Abstract
ANNUAL SUPPLEMENT of ABSTRACTS SMA's 96th Annual Scientific Assembly
ANNUAL SUPPLEMENT of ABSTRACTS
SMJ // October 2002, Volume 95 - Issue 10
Case Report
Giant Intrathoracic Extrapulmonary Hydatid Cyst Manifested As Unilateral Pectus Carinatum
&NA; Liver and lung are the most common sites of hydatid disease, but it can also be seen elsewhere in the body. Extrapulmonary intrathoracic location of the disease is rare. This case of giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum serves to illustrate that hydatid disease can…
Case Report
Acute Mediastinal Widening
&NA; Mediastinal abscess resulting from descending necrotizing mediastinitis is a rare infectious process. Odontogenic infections are the most commonly implicated underlying process. Descending necrotizing mediastinitis is a rapidly progressive infectious process that spreads through the fascial planes of the neck to gain access to the mediastinum. Early recognition of descending…
Case Report
Combined False Hyperkalemia and Hypocalcemia Due to Specimen Contamination During Routine Phlebotomy
&NA; Combined pseudohyperkalemia and pseudohypocalcemia have not been previously reported in the clinical setting. We report 2 cases in which specimen contamination during routine phlebotomy with ethylenediaminetetraacetic acid (EDTA) caused alteration in serum levels of potassium and calcium. This alteration could be misleading when making clinical decisions and could produce…
Case Report
Listeria monocytogenes—Induced Monomicrobial Non‐Neutrocytic Bacterascites
&NA; Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis of the liver. The organisms most commonly involved in this infection are gramnegative bacteria like Escherichia coli and Klebsiella pneumoniae, and gram‐positive bacteria like Streptococcus pneumoniae and Staphylococcus aureus. Listeria monocytogenes is an uncommon gram‐positive bacillus implicated…
Case Report
Small Cell Carcinoma of the Pleura
&NA; We describe a patient with small cell carcinoma of the pleura who survived more than 4 years despite no response to chemotherapy. The natural history of pleural small cell carcinoma is unknown, and similar cases in the medical experience will shed light on possible treatment.
Case Report
Toxic Epidermal Necrolysis Due to Administration of Celecoxib (Celebrex)
&NA; A 41‐year‐old woman was given celecoxib (Celebrex) for the treatment of carpal tunnel syndrome. An erythematous rash developed that progressed to exfoliative dermatitis, and the patient was diagnosed with toxic epidermal necrolysis. After transfer to the burn unit, she was treated with topical mupirocin calcium cream and bismuth tribromophenatein…
Case Report
Enterococcus faecalis Causing Empyema in a Patient With Liver Disease
&NA; A 57‐year‐old man with a history of liver disease had shortness of breath, fever, and pleuritic chest pain. Ascites was not present. Computed tomography (CT) of the chest revealed a large unilateral pleural effusion, compressive atelectasis, and no evidence of consolidation. Culture of the pleural fluid grew Enterococcus faecalis….
Case Report
Rituximab: An Anti‐CD20 Antibody for the Treatment of Chronic Refractory Immune Thrombocytopenic Purpura
&NA; Immune thrombocytopenic purpura (ITP) is an autoimmune disease characterized by antibody‐mediated platelet destruction. Despite initial response to corticosteroids, most adults relapse during steroid taper, and splenectomy is the treatment of choice for these patients. Those whom splenectomy fails to cure present a therapeutic challenge. Subsequent management usually involves some…
Case Report
Ifosfamide‐Induced Encephalopathy
&NA; A 46‐year‐old man with a history of metastatic transitional cell carcinoma of the bladder received treatment with ifosfamide/mesna. He had reversible encephalopathy after the first cycle of chemotherapy. Adequate clinical response was achieved, with an obvious decrease in tumor size. Subsequently, an identical treatment was given without adverse central…
Case Report
Low‐Grade Endometrial Stromal Sarcoma Recurring After 9 Years
&NA; A 61‐year‐old Japanese woman had recurrent low‐grade endometrial stromal sarcoma (ESS) after primary treatment 9 years earlier. Initial and recurrent tumors showed the same configuration that the polycystic part showed in the solid tumor ultrasonographically. The central part of both the initial and recurrent tumors showed typical histologic findings,…
Expired CME Topic
Featured CME Topic Thiazolidinediones
Expired CME Topic
Thiazolidinediones A Review of Their Benefits and Risks
&NA; Several new drugs have become available for the treatment of type 2 diabetes mellitus in the past few years, and among them the thiazolidinediones are probably the most promising and interesting. Their mechanism of action involves a reduction in insulin resistance while simultaneously improving some of the independent risk…
Original Article
Characteristics and Outcomes of Patients With Unresected Early‐Stage Non‐Small Cell Lung Cancer
Background. This study describes the characteristics, management, and outcomes of patients with unresected early‐stage non‐small cell lung cancer (NSCLC).
Original Article
Monofocal Acute Inflammatory Demyelination (MAID) A Unique Disorder Simulating Brain Neoplasm
Background. Monofocal acute inflammatory demyelinating (MAID) lesions present as large masses that mimic brain tumors. The natural history and nosologic classification are not well defined.
Original Article
Complement and Immunoglobulin Levels in Serum and Ascitic Fluid of Patients With Spontaneous Bacterial Peritonitis, Malignant Ascites, and Tuberculous Peritonitis
Background. We determined complement and immunoglobulin levels in ascitic fluid and serum of 47 patients with spontaneous bacterial peritonitis, malignant ascites, or tuberculous ascites.
Original Article
Racial and Age‐Related Disparities in Obtaining Screening Mammography Results of a Statewide Database
Background This study compared mammography rates in Arkansas, based on race and age, to identify any disparities in obtaining mammography.
Original Article
Are Pediatricians Adhering to Principles of Judicious Antibiotic Use for Upper Respiratory Tract Infections?
Background. In 1997, the Centers for Disease Control and Prevention (CDC), in collaboration with other professional organizations, released principles for judicious use of antibiotics in pediatric upper respiratory illnesses (URI). This study compared use of antibiotics for URI in children before (1995) and after (1998) publication of the principles and…
Original Article
Primary Cardiac Hydatid Disease Cross‐Sectional Imaging Features
Background. Although hydatid disease is common, individual series are usually not large as far as primary cardiac hydatid disease is concerned. We believe this study is the largest series of primary cardiac hydatid disease for which cross‐sectional imaging is available.
Original Article
The “Bedsheet” Babinski
Background. Babinski's reflex (dorsiflexion of the hellus and fanning of the toes in response to planter stimulation) is a classic sign in neurology. Although typically elicited by stroking the plantar surface of the foot with a firm object, other means of obtaining the response have been described.
Original Article
Physicians as Detectives in Detective Fiction of the 20th Century
Background. Surprisingly few detectives are physicians in 20th‐century detective fiction.
Original Article
Appearance of Previously Injured Posterior Cruciate Ligaments on Magnetic Resonance Imaging
Background. The appearance of normal and injured cruciate ligaments on magnetic resonance imaging (MRI) has been well described in the literature. Few studies have reported on changes found on sequential imaging of injured posterior cruciate ligaments (PCLs) during the healing process, however.
Original Article
Mediastinal Staging of Non‐Small Cell Lung Carcinoma Using Computed and Positron‐Emission Tomography
Background. We evaluated the accuracy of computed tomography (CT) and positron‐emission tomography (PET) in the mediastinal staging of non‐small cell lung cancer.
The 5th Annual Primary & Specialty Care Outreach National Depression Screening Day
The 5th Annual Primary & Specialty Care Outreach National Depression Screening Day
WAKE FOREST CENTENNIAL
A History of Firsts for Wake Forest University School of Medicine
WAKE FOREST CENTENNIAL
Medicine at the Medical Center Then and Now One Hundred Years of Progress
Case Report
Listeria monocytogenes–Induced Monomicrobial Non-Neutrocytic Bacterascites
Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis of the liver. The organisms most commonly involved in this infection are gram-negative bacteria like Escherichia coli and Klebsiella pneumoniae, and gram-positive bacteria like Streptococcus pneumoniae and Staphylococcus aureus. Listeria monocytogenes is an uncommon gram-positive bacillus implicated in…
Case Report
Combined False Hyperkalemia and Hypocalcemia Due to Specimen Contamination During Routine Phlebotomy
Combined pseudohyperkalemia and pseudohypocalcemia have not been previously reported in the clinical setting. We report 2 cases in which specimen contamination during routine phlebotomy with ethylenediaminetetraacetic acid (EDTA) caused alteration in serum levels of potassium and calcium. This alteration could be misleading when making clinical decisions and could produce adverse…
Case Report
Giant Intrathoracic Extrapulmonary Hydatid Cyst Manifested As Unilateral Pectus Carinatum
Liver and lung are the most common sites of hydatid disease, but it can also be seen elsewhere in the body. Extrapulmonary intrathoracic location of the disease is rare. This case of giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum serves to illustrate that hydatid disease can produce…
Case Report
Enterococcus faecalis Causing Empyema in a Patient With Liver Disease
A 57-year-old man with a history of liver disease had shortness of breath, fever, and pleuritic chest pain. Ascites was not present. Computed tomography (CT) of the chest revealed a large unilateral pleural effusion, compressive atelectasis, and no evidence of consolidation. Culture of the pleural fluid grew Enterococcus faecalis. Treatment…
Case Report
Acute Mediastinal Widening
Mediastinal abscess resulting from descending necrotizing mediastinitis is a rare infectious process. Odontogenic infections are the most commonly implicated underlying process. Descending necrotizing mediastinitis is a rapidly progressive infectious process that spreads through the fascial planes of the neck to gain access to the mediastinum. Early recognition of descending necrotizing…
Case Report
Rituximab: An Anti-CD20 Antibody for the Treatment of Chronic Refractory Immune Thrombocytopenic Purpura
Immune thrombocytopenic purpura (ITP) is an autoimmune disease characterized by antibody-mediated platelet destruction. Despite initial response to corticosteroids, most adults relapse during steroid taper, and splenectomy is the treatment of choice for these patients. Those whom splenectomy fails to cure present a therapeutic challenge. Subsequent management usually involves some form…
Case Report
Toxic Epidermal Necrolysis Due to Administration of Celecoxib (Celebrex)
A 41-year-old woman was given celecoxib (Celebrex) for the treatment of carpal tunnel syndrome. An erythematous rash developed that progressed to exfoliative dermatitis, and the patient was diagnosed with toxic epidermal necrolysis. After transfer to the burn unit, she was treated with topical mupirocin calcium cream and bismuth tribromophenatein petrolatum…
Case Report
Small Cell Carcinoma of the Pleura
We describe a patient with small cell carcinoma of the pleura who survived more than 4 years despite no response to chemotherapy. The natural history of pleural small cell carcinoma is unknown, and similar cases in the medical experience will shed light on possible treatment.
Case Report
Ifosfamide-Induced Encephalopathy
A 46-year-old man with a history of metastatic transitional cell carcinoma of the bladder received treatment with ifosfamide/mesna. He had reversible encephalopathy after the first cycle of chemotherapy. Adequate clinical response was achieved, with an obvious decrease in tumor size. Subsequently, an identical treatment was given without adverse central nervous…
Case Report
Low-Grade Endometrial Stromal Sarcoma Recurring After 9 Years
A 61-year-old Japanese woman had recurrent low-grade endometrial stromal sarcoma (ESS) after primary treatment 9 years earlier. Initial and recurrent tumors showed the same configuration that the polycystic part showed in the solid tumor ultrasonographically. The central part of both the initial and recurrent tumors showed typical histologic findings, but…
Editorial
Clay, Vicks, and Gold Medal Flour
Editorial
Young Woman With Paraproteinemia
Expired CME Article
Thiazolidinediones: A Review of Their Benefits and Risks
Several new drugs have become available for the treatment of type 2 diabetes mellitus in the past few years, and among them the thiazolidinediones are probably the most promising and interesting. Their mechanism of action involves a reduction in insulin resistance while simultaneously improving some of the independent risk factors…
Original Article
Are Pediatricians Adhering to Principles of Judicious Antibiotic Use for Upper Respiratory Tract Infections?
Background.In 1997, the Centers for Disease Control and Prevention (CDC), in collaboration with other professional organizations, released principles for judicious use of antibiotics in pediatric upper respiratory illnesses (URI). This study compared use of antibiotics for URI in children before (1995) and after (1998) publication of the principles and compared…
Original Article
Monofocal Acute Inflammatory Demyelination (MAID): A Unique Disorder Simulating Brain Neoplasm
Background.Monofocal acute inflammatory demyelinating (MAID) lesions present as large masses that mimic brain tumors. The natural history and nosologic classification are not well defined.
Original Article
Complement and Immunoglobulin Levels in Serum and Ascitic Fluid of Patients With Spontaneous Bacterial Peritonitis, Malignant Ascites, and Tuberculous Peritonitis
Background.We determined complement and immunoglobulin levels in ascitic fluid and serum of 47 patients with spontaneous bacterial peritonitis, malignant ascites, or tuberculous ascites.
Original Article
Appearance of Previously Injured Posterior Cruciate Ligaments on Magnetic Resonance Imaging
Background.The appearance of normal and injured cruciate ligaments on magnetic resonance imaging (MRI) has been well described in the literature. Few studies have reported on changes found on sequential imaging of injured posterior cruciate ligaments (PCLs) during the healing process, however.
Original Article
Characteristics and Outcomes of Patients With Unresected Early-Stage Non-Small Cell Lung Cancer
Background.This study describes the characteristics, management, and outcomes of patients with unresected early-stage non-small cell lung cancer (NSCLC).
Original Article
The “Bedsheet” Babinski
Background.Babinski's reflex (dorsiflexion of the hellus and fanning of the toes in response to planter stimulation) is a classic sign in neurology. Although typically elicited by stroking the plantar surface of the foot with a firm object, other means of obtaining the response have been described.
Original Article
Racial and Age-Related Disparities in Obtaining Screening Mammography: Results of a Statewide Database
Background.This study compared mammography rates in Arkansas, based on race and age, to identify any disparities in obtaining mammography.
Original Article
Physicians as Detectives in Detective Fiction of the 20th Century
Background.Surprisingly few detectives are physicians in 20th-century detective fiction.
Original Article
Mediastinal Staging of Non-Small Cell Lung Carcinoma Using Computed and Positron-Emission Tomography
Background.We evaluated the accuracy of computed tomography (CT) and positron- emission tomography (PET) in the mediastinal staging of non-small cell lung cancer.
Original Article
Primary Cardiac Hydatid Disease: Cross-Sectional Imaging Features
Background.Although hydatid disease is common, individual series are usually not large as far as primary cardiac hydatid disease is concerned. We believe this study is the largest series of primary cardiac hydatid disease for which cross-sectional imaging is available.
