Larva migrans cutanea

2021 ◽  
Vol 24 (6) ◽  
pp. 173-174
Author(s):  
Carmela Gerarda Luana Raffaele
Keyword(s):  
Infectious Disease ◽  
Physical Examination ◽  
Antibiotic Therapy ◽  
Throat Swab ◽  
Granuloma Annulare ◽  
Larva Migrans ◽  
History Of ◽  
One Year ◽  
Larva Migrans Cutanea ◽  
Disease Specialist

The paper describes the case of an 8-year-old girl with a one-year history of erythematous lesion and pain in her left foot. At first she was evaluated by an orthopaedic who recommended a throat swab that was positive for beta-haemolytic streptococcus and she underwent antibiotic therapy without benefit. Then, she was evaluated by a dermatologist who diagnosed a granuloma annulare. She presented with high antistreptolysin title and the physical examination showed linear and serpiginous papular lesion of her left foot. So, a cutaneous larva migrans was suspected that was then confirmed by the infectious disease specialist. The lesion disappeared after albendazole therapy.

scholarly journals Association of intraperitoneal ceftriaxone, intravenous gentamicin and oral metronidazole in the treatment of an abdominal abscess and peritonitis in a horse

2020 ◽  
Vol 57 (2) ◽  
pp. e166204
Author(s):  
Juliana De Moura Alonso ◽  
Alice Ribeiro Ávila ◽  
Emanuel Vitor Pereira Apolonio ◽  
Bruna dos Santos ◽  
Ana Liz Garcia Alves ◽  
...  
Keyword(s):  
Physical Examination ◽  
Antibiotic Therapy ◽  
Plasma Fibrinogen ◽  
Abdominal Abscess ◽  
Success Rates ◽  
Broad Spectrum Antibiotic ◽  
Abdominal Abscesses ◽  
History Of ◽  
Prolonged Antibiotic Therapy ◽  
Oral Metronidazole

Medical management of abdominal abscesses in horses requires prolonged antibiotic therapy and presents varied success rates. A 6-year-old male horse with a history of colic and multiple abdominal punctures to relieve gas was attended. At admission, tachycardia, tachypnea, hyperthermia, mucosal congestion, dehydration, and rigid gait were observed. The association of physical examination, laboratory and ultrasonographic findings allowed the diagnoses of peritonitis and abdominal abscess. Supporting treatment plus broad spectrum antibiotic therapy was performed: daily intraperitoneal ceftriaxone (25 mg/kg, 7 days); daily intravenous gentamicin (6.6 mg/kg, 7 days); per os metronidazole three times a day (15 mg/kg 12 days), followed by the same dose twice a day (15 mg/kg 33 days), totaling 45 days of treatment. Plasma fibrinogen and ultrasonographic examination were the most effective tools to evaluate abscess evolution. There was normalization of the physical examination 24 h after beginning the treatment, consecutive regression of the nucleated cell count in the peritoneal fluid, and regression of plasma fibrinogen and size of the abscess. On the 10th treatment day, the animal was discharged from the hospital, maintaining oral therapy with metronidazole every 12 h (15 mg / kg). When the animal returned on the 30th day, an abscess size regression was observed. However, there was no resolution, and therapy with metronidazole was maintained. On the 45th day of treatment, a new hospital evaluation was performed, where the abscess resolved, and metronidazole was suspended. It is highlighted that the therapeutic association used in the treatment of abdominal infection and abscess resulted in a rapid clinical response

scholarly journals Clavicle Pseudarthrosis: A Rare Cause of Thoracic Outlet Syndrome

2010 ◽  
Vol 37 (6) ◽  
pp. 863-865 ◽  
Author(s):  
Kathleen Joy Khu ◽  
Rajiv Midha
Keyword(s):  
Physical Examination ◽  
Shoulder Pain ◽  
Thoracic Outlet Syndrome ◽  
Clinical Findings ◽  
Radial Pulse ◽  
History Of ◽  
Arm Elevation ◽  
One Year ◽  
The Right ◽  
Intrinsic Muscles

A 22-year-old man presented with a one year history of rightsided shoulder pain, hand weakness and tingling, and purplish discoloration of the upper extremity upon abduction. He had congenital pseudarthrosis of the right clavicle since childhood. Aside from an obvious deformity characterized by asymmetry of the shoulders and a palpable bony depression over the right clavicle, the patient had been previously asymptomatic. Physical examination revealed the musculoskeletal deformities as described, as well as prominent veins over his right shoulder, arm, and chest. With arm elevation, his right arm became dusky and his radial pulse diminished. Neurologically, the patient had no deficits except for mild weakness (Grade 4+/5) of the ulnarinnervated intrinsic muscles of the right hand. The clinical findings were consistent with a combined neurogenic and vascular form of thoracic outlet syndrome.

scholarly journals Metabolic Syndrome and Myocardial Involvement in HIV-Infected Patients

2019 ◽  
Vol 16 (3) ◽  
pp. 37-45
Author(s):  
Mircea Bajdechi ◽  
Cristina-Elena Micu ◽  
Sorin Rugină ◽  
Georgiana-Elena Stoian ◽  
Adriana Gurghean
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Chronic Condition ◽  
Cardiovascular Screening ◽  
History Of ◽  
Disease Risks ◽  
Myocardial Involvement ◽  
Disease Specialist

AbstractThe current HAART has modified natural history of HIV infection and it has practically turned the disease into a manageable chronic condition. Even though the benefits of HAART use are overwhelmingly greater than possible metabolic syndrome and cardiovascular disease risks, close management of those patients is called for, especially due to the fact that general population risk factors now overlap with specific ones in this population.Cardiovascular screening for HIV-infected patients who are receiving HAART must be done constantly with a collaboration between the infectious disease specialist and the internist.

Ruminal impaction in a miniature zebu steer

2018 ◽  
Vol 6 (3) ◽  
pp. e000526
Author(s):  
Jesse F Tyma ◽  
Kelsey A Hart ◽  
Jelline Vautier ◽  
Jarred M Williams
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
General Anaesthesia ◽  
Normal Diet ◽  
Radiographic Images ◽  
Feed Material ◽  
Faecal Output ◽  
History Of ◽  
One Year

An approximately one-year-old miniature zebu steer was examined for lethargy, anorexia and decreased faecal output of one day’s duration. Based on the steer’s history of malnourishment, physical examination and abdominal radiographic images, ruminal impaction was discussed as the top differential diagnosis. Exploratory flank laparotomy and rumenotomy demonstrated severe ruminal impaction of primarily hickory nuts with additional fibrous feed material, sand and two small, blunt, metallic objects. These materials were manually removed, and the rumen and reticulum were thoroughly lavaged. The steer recovered well from general anaesthesia and was treated with repeated orogastric transfaunation postoperatively. The steer did well for the remainder of his hospitalisation, was returned to a normal diet, resumed passage of normal faeces and was discharged three days postoperatively.

Successful treatment with secnidazole for trichomoniasis in the setting of metronidazole hypersensitivity

2021 ◽  
pp. 095646242110349
Author(s):  
Wesley D Kufel ◽  
Elizabeth A Asiago-Reddy ◽  
Katie A Parsels ◽  
Soma Sanyal ◽  
Jennifer L Coyne
Keyword(s):  
Infectious Disease ◽  
Effective Treatment ◽  
Treatment Option ◽  
Successful Treatment ◽  
Treatment Options ◽  
Cross Reactivity ◽  
Potential Treatment ◽  
History Of ◽  
Microbiological Cure ◽  
Disease Specialist

Limited effective treatment options currently exist for trichomoniasis management among patients with metronidazole hypersensitivity. We report a patient with a documented history of metronidazole hypersensitivity who initially was treated with nitazoxanide but demonstrated clinical and microbiological failure. Secnidazole was subsequently used for treatment, which resulted in clinical and microbiological cure without observation of cross-reactivity. Secnidazole may represent a potential treatment option for trichomoniasis in patients with metronidazole hypersensitivity after consultation with an infectious disease specialist.

Advances in the Diagnosis and Treatment of Infective Endocarditis

2017 ◽  
pp. 175-193
Author(s):  
R. Brigg Turner ◽  
Jacqueline Schwartz
Keyword(s):  
Infectious Disease ◽  
Infective Endocarditis ◽  
Adverse Events ◽  
Physical Examination ◽  
Antibiotic Therapy ◽  
Bacterial Infection ◽  
Heart Valves ◽  
Drug Resistant ◽  
Mortality And Morbidity ◽  
Causative Microorganism

Infective endocarditis is a relatively uncommon infectious disease that leads to substantial mortality and morbidity. This disease primarily involves bacterial infection of the heart valves. Diagnosis is contingent upon excellent physical examination and radiological and microbiological evidence. While failure to identify the causative microorganism does not preclude the diagnosis of infective endocarditis, management is more difficult. Recent advances have improved the etiological identification and allowed for shorter time to optimal antibiotic therapy. Advances in treatment have focused on therapies to combat drug-resistant microorganisms as well as mitigate adverse events. While new therapies are available, there exists a paucity of clinical evidence and further studies are required.

scholarly journals Cat-scratch disease in young male: a case report

2021 ◽  
Vol 9 (1) ◽  
pp. 245
Author(s):  
Nagamallesh C. S. ◽  
Yashashwini K. ◽  
Latha M.
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Antibiotic Therapy ◽  
Clinical Presentation ◽  
Young Male ◽  
Accurate Diagnosis ◽  
Cat Scratch Disease ◽  
Detailed History ◽  
History Of ◽  
High Index Of Suspicion

Cat scratch disease (CSD) is an infectious disease caused by infected cat when it scratches a person hard enough to break the surface of skin. Although it’s a rare disease, the frequency of disease is 1 in 10,000 people. Here we are presenting a case of CSD which was diagnosed with the help of HPE and confirmed by history of scratch from patient’s pet cat. The patient was successfully treated with antibiotic therapy without any complications. However, prognosis is generally good, negligence of disease may lead to serious complications. A correlation of detailed history with clinical presentation as well as high index of suspicion will aid in accurate diagnosis of CSD.

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Newton and the Origin of Civilization

2012 ◽  
Author(s):  
Jed Z. Buchwald ◽  
Mordechai Feingold
Keyword(s):  
Good Reason ◽  
History Of Mathematics ◽  
Primary Sources ◽  
Ancient History ◽  
Isaac Newton ◽  
History Of ◽  
Ancient Civilizations ◽  
And Mathematics ◽  
One Year ◽  
Radical Ideas

Isaac Newton’s Chronology of Ancient Kingdoms Amended, published in 1728, one year after the great man’s death, unleashed a storm of controversy. And for good reason. The book presents a drastically revised timeline for ancient civilizations, contracting Greek history by five hundred years and Egypt’s by a millennium. This book tells the story of how one of the most celebrated figures in the history of mathematics, optics, and mechanics came to apply his unique ways of thinking to problems of history, theology, and mythology, and of how his radical ideas produced an uproar that reverberated in Europe’s learned circles throughout the eighteenth century and beyond. The book reveals the manner in which Newton strove for nearly half a century to rectify universal history by reading ancient texts through the lens of astronomy, and to create a tight theoretical system for interpreting the evolution of civilization on the basis of population dynamics. It was during Newton’s earliest years at Cambridge that he developed the core of his singular method for generating and working with trustworthy knowledge, which he applied to his study of the past with the same rigor he brought to his work in physics and mathematics. Drawing extensively on Newton’s unpublished papers and a host of other primary sources, the book reconciles Isaac Newton the rational scientist with Newton the natural philosopher, alchemist, theologian, and chronologist of ancient history.

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