SMJ // December 2001, Volume 94 - Issue 12
Original Article
Cluster of Serogroup C Meningococcal Disease Associated With Attendance at a Party
AbstractBackground.An unexplained increase has occurred in the incidence of invasive meningococcal disease in adolescents and young adults. Methods.We investigated a cluster of serogroup C meningococcal disease in 3 previously healthy young adults who had attended a party in Maryland. Molecular subtyping was done on the isolates from the 3 cluster…
Expired CME Article
Coding for the Female Patient in 2002
Original Article
Colorectal Cancer in Patients 20 Years Old or Less in Taiwan
AbstractBackground.Colorectal cancer (CRC) is predominantly a disease of the elderly population, but it sometimes occurs in young patients. The diagnosis of CRC in youngsters is often overlooked by physicians or presentation may be delayed. Methods.With assistance from the cancer registry center of Taipei Veterans General Hospital, we collected data on…
Correspondence
Correction: Generic Substitution
Original Article
Description of a Combined Internal Medicine–Pediatrics Continuity Clinic for Combined Program Residents
AbstractBackground.We sought to examine the ambulatory experience in our medicine-pediatrics clinic. Methods.Data on patient visits were abstracted from the hospital's clinic utilization summary and charge sheets. A survey assessed resident satisfaction. Results.Residents saw 63% adult and 37% pediatric patients, with an average of 3.5 patients per clinic. There was no…
Case Histories
Disseminated Peritoneal Tuberculosis Mimicking Metastatic Ovarian Cancer
ABSTRACT:A 41-year-old woman had a 2-week history of low-grade fever, associated with gradually increasing abdominal pain and girth. Ultrasonography showed a complex cystic right adnexal mass. Diffuse nodules (0.1 to 0.5 cm) were found at exploratory laparotomy involving the serosal surfaces of the uterus, fallopian tubes, and ovaries. She had…
Editorial
EXERCISE: HER OPTIONS
Original Article
Group B Streptococcal Bacteremia in Nonpregnant Adults at a Community Teaching Hospital
AbstractBackground.Group B streptococcal bacteremia in nonpregnant adults continues to be a significant infection. Methods.We reviewed medical records of nonpregnant adult patients with group B streptococcal bacteremia from 1995 to 1999 and compared the findings with data from a similar study in our institution between 1980 and 1984. Results.There were 36…
Original Article
Magnesium Its Proven and Potential Clinical Significance
ABSTRACT:Magnesium is the fourth most abundant cation in the body and is present in more than 300 enzymatic systems, where it is crucial for adenosine triphosphate (ATP) metabolism. Deficiency states result in increased insulin resistance, as well as increased smooth muscle and platelet reactivity. Magnesium deficiency has been shown to…
News Potpourri
News Potpourri
Original Article
Once Daily High-Dose Gentamicin to Prevent Infection in Open Fractures of the Tibial Shaft A Preliminary Investigation*
AbstractBackground.Cephalosporin and aminoglycoside antibiotics are currently recommended for infection prophylaxis in high-energy open tibial shaft fractures. We evaluated cephalosporin in conjunction with once daily high-dose gentamicin as prophylaxis against infection in Gustilo types II and III open tibial shaft fractures. Methods.Sixteen patients were identified in whom once daily gentamicin dosing…
Original Article
Outbreak of Salmonella Serotype Anatum Infection Associated With Unpasteurized Orange Juice
ABSTRACT:In March 1999, a patient was infected with Salmonella serotype Anatum after having consumed unpasteurized orange juice from a manufacturer in Florida. We conducted a cohort study among customers of the manufacturer, performed pulsed-field gel electrophoresis (PFGE) on isolates, and inspected the manufacturing plant. Surveillance data identified three additional patients…
Article
Pokemon Contagion
Original Article
Preventing Perinatal Human Immunodeficiency Virus Transmission Factors Influencing Women's Intentions Toward Zidovudine Therapy
AbstractBackground.Despite the benefits of zidovudine (ZDV) therapy in preventing perinatal transmission of the human immunodeficiency virus, HIV-infected women may not accept or adhere to therapy. Methods.This descriptive study identified factors in 322 HIV-infected women that influence intention to take ZDV if becoming pregnant and to give it to their newborns….
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Case Histories
Spontaneous Resolution of Profound Hypogammaglobulinemia
ABSTRACT:A 3-month-old, full-term female infant was hospitalized with pneumonia and bronchiolitis. Laboratory studies revealed a profoundly low level of IgG (41 mg/dL) and low level of IgA (<6.67 mg/dL). Other causes of immunodeficiency were ruled out, and there was no evidence of protein loss to account for the low immunoglobulin…
Case Histories
Stroke After Marijuana Smoking in a Teenager With Factor V Leiden Mutation
ABSTRACT:Factor V Leiden is a well-recognized etiology of venous thrombosis, but reports of stroke in patients with this mutation are few. Marijuana smoking has rarely been associated with thrombosis of cerebral and renal arteries and may be due to a direct toxic effect on the endothelium. Reported here is the…
Case Histories
Surge of Anti-SS-A Antibody Associated With Fulminant Thrombotic Thrombocytopenic Purpura in Pregnancy
ABSTRACT:Thrombotic thrombocytopenic purpura (TTP) is an uncommon clinical syndrome and is rarely associated with systemic lupus erythematosus (SLE). Diagnosis of TTP in patients with SLE, especially those who are pregnant, is challenging. We report the case of a pregnant woman with a high level of anti–SS-A antibody (162,143 U/mL) and…
Correspondence
CORRESPONDENCE
Original Article
Description of a Combined Internal Medicine‐Pediatrics Continuity Clinic for Combined Program Residents
Abstract Background. We sought to examine the ambulatory experience in our medicine‐pediatrics clinic. Methods. Data on patient visits were abstracted from the hospital's clinic utilization summary and charge sheets. A survey assessed resident satisfaction. Results. Residents saw 63% adult and 37% pediatric patients, with an average of 3.5 patients per…
Editorial
EXERCISE HER OPTIONS
Expired CME Article
Featured CME Topic The Female Patient
Original Article
Once Daily High‐Dose Gentamicin to Prevent Infection in Open Fractures of the Tibial Shaft A Preliminary Investigation*
Abstract Background. Cephalosporin and aminoglycoside antibiotics are currently recommended for infection prophylaxis in high‐energy open tibial shaft fractures. We evaluated cephalosporin in conjunction with once daily high‐dose gentamicin as prophylaxis against infection in Gustilo types II and III open tibial shaft fractures. Methods. Sixteen patients were identified in whom once…
Case Histories
Surge of Anti‐SS‐A Antibody Associated With Fulminant Thrombotic Thrombocytopenic Purpura in Pregnancy
ABSTRACT: &NA; Thrombotic thrombocytopenic purpura (TTP) is an uncommon clinical syndrome and is rarely associated with systemic lupus erythematosus (SLE). Diagnosis of TTP in patients with SLE, especially those who are pregnant, is challenging. We report the case of a pregnant woman with a high level of anti‐SS‐A antibody (162,143…
