Issue - Southern Medical Association

Primary Article

Mucocutaneous Abnormalities Predicted by Lymphocyte Counts in Patients Infected With the Human Immunodeficiency Virus

ABSTRACTAbnormalities of the skin are frequent and troubling problems for patients infected with the human immunodeficiency virus (HIV). A number of studies have assessed the frequency and severity of diseases of the skin and mucous membranes reported from other centers, but relationships between dermatologic signs and symptoms and either the…

Primary Article

Cavitary Pulmonary Cryptococcosis Complicating Churg-Strauss Vasculitis

ABSTRACTChurg-Strauss vasculitis (CSV) is an interesting but uncommon pulmonary vasculitis. Cavitation in CSV is distinctly unusual and should prompt a work-up for other causes. We have described a case of CSV complicated by pulmonary cryptococcosis, which was treated with a novel antifungal regimen.

Review Article

Pancreatic Pseudocyst: Diagnosis and Management

ABSTRACTDiagnosis and management of pseudocysts of the pancreas often present difficult clinical problems. We reviewed our 18 patients with pancreatic pseudocysts treated between January 1985 and October 1989 to identify criteria for operative and nonoperative management based on size of the lesion on computerized tomography. Diagnostic modalities, etiology, management, and…

Primary Article

Infection Due to Ehrlichia canis in Children

ABSTRACTHuman ehrlichiosis has a wide spectrum of presentation. This report presents two cases that demonstrate the diversity of the manifestation of ehrlichiosis, from life threatening to a mild viral-like illness. Diagnosis requires an understanding of the epidemiology and clinical manifestation of this infection and a high index of suspicion.

Primary Article

Stooling Problems in Patients With Myelomeningocele

ABSTRACTIn children with myelomeningocele fecal and urinary incontinence lowers self-esteem and decreases social interaction. The defects in the lumbosacral spine disturb the sensory and motor nerves supplying the skin and muscles of the perianal region, including the puborectalis muscle, and the external anal sphincter. The sensations in the region, as…

Primary Article

Stiff-Man Syndrome

ABSTRACTStiff-man syndrome (SMS) is a rare disorder of the central nervous system characterized by painful involuntary stiffening of axial muscles accompanied by spasms. These are often precipitated by tactile or emotional stimuli, volitional movement, and startling noises. Until recently, little has been known about the pathogenesis of SMS. There is…

Current Concepts

Pediatric Chest Disease: Evaluation by Computerized Tomography, Magnetic Resonance Imaging, and Ultrasonography

ABSTRACTThe initial method for evaluating pediatric chest disease remains the plain chest roentgenogram. When more precise definition of chest disease is required, computerized tomography (CT), magnetic resonance imaging (MRI), or ultrasonography (US) may be useful. In general, CT offers the widest spectrum of applicability. MRI is especially useful because no…

Primary Article

Efficacy of the Supraclavicular Route for Temporary Hemodialysis Access

ABSTRACTThe percutaneous supraclavicular approach for temporary central venous hemodialysis access was successfully used in 27 of 34 cases (79%) without significant complications and was found to be a durable technique acceptable to every patient. The supraclavicular site was used from 3 to 156 days (mean, 40 days). The average catheter…

Primary Article

Uncomplicated Cystitis: Diagnosis and Treatment at College Health Centers

ABSTRACTThe results of recent studies have led to valuable new recommendations regarding optimal diagnosis and treatment of acute uncomplicated cystitis in women. To investigate to what degree these recommendations have been incorporated into clinical practice, we conducted a survey of all college health centers belonging to the American College Health…

Primary Article

New Diagnoses in a Specialty Clinic: Opportunities for Consultants

ABSTRACTThe role consultants play in detecting disease coincidental to the reason for consultation is unclear. We sought to elucidate this function in the setting of a specialty clinic for osteoporosis. Making no specific attempt to screen for general conditions, we evaluated 760 women; any new diagnosis was found in the…

Primary Article

Physicians’ Attitudes and Practices Regarding Treatment of HIV-Infected Patients

ABSTRACTWe conducted a statewide survey to identify physicians' experiences, attitudes, and practices related to HIV-infected patients. A random sample, stratified by medical specialty (primary care, surgery, emergency medicine), was drawn. Physicians were concerned about contagion and inadequate knowledge to care for HIV-infected patients; 40% reported refusing or referring new HIV-infected…

Primary Article

Antiarrhythmic Response to Intravenously Administered Magnesium After Cardiac Surgery

ABSTRACTWe evaluated the antiarrhythmic response to magnesium given intravenously to 40 patients who had had elective cardiopulmonary bypass for the surgical treatment of acquired cardiac disease. All 40 patients were found to have hypomagnesemia postoperatively as defined by a serum magnesium level of less than 1.8 mg/dL. The ventricular arrhythmias…

Primary Article

Tubo-Ovarian Abscess in Postmenopausal Patients

ABSTRACTWe retrospectively reviewed 20 surgically confirmed tubo-ovarian abscesses in postmenopausal women for the period 1973 to 1989. Pain and bleeding were the two most common presenting symptoms. Nine of the 20 patients (45%) had recently had endometrial instrumentation. Fever and the presence of a pelvic mass and elevated white blood…

Case Report

Murine Typhus: Forgotten But Not Gone

SUMMARYAn occasional patient presents the classical symptoms of a disease that has become uncommon. Typhus is an example of such a disease, since it is now well contained through control of its rodent reservoir. It is readily treated with tetracycline or one of its long-acting analogues, doxycycline or minocycline.1,7 Because…

Case Report

Candidal Endophthalmitis After Lithotripsy of Renal Calculi

SUMMARYCandidal endophthalmitis is most commonly due to hematogenous seeding of the eye by Candida albicans. Although it is most often seen as a manifestation of disseminated candidiasis in patients who are seriously ill, other patients may have candidal endophthalmitis as the only evidence of fungal infection. We have presented a…

Case Report

Carotid Body Tumor: Diagnostic and Therapeutic Approach

SUMMARYCarotid body tumor may be clinically suspected when the only clues are physiologic manifestations of carotid body dysfunction or when a palpable cervical mass is evident upon presentation. In the latter case, the physiologic signs of carotid body dysfunction are usually recognizable.We have presented the case of a patient who…

Case Report

Postpartum Transient Blindness Probably Related to Undiagnosed Brain Tumor

SUMMARYNausea and vomiting are so frequent under regional anesthesia during parturition that these symptoms can be misleading and may cause the clinician to overlook a potential intracranial lesion. In the case we have reported, it was not until the onset of blindness that an intracranial lesion was suspected.Although the incidence…

Case Report

Airway Obstruction in the Mentally Handicapped

SUMMARYWe have presented a case of laryngomalacia in an 18-year-old mentally retarded woman treated with epiglottoplasty. The preoperative and postoperative appearance of the larynx during aspiration was documented using video and still photography. Diagnosis was made by fiberoptic nasopharyngoscopy and laryngoscopy.

Case Report

Progressive Systemic Sclerosis Causing Rapidly Progressive Myocardial Disease and Death

SUMMARYWe have presented an unusually swift progression of progressive systemic sclerosis (PSS), with death from cardiogenic shock in a 22-year-old woman who had severe hypertension and acute renal insufficiency. She arrived at our hospital with pericardial tamponade and shock. Despite initial improvement after pericardiocentesis, the patient's condition soon deteriorated and…

Case Report

Benign Schwannoma of the Cecum Shown Radiologically

Letter to the Editor

Compliance With Therapy for Cervical Dysplasia

Case Report

Cryptococcosis of the Larynx in a Patient With AIDS: An Unusual Cause of Fungal Laryngitis

Article

Dizzy Medical Writing and Editing: No Relief in Sight

Announcement

Educational Opportunities

Article

Follow-up Care for Emergency Patients

Letter to the Editor

Inpatient CPR

Clinical Brief

Jones Fracture: Relearning an Old Injury

Letter to the Editor

Magnetic Resonance Imaging in the Evaluation of Knee Injuries

Case Report

Massive Splenomegaly in Sarcoidosis

Letter to the Editor

Missing Members

Case Report

Murine Typhus Endocarditis

Letter to the Editor

Nuance of Needle Sharing Among Intravenous Drug Users in Houston

Letter to the Editor

Rectus Abdominis Hematoma After Heparin Injection

Case Report

Right Middle Lobe Syndrome Caused by Mycobacterium fortuitum in a Patient With Human Immunodeficiency Virus Infection

Letter to the Editor

Talking to Patients With HIV Disease

Editorial

THE “NON-COMPLIANT” PATIENT

Editorial

WRITING A PAPER FOR A MEDICAL JOURNAL IS LIKE COOKING POTATOES