率 (%WT) ,放射性微球定量心肌血流量 (MBF)。结果 负荷状态 ,MBF储备 <2的心肌节段 %WT减小 ;2≤MBF储备 <3的节段 %WT无明显变化 ;而MBF储备≥ 3的节段 %WT反而增加。宾建平 Elizabeth Le Robert A Pelberg 刘伊丽 查道刚 Sanjiv Kaul 2001中国医学影像技术2001,17,2:3
10硝酸甘油对心肌血流灌注直接影响的对比超声评价显示文摘目的应用心肌对比成像(MCE)评价硝酸甘油对心肌血流灌注的直接影响。方法实验应用12只具有静息状态血流限制的左前降支近端狭窄的开胸犬(其中6只结扎远处的冠脉以消除侧支循环的影响),根据远处的冠脉是否结扎分组(非结扎犬为组1、结扎犬为组2)。分别在静息和左冠脉主干内直接输注硝酸甘油(0.3-0.6μg·kg^-1)状态下,测定全血黏滞性(WBη)和心肌血管阻力(MVR),同步应用放射性标记微球测定心肌血流量(MBF),MCE评估心肌血流容积(A)和心肌血流速度(β)。结果与静息状态相比,经冠脉内输注硝酸甘油时,组1和组2实验犬正常区、整个缺血区和缺血中心区的MBF均明显增加(P〈0.05),同时伴有MVR和WBη明显减低(P〈0.05)。MCE显示正常灌注区和整个缺血区β增加的程度明显大于标准化A增加的程度(P〈0.05);标准化A和β增加(%)与A与β的乘积(A×β)增加(%)之间均有良好的相关性。然而,无论正常灌注区和整个缺血区标准化A增加(%)与A×β增加(%)之间相关方程的斜率明显小于β增加(%)与A×β增加(%)之间的斜率(P〈0.05)。结论硝酸甘油可降低血液黏滞性和心肌血流阻力,进而增加心肌的血液供应,后者主要是源于红细胞在心肌微循环中流动的速度增快所致。MCE是全面定量评价心肌血流灌注的良好方法。宾建平 李崇信 陈少敏 刘俭 刘伊丽 Sanjiv Kaul 2007临床超声医学杂志2007,9,6:3
11Prognostic factors associated with hospital survival in comatose survivors of cardiac arrest显示文摘AIM: To identify patient, cardiac arrest and management factors associated with hospital survival in comatose survivors of cardiac arrest.METHODS: A retrospective, single centre study of comatose patients admitted to our intensive care unit(ICU) following cardiac arrest during the twenty year period between 1993 and 2012. This study was deemed by the Human Research Ethics Committee(HREC) of Monash Health to be a quality assurance exercise, and thus did not require submission to the Monash Health HREC(Research Project Application, No. 13290Q). The study population included all patients admitted to ourICU between 1993 and 2012, with a discharge diagnosis including 'cardiac arrest'. Patients were excluded if they did not have a cardiac arrest prior to ICU admission(i.e.,if their primary arrest was during their admission to ICU),or were not comatose on arrival to ICU. Our primary outcome measure was survival to hospital discharge.Secondary outcome measures were ICU and hospita length of stay(LOS), and factors associated with surviva to hospital discharge.RESULTS: Five hundred and eighty-two comatose patients were admitted to our ICU following cardiac arrest, with 35% surviving to hospital discharge. The median ICU and hospital LOS was 3 and 5 d respectively.There was no survival difference between in-hospital and out-of-hospital cardiac arrests. Males made up 62% of our cardiac arrest population, were more likely to have a shockable rhythm(56% vs 37%, P < 0.001), and were more likely to survive to hospital discharge(40%vs 28%, P = 0.006). On univariate analysis, therapeutic hypothermia, regardless of method used(e.g., rapid infusion of ice cold fluids, topical ice, 'Arctic Sun', passive rewarming, 'Bair Hugger') and location initiated(e.g.,pre-hospital, emergency department, intensive care) was associated with increased survival. There was however no difference in survival associated with target temperature,time at target temperature, location of initial cooling,method of initiating cooling, method of maintaining cooling or method of rewarming. Patients that survived were more likely to have a shockable rhythm(P < 0.001),shorter time to return of spontaneous circulation(P <0.001), receive therapeutic hypothermia(P = 0.03), be of male gender(P = 0.006) and have a lower APACHEⅡ score(P < 0.001). After multivariate analysis, only a shockable initial rhythm(OR = 6.4, 95%CI: 3.95-10.4;P < 0.01) and a shorter time to return of spontaneous circulation(OR = 0.95, 95%CI: 0.93-0.97; P < 0.01) was found to be independently associated with survival to hospital discharge.CONCLUSION: In comatose survivors of cardiac arrest, shockable rhythm and shorter time to return of spontaneous circulation were independently associated with increased survival to hospital discharge.Kushaharan Sathianathan Ravindranath Tiruvoipati Sanjiv Vij 2016World Journal of Critical Care Medicine2016,5,1:3
12Epidemiological and clinical perspectives on irritable bowel syndrome in India, Bangladesh and Malaysia: A review显示文摘Irritable bowel syndrome(IBS) is a chronic gastrointestinal disorder, common in clinic and in the community. It has a significant impact on both society and patients' quality of life. The epidemiology, clinical presentation, and management of IBS may vary in different geographical regions due to differences in diet, gastrointestinal infection, socio-cultural and psychosocial factors, religious and illness beliefs, symptom perception and reporting. Although previous reviews and consensus reports on IBS in Asia have been published, Asia is quite diverse socio-demographically. In this context, India, Bangladesh and Malaysia share some similarities, including:(1) large proportion of the population living in rural areas;(2) rapid development and associated lifestyle changes in urban areas; and(3) dietary, cultural and religious practices. The present review explores the clinical and epidemiological data on IBS from these three major nations in South and South-East Asia. In-depth review of the literature revealed important differences between IBS in the East, as revealed by studies from these three countries, and the West; these include a predominantly rural profile, differences in bowel habit and symptom profile, raising concern with regards to diagnostic criteria and subtyping of IBS, higher dietary fiber consumption, frequent lactose malabsorption, parasitosis, and possible overlap between post-infectious IBS and tropical sprue. Moreover, the current perception on difference in prevalence of the disorder in these countries, as compared to the West, might be related to variation in survey methods.M Masudur Rahman Sanjiv Mahadeva Uday C Ghoshal 2017World Journal of Gastroenterology2017,23,37:3
13慢性冠脉狭窄时局部心肌收缩功能与心肌血流的关系显示文摘目的 评价慢性冠脉狭窄时心肌收缩功能与心肌血流 (MBF)的关系 ,以探讨慢性可逆性左室收缩功能低下的发生机制。方法 于左前降支 (LAD)和左回旋支 (LCX )近端以安放“水膨胀”式缩窄器的方法 ,建立 13只慢性多支冠脉狭窄犬模型。二维超声评价室壁增厚率 (%WT) ,放射性微球定量心肌血流量 (MBF)。结果 术后第 7dLAD和LCX供血区的平均 %WT较术前均已降低 (P <0 .0 5 ) ,但MBF在术后第 2 1d才出现降低 (P <0 .0 5 )。术后第 7d 2 6个 (2 6 /5 0 )心肌节段表现为局部室壁运动异常(RWMA) ;在 15对配对的RWMA和非RWMA中 ,两者的MBF差异无显著性意义 (P >0 .0 5 ) ;MBF与 %WT间无明显相关 (P >0 .0 5 )。然而术后第 42d ,在 13对配对的RWMA和非RWMA中 ,RWMA的MBF均明显低于非RWMA(P <0 .0 5 ) ,且 36个RWMA的MBF均与 %WT有良好的相关性 (P <0 .0 0 0 1)。结论慢性冠脉狭窄时 ,存活而收缩功能低下的心肌可伴或不伴MBF的降低 。宾建平 Robert A Pelberg 刘伊丽 查道刚 Soroosh Firoozan Sanjiv Kaul 2001中华超声影像学杂志2001,10,7:3
14Resolution of chronic hepatitis C following parasitosis显示文摘An inefficient cellular immune response likely leads to chronic hepatitis C virus (HCV) infection. Resolution of chronic HCV infection in the absence of treatment is a rare occurrence. We report the case of a 39-year old white male with a 17-year history of chronic HCV infection, who eradicated HCV following a serious illness due to co-infection with Babesia (babesiosis), Borriela Borgdorferi (Lyme disease) and Ehrlichia (human granulocytic ehrlichiosis). We hypothesize that the cellular immune response mounted by this patient in response to his infection with all three agents but in particular Babesia was suffi cient to eradicate HCV.Valerie Byrnes Sanjiv Chopra Margaret J Koziel 2007World Journal of Gastroenterology2007,13,31:2
15Standardized Myocardial Segmentation and Nomenclature for Tomographic Imaging of the Heart: A Statement for Healthcare Professionals From the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association显示文摘Manuel D. Cerqueira Neil J. Weissman Vasken Dilsizian Alice K. Jacobs Sanjiv Kaul Warren K. Laskey Dudley J. Pennell John A. Rumberger Thomas Ryan Mario S. Verani 2002Circulation: Journal of the American Heart Association2002,,:2
16A multi-ethnic study of a PNPLA3 gene variant and its association with disease severity in non-alcoholic fatty liver disease显示文摘Shamsul Zain Rosmawati Mohamed Sanjiv Mahadeva Phaik Cheah Sanjay Rampal Roma Basu Zahurin Mohamed 2012Human Genetics2012,,7:2
17Quantification of renal blood flow with contrast-enhanced ultrasound显示文摘Kevin Wei Elizabeth Le Jian-Ping Bin Matthew Coggins Jerrel Thorpe Sanjiv Kaul 2001Journal of the American College of Cardiology2001,,:2
18Treatment of Atrial Fibrillation by the Ablation of Localized Sources显示文摘Sanjiv M. Narayan David E. Krummen Kalyanam Shivkumar Paul Clopton Wouter-Jan Rappel John M. Miller 2012Journal of the American College of Cardiology2012,,7:2
19多巴酚丁胺和腺苷对心肌血流速度和容积的影响及其评价冠脉狭窄的意义显示文摘目的 评价多巴酚丁胺和腺苷对冠脉微循环的直接效应。方法 建立 8条一支冠脉 (左前降支或左回旋支 )轻中度狭窄的犬模型 ,直接冠脉内输注多巴酚丁胺和腺苷。采用经外周静脉微泡连续输注法 ,在谐波和递增性间断超声发射下进行心肌声学造影 (MCE) ,测定微泡速度 (MV)和心肌血流容积 (MBV )。以放射性微球测定心肌血流量 (MBF)。结果 在正常冠脉供血区中 ,虽然两种药物引起MBF明显增加 [静息时 ( 1.1± 0 .4)ml/(min·g) ;输注多巴酚丁胺和腺苷时分别为 ( 3 .7± 1.2 )ml/(min·g)和 ( 4 .7± 1.0 )ml/(min·g) ] ,而MBV仅轻微增加 (分别为 13 % ,17% ) ,但是MV增加的程度与MBF相一致 (静息时 5 .0± 0 .9;多巴酚丁胺和腺苷分别为12 .3± 4.1,13 .8± 4.1)。在狭窄冠脉供血区中 ,虽然两种药物引起了一定程度的MBF增加 (P <0 .0 5 ) ,但MBV较静息状态降低 (P <0 .0 5 ) ;然而MV明显高于静息状态 (P <0 .0 5 ) ,两种药物间比较无差异。两种药物负荷时的MV比值 (狭窄 /正常 )与MBF比值之间有良好的线性相关 (P <0 .0 0 5 ,r分别为 0 .85和 0 .68)。结论 冠脉内直接输注多巴酚丁胺和腺苷时 ,两种药物对狭窄和正常冠脉供血区微循环的影响相似。因此 ,两种药物可在冠脉狭窄的评价中交互使用。宾建平 Kevin Wei Elizabeth Le Matthew Coggins 刘伊丽 Sanjiv Kaul 2000中华超声影像学杂志2000,9,4:2
20A case of acute infectious mononucleosis presenting with very high ferritin显示文摘Hepatitis is an important but uncommon manifestation of acute Epstein Barr infection. Infectious mononucleosis is usually a disease of young adults. We report a case of infectious mononucleosis in a 72-year old jaundiced gentleman with ferritin level of 2438 that normalised on clinical improvement.Muhammed Hameed Thoufeeq Shahul Leyakath Ali Khan Sanjiv Kumar Jain Hasanain Al-Shakerchi Munem Hussain 2007World Journal of Gastroenterology2007,13,4:2
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