AbstractA 69-year-old woman with a history of multiple infections of a postoperative wound from a knee replacement was diagnosed with an infection with Tsukamurella sp. The infection was treated with a course of vancomycin and pipercillin/tazobactam, followed by a course of clarithromycin, ciprofloxacin, and ethambutol. The patient responded well. This…
AbstractBackground.Folk remedies (FRs) are common in some minority communicties within the United States. However, little information is available about the use of FRs in the inner city. The objectives fo this study were to identify the prevalence and types of FRs used in the inner city, to characterize the population…
AbstractBackground.In the current era of cost-effective delivery of health care, it is particularly timely to carefully reevaluate the clinical utility of selected physical signs. The third heart sounds (S3) is one such sign that is the focus of the current review.Methods.I conducted a computerized MEDLINE search of articles related to…
AbstractBackground.Necrotizing fasciitis (NF) is an aggressive bacterial infection of the superficial fascia and subcutaneous tissues that is increasing in incidence. The high toll exacted by this illness provides a setting for malpractice claims.Method.We reviewed 180 consecutive malpractice claims submitted by attorney for medical expert review between 1987 and late 1997….
AbstractBackground.Numerous residents of Shelby County, Alabama, were infected with Salmonella when a restaurant unknowingly served food tainted with the bacterium. Because of the similarity in symptoms caused by other gastrointestinal pathogens and the variability in time of presentation, and outbreak such as this could be confused with one of another…
AbstractBackground.One of the most widely accepted didactic conferences among residency training programs is morning report. This study examines several factors that may influence the content of case presentations at morning report.Methods.This prospective survey is of cases presented over a 1-year period at two morning reports—a university hospital and its affiliated…
AbstractBackground.Postoperative deep vein thrombosis (DVT) results in significant morbidity and mortality. Appropriate patient risk assessment and proper use of prophylactic measures is crucial.Methods.We conducted a confidential survey of general surgery house staff. The survey addressed DVT risk factor recognition, proximal and distal DVT absolute risk estimation, DVT prophylaxis strategies, and…
AbstractBackground.The aim of this study was to evaluate the impact of irritable bowel syndrome (IBS) and lactose maldigestion in children with recurrent abdominal pain.Methods.Children who had abdominal pain association with defecation or change in bowel habit, disordered defecation, and distension were diagnosed with IBS, and lactose maldigestion was defined by…
AbstractBackground.This study was done to determine the accuracy of the 2 x 2 cm pocket identifying low amniotic fluid (AF) volume in singleton and twin pregnancies.Methods.The AF volume was evaluated by ultrasonography for the presence of a 2 x 2 cm pocket before amniocentesis. The actual AF volume was then…
AbstractBackground:It is not known whether quality of care for congestive heart failure (CHF) at rural hospitals is similar to that in larger, urban hospitals.Methods.We reviewed hospital charts for 310 Medicare patients hospitalized with CHF at six hospitals in rural Georgia.Results.Of the 310 patients, 101 (33%) had left ventricular systolic dysfunction,…
AbstractChylothorax is a rare cause of pleural effusion in association with cardiovascular surgery. A 68-year-old man had a coronary artery bypass graft; 10 days after surgery, he had progressive shortness of breath and a massive left pleural effusion. After chylothorax was diagnosed, it was successfully treated with a thoracostomy tube…
AbstractCoagulase-negative staphylococci are uncommon causes of native valve endocarditis, and the clinical course after valvular infection with these organisms is variable. In clinical practice, species identification is frequently not done, and possible differences in the pathogenicity of various species may be unrecognized. We report a case of Staphylococcus lugdunensis native…
AbstractMononeuropathies are common after pelvic surgery. They are usually the result of unnatural positioning during surgery or faulty restraining devices. Polyneuropathy in the postoperative setting is rare. We report two cases of polyradiculopathy after radical prostatectomy using two different patient positions. Both patients complained of paresthesias and weakness in their…
AbstractObjective.We studied an example of epidemic hysteria occurring outside a closed community and involving fear of being “gassed.” The description presented is that of a previously unrecorded case of epidemic hysteria in the state of Virginia during 1933–1934.Data Sources.data were gathered from contemporary newspaper accounts.Conclusion.The case of the Virginia “gasser”…
AbstractPseudohypoxemia has been reported in leukemic patients with extreme leukocytosis, and it is characterized by a low oxygen saturation on arterial blood gas analysis despite normal saturation on pulse oximetry. We report the case of a 51-year-old man with chronic lymphocytic leukemia and an elevated white blood cell (WBC) count…
AbstractRight-sided cardiac thromboemboli, or pulmonary emboli-in-transit, represent an unusual disease process with high morbidity and mortality. We present a detailed case report and a synopsis of our experience at the University of Mississippi Medical Center between 1990 and 1997 and review the current medical literature. These thrombi and emboli may…
AbstractRothia dentocariosa, an organism inhabiting the oral flora, has been reported to cause endocarditis in adults but not in children. Most patients reported with Rothia endocarditis have a history of poor dentition. We report a case of Rothia endocarditis in a child with congenital heart disease without other known risk…
ABSTRACTWe describe a 68-year-old white woman who initially had symptoms of major depression and was admitted to a psychiatric hospital where she had electroconvulsive therapy. With failure of psychiatric treatment and subsequent rapidly progressive dementia, she had left frontal brain biopsy. The biopsy. The biopsy revealed spongiform changes, the hallmark…
AbstractWhipple's disease is a rare systemic disorder that can present in a variety of ways and is often difficult to diagnose. It can involve almost any organ system and can mimic other diseases both in its symptoms and pathologic appearance. We present a case initially diagnosed as sarcoidosis that was…
Membership grants access to journals, courses and a slew of premium benefits.
Please consider supporting us by choosing an option below:
View Membership Options Make A Tax-Deductable Donation
No Thanks, take me to the site and don't show me this again.