April 1st 2025
Family physician and researcher Mark Ebell, MD, discusses the clinical implications, efficacy, and role of gepotidacin in UTI management.
A Call to Test for H. Pylori Before Starting NSAIDs in High Risk Patients
September 22nd 2006BIRMINGHAM, Ala. -- The American Gastroenterology Association has issued recommendations aimed at balancing the gastrointestinal and cardiovascular pluses and minuses when using nonsteroidal anti-inflammatory drugs (NSAIDs).
Women With Breast Implants Have Elevated Suicide Rate
September 21st 2006OTTAWA, Ontario -- A large study of women with cosmetic breast implants found they had a suicide rate over two decades that was 73% higher than the general population -- but the rate was similar to that of women who had other cosmetic procedures.
E coli Outbreak Triggers FDA Alert on Bagged Fresh Spinach
September 15th 2006ROCKVILLE, Md. -- Several hospitalizations and one death caused by an outbreak of Escherichia coli 0157:H7 has prompted the FDA to warn consumers to avoid bagged fresh spinach, which the agency said is a possible cause of the outbreak.
E coli Outbreak Caused by Bagged Fresh Spinach
September 15th 2006ROCKVILLE, Md. -- Several hospitalizations and one death caused by an outbreak of Escherichia coli 0157:H7 has prompted the FDA to warn consumers to avoid bagged fresh spinach, which the agency said is a possible cause of the outbreak.
Methicillin-Resistant Staphylococcal Pneumonia in a Neonate
September 15th 2006A 19-day-old infant was brought to the emergency department (ED) after a day of fever, coughing, and difficulty in breathing. He had been born at full term via vaginal delivery. There was no history of prolonged rupture of membranes. The mother was group B streptococcus-positive and had been treated appropriately before the delivery. The infant received 48 hours of empiric antibiotic therapy after his birth; blood cultures were negative at the birth hospital. The infant had been doing well before the ED visit.
Proteinuria and Renal Failure in an Older Man
September 15th 2006A 62-year-old previously healthy man is admitted for right upper quadrant pain; a workup reveals acute cholecystitis as the cause. During evaluation for surgery, his creatinine level is found to be 6.0 mg/dL; 1 year earlier it was 1.0 mg/dL. A trial of fluids does not lower the creatinine level. Renal ultrasonography shows no obstruction but reveals increased kidney size (left, 11.4 3 4.4 3 5.0 cm; right, 10.1 3 4.6 3 4.5 cm) with increased diffuse echogenicity.
Cure Worse Than the Disease? Toxic Epidermal Necrolysis Fixed Drug Eruption
September 15th 2006This 18-year-old girl had been taking divalproex for seizure disorder for 2 years. Because she had gained weight while taking this medication, the patient asked for another drug. Her neurologist prescribed lamotrigine. Ten days after starting the new agent, a generalized, painful, pruritic, ery- thematous dermatitis; fever; and sore throat developed.
Methicillin-Resistant Staphylococcal Pneumonia: Mortal Threat in a Neonate
September 15th 2006Staphylococcal pneumonia can be classified as either primary or secondary. In primary disease, the infection is caused by direct inoculation of the respiratory tract. Secondary disease occurs by hematogenous spread (eg, as in endocarditis).
Cure Worse Than the Disease? Toxic Epidermal Necrolysis Fixed Drug Eruption
September 15th 2006This 18 year old girl had been taking divalporex for seizure disorder for 2 years. After requesting a new drug because of weight gain, a generalized, painful, pruritic, erythematous dermatitis; fever; and sore throat developed after ten days.
Four-Year-Old Girl With Vesicular Rash
September 15th 2006A 4-year-old girl presents with a highly pruritic rash. The day before, she had been playing outdoors at her grandmother's house. No pets were present, and the patient does not recall being stung or bitten by insects. There are bushes on the grandmother's property.