Issue - Southern Medical Association

Primary Article

Manifestations of AIDS in the Head and Neck

ABSTRACT Background.A significant number of patients with the acquired immunodeficiency syndrome (AIDS) are initially seen with symptoms related to the head and neck. It is becoming increasingly challenging for clinicians to accurately diagnose new lesions, considering the vast array of manifestations of AIDS in this region and their many atypical…

Primary Article

HIV/AIDS in Nonurban Alabama: Risk Activities and Access to Services Among HIV-Infected Persons

ABSTRACT Background.Because AIDS is increasing in rural areas and small cities of the United States, we sought to further describe the epidemiology of HIV/AIDS in nonurban Alabama. Methods.Extensive interviews of HIV-infected residents of Alabama living outside of urban Birmingham were conducted at clinics throughout the state. Results.Of the 417 HIV-infected…

Primary Article

Melanoma Vaccines as a Therapeutic Option

ABSTRACT Background.In 1998, 41,600 new cases of melanoma with 7,300 deaths were expected. Worldwide, the incidence has risen 5% a year against a backdrop of generally decreasing cancer trends. Later stages of melanoma carry a severe prognosis. The need for newer, more effective therapeutic strategies for cancer is obvious. For…

Primary Article

South Florida Survey on the Relationship Between Academic Medical Centers and Community Physicians

ABSTRACT Background.Little is known about the relationship between academic medical centers (AMCs) and community physicians (CPs). We examined this relationship for an individual specialty—dermatology. Methods.South Florida dermatologists were queried regarding their practice and referral patterns, as well as the effect of managed care on these patterns. Results.On average, the respondents…

Current Concepts

Treatment of Chronic Pain With Antiepileptic Drugs: A New Era

ABSTRACT Background.Shortcomings of traditional pain relief agents have led physicians to investigate other alternatives, such as antiepileptic drugs. Safe, effective, nonhabituating agents are currently available to enhance pain treatment strategies. Methods.In this article, various pharmacologic options and their mechanisms of action are reviewed briefly, with a focus on treatment of…

Current Concepts

Companion Animal Issues and the Physician

ABSTRACT Background.The companion animal population in the United States is both large in numbers and diverse in composition. Nearly 60% of households have one or more animals. Associated with this large and diverse group of animals are considerable risks for injuries and transmission of infections to humans. Methods.Through a review…

Primary Article

Improved Control of Type 2 Diabetes Mellitus: A Practical Education/Behavior Modification Program in a Primary Care Clinic

ABSTRACT Background.This study was done to determine the efficacy and ease of administration of education/behavior modification classes, provided by a nurse and a dietitian in a primary care clinic for improving control of type 2 diabetes mellitus. Methods.Patients were divided randomly into two groups. Eighteen patients completed 6 months of…

Case Report

Lightning Strikes at a Mass Gathering

ABSTRACT: Among natural disasters, lightning is a leading cause of morbidity and mortality throughout the world. A well-informed bystander and an astute physician can make the difference between an outcome of death or lifelong disability versus complete or nearcomplete recovery. What is done in the first few minutes after such…

Case Report

Mycobacterium fortuitum Infection of Ventriculoperitoneal Shunt

ABSTRACT: Mycobacterium fortuitum is one of the rapidly growing mycobacteria found in soil, dust, and water. It can be isolated as a normal colonizing organism, but as a pathogen this organism causes mainly skin and soft tissue infection preceded by trauma. A wide variety of infections can occur in individuals…

Case Report

Radiation-Induced Bronchial Stenosis: A New Cause of Platypnea-Orthodeoxia

ABSTRACT: Platypnea-orthodeoxia is encountered in a variety of cardiac, pulmonary, and hepatic disorders. We report its occurrence in a 59-year-old man who had had combined external-beam and high dose-rate iridium brachytherapy for a stage I non-small-cell carcinoma of the right upper lobe 2 years earlier. The post-radiation course was complicated…

Case Report

Hydrosalpinx Due to Asymptomatic Bilateral Tubal Pregnancies Associated With Metaplastic Papillary Tumor of the Fallopian Tube

ABSTRACT: The patient described in this report had bilateral hydrosalpinx due to pregnancies in both fallopian tubes, treated by laparoscopic resection. Histologically, both fallopian tubes revealed intratubal occlusion by degenerated, partially calcified chorionic tissue. An incidental finding was an intraluminal papillary epithelial tumor in one of the fallopian tubes. The…

Case Report

Insulin Receptor Antibodies and Insulin Resistance

ABSTRACT: The presence of insulin receptor antibodies is a rare cause of insulin resistance. Patients usually have a combination of hyperglycemia, insulin resistance, acanthosis nigricans, and autoimmune features. We report a patient with systemic lupus erythematosus and severe insulin resistance due to insulin receptor antibodies. The most striking aspect of…

Article

To End Itself by Death: Suicide in Shakespeare's Tragedies

ABSTRACT: The tragedies of William Shakespeare make frequent use of suicide, some accomplished, some merely contemplated. Although his intent was their dramatic context, the Bard nonetheless clearly anticipated many features being discussed today, including assisted suicide, imitative (“copycat“) suicide, and suicidal ideation by individuals with depression or disabilities. Recent debate…

Case Report

Diclofenac-Associated Hepatitis

ABSTRACT: This patient, who had a history of osteoarthritis, had severe hepatitis 5 weeks after being started on diclofenac for increasing pain in the joints. A week before the onset of hepatitis, the patient complained of upper gastrointestinal symptoms and was treated for gastritis. Seven days later, she had full-blown,…

Case Report

Intramural Anomalous Left Coronary Artery From the Right Sinus of Valsalva Supported With Venoarterial Extracorporeal Membrane Oxygenation

ABSTRACT: We report the case of a 14-month-old girl with a wide complex dysrhythmia and cardiogenic shock due to abnormal coronary anatomy. She was kept alive for 20 days by full cardiocirculatory support, using venoarterial extracorporeal membrane oxygenation (VA ECMO). While she was on VA ECMO, a diagnosis was made…

Case Report

Bacterial Complications of Strongyloidiasis: Streptococcus bovis Meningitis

ABSTRACT: We report the case of a 64-year-old veteran who had Streptococcus bovis meningitis as a result of a long latent Strongyloides infection that became acute when he was treated with prednisone. We reviewed 38 reported cases of serious bacterial infections associated with strongyloidiasis. Patients most frequently had nonspecific gastrointestinal…

Correspondence

Acute Anxiety and Depression Induced by Loss of Sensation and Muscle Control After Botulinum Toxin A Injection

Abstract

CALCIUM SUPPLEMENTATION AND COLORECTAL ADENOMAS

Abstract

CLOZAPINE IN THE MANAGEMENT OF PSYCHOSIS IN PATIENTS WITH PARKINSON'S DISEASE

Abstract

COCAINE AND TOBACCO USE INCREASE THE RISK OF SPONTANEOUS ABORTIONS

Abstract

DIETARY FIBER AND THE RISK OF COLORECTAL CANCER

Abstract

GRIP STRENGTH IN MIDDLE AGE PREDICTS DISABILITY IN OLD AGE

Correspondence

Hope For The Infrared Tympanic Thermometer:One Model Outperforms The Others

Abstract

INABILITY TO REACH 85% OF AGE-PREDICTED HEART RATE DURING EXERCISE STRESS TEST PREDICTS MORTALITY

Article

News Potpourri

Abstract

OUTCOME OF LEFT VENTRICULAR DYSFUNCTION AFFECTED BY RACE

Abstract

REDUCED MUSCLE FUNCTION ASSOCIATED WITH LOW VITAMIN D LEVELS IN OLDER PATIENTS

Abstract

SERUM ESTRADIOL AND TESTOSTERONE LEVELS AND RISK OF BREAST CANCER

Abstract

SYMPTOMS REPORTED BY ELDERLY HYPERTENSIVE PATIENTS

Abstract

THE PREVALENCE OF PAGET'S DISEASE IS DECREASING IN GREAT BRITAIN