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    Two Cases of Micro-Arteriovenous Fistula in the Lower Extremity with Misdiagnosis of Refractory Cellulitis.
    Ann Vasc Dis 2018 Mar;11(1):148-152
    Department of Surgery, Kesennuma City Hospital, Kesennuma, Miyagi, Japan.
    We report our experience of two cases of refractory cellulitis caused by peripheral micro-arteriovenous fistulas (AVFs) in the lower extremity. The micro-AVFs were so small that they could not be located accurately; further, the patients' symptoms differed markedly from those previously reported for AVF. AVF is known to cause ischemic symptoms. Read More

    Multidetector CT of iatrogenic and self-inflicted vascular lesions and infections at the groin.
    Insights Imaging 2018 Apr 19. Epub 2018 Apr 19.
    Department of Radiology, "Magna Grecia" University, Viale Europa, 88100, Catanzaro, Italy.
    The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC). Read More

    Infrahyoid involvement may be a high-risk factor in the management of non-odontogenic deep neck infection: Retrospective study.
    Am J Otolaryngol 2018 Mar 16. Epub 2018 Mar 16.
    Otorhinolaryngeal Department of the Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang Province, China. Electronic address:
    Objectives: This study sought to investigate the impact of involvement of the infrahyoid neck space on the management of non-odontogenic DNI.

    Method: Eighty-one patients treated for non-odontogenic DNI over 5 years were retrospectively recruited into this study. Demographics, etiology, radiology results, treatments, duration/cost of hospital stay, and complications were recorded. Read More

    Thenar Compartment Syndrome: What If a Compartment Pressure Measuring Device is Absent?
    Cureus 2018 Feb 16;10(2):e2197. Epub 2018 Feb 16.
    Department of Orthopaedics and Traumatology, SANKO University, Faculty of Medicine, Gaziantep, Turkey.
    Compartment syndrome (CS) is a threatening condition characterized by excessive tissue pressure accumulation associated with acute trauma. Compartment syndrome causes a significant reduction in blood flow with subsequent muscle and nerve ischemic necrosis. Recently, reports have described the importance of intramuscular pressure measurements as a basis for CS diagnosis. Read More

    Incidence of Cellulitis in Lower Extremity Burns: 6-Year Analysis.
    Ann Plast Surg 2018 Apr;80(4 Suppl 4):S140-S143
    From the Nassau University Medical Center Burn Center, East Meadow, NY.
    Introduction: Patients with burn wounds of the lower extremities are at increased risk of developing cellulitis. The probability of developing burn-associated cellulitis is presumed to be correlated with a medical history of diabetes, the etiology of the burn, delay in hospitalization of the patient during their initial presentation, and depth of the burn itself. This study aims to identify factors that place patients at increased risk for developing lower extremity burn wound cellulitis. Read More

    Concurrent Mastoid Cellulitis and Langerhans Cells Histiocytosis: 
A Challenging Diagnosis.
    Oman Med J 2018 Mar;33(2):167-170
    Department of Otorhinolaryngology, Tengku Ampuan Rahimah Hospital, Klang, Selangor, Malaysia.
    Langerhans cell histiocytosis (LCH) is a rare proliferative disorder, which commonly arises in the bone and may involve other systems. To date, the diagnosis of temporal bone LCH remains a challenge as it may masquerade as a common ear infection. We report a case of a child who presented to us with persistent bilateral ear discharge for four months and was not responding to treatment. Read More

    [Auricular sporotrichosis. Atypical case report simulating bacterial cellulitis].
    Rev Chilena Infectol 2018 ;35(1):83-87
    Departamento de Micología, Hospital General de México Dr. Eduardo Liceaga, México.
    Sporotrichosis is the most common subcutaneous or implantation mycosis in Mexico. The case of a preauricular cutaneous-fixed sporotrichosis simulating atypical bacterial cellulitis is reported in an elderly patient with no history of trauma. The biopsy showed a suppurative granuloma with scarce yeast. Read More

    A case report of orbital Langerhans cell histiocytosis presenting as a orbital cellulitis.
    Arch Soc Esp Oftalmol 2018 Apr 8. Epub 2018 Apr 8.
    Unidad de Órbita y Oculoplástica, Servicio de Oftalmología, Hospital Universitario de Gerona Dr. Josep Trueta, Gerona, España.
    Clinical Case: A 10-year-old girl was seen with a 3-week history of right upper lid swelling and with no other symptoms or fever. There was no recent history of sinusitis, trauma, or previous infection involving the periorbital area, or response to oral antibiotic treatment. Orbital computed tomography showed a lesion involving the upper margin of the orbit, and bone destruction at the orbital roof. Read More

    New and Emerging Treatments for Lymphedema.
    Semin Plast Surg 2018 Feb 9;32(1):48-52. Epub 2018 Apr 9.
    Center for Molecular Imaging, Brown Institute for Molecular Medicine, UT Health, Houston, Texas.
    Although nonoperative and operative treatments for lymphedema (LE) are well established, these procedures typically provide only partial relief from limb swelling, functional impairment, and the risk of cellulitis. The lack of a cure for LE, however, is due to an incomplete understanding of the underlying pathophysiological mechanisms, and current research efforts are focusing on elucidating these processes to provide new, targeted therapies for this prevalent disease for which there is no cure. This article reviews the current literature regarding the pathophysiological mechanisms that underlie LE, as well as new and emerging therapies for the condition. Read More

    Lymphoma Maxilla mimicking orbital cellulitis; case report and review of Literature.
    Nepal J Ophthalmol 2017 Jul;9(18):180-186
    Background: Sinonasal lymphomas are the commonest nonepithelial malignancies of the nasal cavity and paranasal sinuses. They may spread from their site of origin in nasal cavity and invade adjacent structures including orbits leading to varying presentation and a diagnostic dilemma.

    Case: A-77- year old Nepalese male presented with swelling of left eye since 1 month and pain in the same eye since 2 days. Read More

    Efficacy and long-term longitudinal follow-up of bone marrow mesenchymal cell transplantation therapy in a diabetic patient with recurrent lower limb bullosis diabeticorum.
    Stem Cell Res Ther 2018 Apr 10;9(1):99. Epub 2018 Apr 10.
    Department of Endocrinology and Nephrology, Diabetic Foot Center, Affliated Central Hospital of Chongqing University, Chongqing Emergency Medical Hospital, Chongqing, China.
    Bullosis diabeticorum is a rare presentation of cutaneous manifestation most commonly affecting the lower limbs in patients with diabetes. The appearance, often as insidious as its resolution, is characterized by tense blisters on the skin surfaces of the lower limbs and the feet. The cause still remains unclear, but it may relate to microangiopathy and neuropathy. Read More

    Clostridium perfringens panophthalmitis and orbital cellulitis: a case report.
    BMC Ophthalmol 2018 Apr 10;18(1):88. Epub 2018 Apr 10.
    Clinical Bacteriology Department, Amiens-Picardie University Hospital, Amiens, France.
    Background: Clostridium perfringens is an uncommon pathogen in endophthalmitis, causing rapid destruction of ocular tissues. Clostridium perfringens infection typically occurs after penetrating injury with soil-contaminated foreign bodies.

    Case Report: Here, we describe the case of a 17-year-old male who sustained a penetrating injury with a metallic intraocular foreign body and who rapidly developed severe C. Read More

    Breast reconstruction with Alloderm Ready to Use: A meta-analysis of nine observational cohorts.
    Breast 2018 Apr 6;39:89-96. Epub 2018 Apr 6.
    Department of Plastic Surgery, The Fourth Affiliated Hospital, College of Medicine, Zhejiang University, Yiwu, Zhejiang Province, China. Electronic address:
    Background: AlloDerm-RTU is a new member of human acellular dermal matrix (HADM) which was launched in 2012. The present meta-analysis aimed to investigate whether AlloDerm-RTU was superior compared with previous HADMs.

    Methods: All available databases were searched for retrospective or prospective studies regarding breast reconstruction with AlloDerm-RTU compared with other HADMs. Read More

    Ulcerative cellulitis of the arm: a case of primary cutaneous cryptococcosis.
    Dermatol Online J 2018 Feb 15;24(2). Epub 2018 Feb 15.
    Department of Medicine, Dermatology, David Geffen School of Medicine at University of California Los Angeles, California.
    Cutaneous cryptococcosis is usually secondary to the hematogenous dissemination of pulmonary or meningeal Cryptococcus neoformans. Primary cutaneous cryptococcosis (PCC) is a rare form of the infection, typically caused by direct inoculation from trauma to the skin [1]. Most cases of PCC present as a localized cellulitis, abscess, nodule, or ulceration. Read More

    Acute mucocutaneous methotrexate toxicity with marked tissue eosinophilia.
    BMJ Case Rep 2018 Apr 7;2018. Epub 2018 Apr 7.
    Department of Pathology and Laboratory Medicine, University of Miami School of Medicine, Miami, Florida, USA.
    Methotrexate toxicity in mucocutaneous areas is usually not associated with tissue eosinophilia. We describe a case of acute methotrexate-induced mucocutaneous erosions with interface dermatitis and eosinophils. A 76-year-old African-American woman with a history of bullous pemphigoid on methotrexate therapy presented with lower extremity cellulitis, developing oral and cutaneous erosions during hospitalization after daily dosage of methotrexate. Read More

    Multivariate analysis of risk factors for Nuss bar infections: A single center study.
    J Pediatr Surg 2018 Mar 8. Epub 2018 Mar 8.
    Children's Hospital of the King's Daughters, Norfolk, VA; Eastern Virginia Medical School, Norfolk, VA; Old Dominion University, Norfolk, VA.
    Background/purpose: Our previously published data suggested several risk factors for infection after the Nuss procedure. We aimed to further elucidate these findings.

    Methods: An IRB-approved (14-03-WC-0034), single institution, retrospective review was performed to evaluate the incidence of postoperative Nuss bar infections associated with seven variables. Read More

    Phlegmonous Gastritis: A Report of Three Cases with Clinical and Imaging Features.
    Intern Med 2018 Mar 30. Epub 2018 Mar 30.
    Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan.
    Phlegmonous gastritis is a rare but often fatal acute pyogenic infection of the stomach. We herein report three cases of phlegmonous gastritis with different causes: the long-term placement of a nasogastric feeding tube, bacteremia associated with cellulitis in a diabetic patient, and an adverse reaction to paclitaxel/carboplatin chemotherapy for cancer of unknown primary cause, which were classified as primary, secondary, and idiopathic types, respectively. Coping with the increasing morbidity rate associated with the diverse background of such patients requires a thorough understanding of the clinical features and image findings associated with this entity. Read More

    Structural Changes of Subcutaneous Tissue Valued by Ultrasonography in Patients with Cellulitis Following Treatment with the PnKCelulitis Program.
    J Clin Aesthet Dermatol 2018 Mar 1;11(3):20-25. Epub 2018 Mar 1.
    Drs. Roe and Serra are with the Dermatology Department at the Hospital de la Santa Creu i Sant Pau in Barcelona, Spain.
    Poor eating habits, a sedentary lifestyle, and limited physical activity are predisposing factors for the development of cellulite. The PnKCelulitis Programme (Pronokal Group, Barcelona, Spain) is a new approach to the treatment of cellulite that combines dietary guidelines, physical exercise, and the application of an anti-cellulite cream. We sought to objectively and via cutaneous ultrasound assess the benefit of the new multidisciplinary anti-cellulite treatment program and to evaluate any visual changes in the appearance of the skin. Read More

    Management of a Severe Cervicofacial Odontogenic Infection.
    J Contemp Dent Pract 2018 Mar 1;19(3):352-355. Epub 2018 Mar 1.
    Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Pernambuco, Camaragibe, Brazil.
    Introduction: Odontogenic infections originate from a tooth or from its supporting structures, generally secondary to a pulp necrosis, periodontal disease, pericoronitis, apical lesions, or complications of dental procedures, which can be restricted to the alveolus or can reach the jaws and face through maxillofacial spaces. These are the most common conditions which affect the head and neck regions.

    Aim: The aim of this study is to report a severe case of a cervicofacial odontogenic infection while discussing the most relevant aspects. Read More

    Ocular involvement in melioidosis: a 23-year retrospective review.
    J Ophthalmic Inflamm Infect 2018 Mar 27;8(1). Epub 2018 Mar 27.
    Department of Ophthalmology, Khon Kaen Hospital, Khon Kaen, Thailand.
    Background: Ocular involvement in melioidosis is rare and has devastating outcomes. Although there have been few reports on the condition, Khon Kaen, a city in northeast Thailand, has been called the "capital of melioidosis" due to the high prevalence of the condition in the region. We retrospectively reviewed all admitted cases of melioidosis with ocular involvement from the two largest hospitals in Khon Kaen. Read More

    External ophthalmomyiasis due to Dermatobia hominis. A case report.
    Arch Soc Esp Oftalmol 2018 Mar 23. Epub 2018 Mar 23.
    Servicio de Oftalmología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
    Clinical Case: A 46-year-old woman with no relevant medical history, native of Honduras and resident in Spain for one and a half months. The patient went to the Emergency Department due to inflammation of the upper eyelid of the right eye, with an area that simulated an abscess. This was drained (obtaining hardly any purulent content). Read More

    Comparison of barbed unidirectional suture with figure-of-eight standard sutures in vaginal cuff closure in total laparoscopic hysterectomy.
    J Obstet Gynaecol 2018 Mar 24:1-6. Epub 2018 Mar 24.
    b Department of Obstetrics and Gynaecology , Arnavutkoy Government Hospital , Istanbul , Turkey.
    The aim of the study was to compare postoperative vaginal cuff complications due to the use of barbed sutures (V-Loc™ 180 unidirectional suture; Covidien, Mansfield, MA) and standard braided sutures (Vicryl; Ethicon Inc., Somerville, MA) during vaginal cuff closure of patients undergoing a total laparoscopic hysterectomy (TLH) due to benign diseases. Eighty-nine patients were in the standard suture group and 208 patients were included in the barbed suture group. Read More

    Features and treatment of gas-forming synergistic necrotizing cellulitis: a nine-year retrospective study.
    Ulus Travma Acil Cerrahi Derg 2018 Mar;24(2):116-120
    Department of Burn, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.
    Background: As many doctors know little about gas-forming synergistic necrotizing cellulitis, we retrospectively explored it in our study.

    Methods: Totally, 30 patients diagnosed with gas-forming synergistic necrotizing cellulitis between November 2006 and September 2015 were included. They were divided into two groups: open drainage group (19 patients) and aggressive debridement group (11 patients). Read More

    A case of bacteremia in continental United States.
    JMM Case Rep 2017 Dec 21;4(12):e005134. Epub 2017 Dec 21.
    Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
    Introduction: has been associated with open wound infections, cellulitis, osteomyelitis, and bacteremia.

    Case Presentation: We report the case of a 41 year old woman with history of congenital myelomeningocele, paraplegia and extensive decubitus ulcers that developed bacteremia secondary to an infected ulcer.

    Conclusion: is an emerging human pathogen that can be readily identified by MALDI-TOF or sequencing. Read More

    Post-licensure safety surveillance study of routine use of quadrivalent meningococcal diphtheria toxoid conjugate vaccine (MenACWY-D) in infants and children.
    Vaccine 2018 04 14;36(16):2133-2138. Epub 2018 Mar 14.
    Kaiser Permanente Vaccine Study Center, 1 Kaiser Plaza 16B, Oakland, CA 94612, USA.
    Background: Menactra® vaccine (MenACWY-D) was licensed in the United States in 2005 for persons 11-55 years of age, in 2007 for children 2-10 years of age, and in 2011 for infants/toddlers 9-23 months of age. We conducted two studies at Kaiser Permanente Northern California (KPNC), an integrated health care organization, to assess the safety of MenACWY-D in 2-10-year-olds and 9-23-month-olds receiving the vaccine during routine clinical care.

    Methods: We conducted observational, retrospective studies of MenACWY-D in 2-10-year-olds (October 2007-October 2010) and in 9-23-month-olds (June 2011-June 2014). Read More

    Gonococcal cellulitis: an (un)friendly bite.
    Infection 2018 Mar 16. Epub 2018 Mar 16.
    Division of Infectious Diseases, University of Massachusetts, Worcester, MA, USA.
    Background: Gonococcal infection can present with wide spectrum of symptoms, most commonly involving the genitals. This case highlights a rare presentation of Neisseria gonorrhoeae infection primarily with skin involvement without uro-genital disease.

    Case: A 33-year-old male was admitted to the hospital with complaints of painful swelling of his penis. Read More

    Two Cases of Myiasis Associated with Malignancies in Patients Living in the Continental United States.
    Cureus 2018 Jan 10;10(1):e2049. Epub 2018 Jan 10.
    Department of Hematology and Oncology, Mount Sinai Hospital.
    Myiasis is the infestation of humans with dipterous larvae. Traditionally, myiasis was thought to affect individuals living in tropical regions, however, several cases in temperate zones have been reported. We encountered two patients with histories of malignancies that presented with complaints of myiasis, in Chicago, in the spring and summer of 2016. Read More

    Incidence and risk factors for healthcare utilisation among patients discharged on outpatient parenteral antimicrobial therapy.
    Epidemiol Infect 2018 Apr 14;146(6):782-787. Epub 2018 Mar 14.
    Eshelman School of Pharmacy,University of North Carolina,Chapel Hill, NC,USA.
    Outpatient parenteral antimicrobial therapy (OPAT) programmes facilitate hospital discharge, but patients remain at risk of complications and consequent healthcare utilisation (HCU). Here we elucidated the incidence of and risk factors associated with HCU in OPAT patients. This was a retrospective, single-centre, case-control study of adult patients discharged on OPAT. Read More

    [Angiosarcoma in primary lymphoedema: A rare complication].
    Ann Dermatol Venereol 2018 Mar 9. Epub 2018 Mar 9.
    Dermatologie, hôpital Saint-Vincent, Lille, France; Université catholique de Lille, Lille, France.
    Background: Chronic lymphoedema is classically complicated by recurring episodes of cellulitis. Degeneration to the angiosarcoma form (Stewart-Treves syndrome) is much less common. It occurs mainly in the upper limbs following surgery or radiotherapy for mammary neoplasia. Read More

    Case report: Embolization of a contraceptive implant into the pulmonary vasculature in an adolescent female.
    Am J Emerg Med 2018 Mar 3. Epub 2018 Mar 3.
    Alpert School of Medicine, Brown University, Providence, RI, United States. Electronic address:
    Nexplanon is a long-acting 4cm radio-opaque rod shaped contraceptive device implanted in the subdermal layer of the inner, upper arm. Complications from implantation are uncommon and mostly local and minor, including infection at the implantation site with resulting cellulitis or abscess, hematoma, abnormal scar formation, or local damage to nerves and blood vessels. Intravascular insertion is estimated to be at 1. Read More

    Varicella zoster causing preseptal cellulitis - uncommon but possible.
    Malays Fam Physician 2017 31;12(3):37-39. Epub 2017 Dec 31.
    (Corresponding author) MBBs (Bangalore), Ms ORL-HNS (UKM) Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia email:
    Background: Varicella has been known to be a harmless childhood disease. However, it has been reported that severe complications have taken place following Varicella infection, in both immunocompetent, as well as immunocompromised, individuals. Cutaneous complications of Varicella may manifest as preseptal cellulitis, albeit rarely. Read More

    A Case of Levofloxacin-Induced Hepatotoxicity.
    Am J Case Rep 2018 Mar 10;19:272-276. Epub 2018 Mar 10.
    Internal Medicine Residency, Southeast Alabama Medical Center, Dothan, AL, USA.
    BACKGROUND Levofloxacin covers a broad spectrum of pathogens and is readily prescribed by clinicians. Hepatotoxicity is a known but unusual complication of levofloxacin use. Here, we present a case of severe transaminitis caused by levofloxacin. Read More

    Saksenaea vasiformis Orbital Cellulitis in an Immunocompetent Child Treated With Posaconazole.
    J Pediatric Infect Dis Soc 2018 Mar 7. Epub 2018 Mar 7.
    Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
    An 11-year-old immunocompetent girl presented with two and a half months of progressive right orbital cellulitis, which did not respond to multiple courses of antibiotics or prednisone. A panfungal polymerase chain reaction primer was positive for Saksenaea vasiformis, and she completed 5 months of oral posaconazole therapy after debridement. Saksenaea vasiformis is a rare cause of zygomycosis, and it typically causes skin and soft tissue infection in immunocompetent hosts, particularly after a traumatic injury. Read More

    An Extremely Rare Cause of Orbital Emphysema in a Child.
    J Craniofac Surg 2018 Mar 8. Epub 2018 Mar 8.
    Division of Plastic and Reconstructive Surgery, Montreal Children's Hospital, McGill University, Montreal.
    The authors present a rare case of nontraumatic medial orbital wall fracture in an 11-year-old girl. Fractures of the orbital wall secondary to nose blowing have not been previously described in the pediatric population. The patient reported a history of chronic forceful nose blowing, followed by periorbital swelling after an episode of vigorous nose blowing. Read More

    Cutaneous ulcerations caused by Paecilomyces variotii in a renal transplant recipient.
    Transpl Infect Dis 2018 Mar 7:e12871. Epub 2018 Mar 7.
    Division of Nephrology, Department of Internal Medicine, Erciyes University Medical School, Kayseri, Turkey.
    Skin infections caused by Paecilomyces species have been rarely described in patients with solid organ transplantation. Cutaneous manifestations are highly variable and include erythematous macules, nodules, pustules, and vesicular and necrotic lesions. The diagnosis of these infections is generally made by examination of a skin biopsy. Read More

    Late Presentation of Infected Silicone Granulomas in the Lower Limb.
    Clin Med Insights Arthritis Musculoskelet Disord 2018 22;11:1179544118759020. Epub 2018 Feb 22.
    Department of Pathology, Royal Free Hospital, London, UK.
    Introduction: Dermal fillers are used for multiple cosmetic indications including gluteal and thigh augmentation. Complications, although infrequent, are increasing due to the dramatic growth of dermal filler use. Our aim was to describe how the complication of infected silicone granulomas can present following lower limb augmentation. Read More

    Merkel cell carcinoma masquerading as cellulitis: a case report and review of the literature.
    Curr Oncol 2018 Feb 28;25(1):e106-e112. Epub 2018 Feb 28.
    Department of Hematology and Oncology, Staten Island University Hospital, Staten Island, NY, USA; and.
    Merkel cell carcinoma (mcc) is an uncommon malignancy of the skin arising from cells located in the deeper layers of the epidermis called Merkel cells. This malignancy rarely presents as a metastatic disease, and the field is therefore deficient in regards to management. We report the case of a 49-year-old woman who presented with a presumptive diagnosis of osteomyelitis of the left fifth digit that was resistant to treatment with antibiotics; she underwent debridement of the digit that revealed mcc and was later to have metastatic disease to her lungs, liver, and musculoskeletal system. Read More

    Retrobulbar abscess: rare complication after repair of an oroantral communication.
    Br J Oral Maxillofac Surg 2018 Apr 2;56(3):227-229. Epub 2018 Mar 2.
    Oral & Maxillofacial Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ. Electronic address:
    We present the case of a retrobulbar abscess that developed secondary to the repair of an oroantral communication. Orbital abscesses have been described in relation to odontogenic infections, facial injury, sinusitis, and after dental extractions but, to the best of our knowledge, none has been reported in these circumstances. Retrobulbar abscess is a rare complication, but early clinical and radiological diagnosis, and urgent decompression are vital because it comes with considerable risk of irreversible visual impairment. Read More

    New Breast Cancer Radiotherapy Technology Confers Higher Complications and Costs Before Effectiveness Proven: A Medicare Data Analysis.
    Inquiry 2018 Jan-Dec;55:46958018759115
    3 Weill Cornell Medicine, New York, NY, USA.
    A new breast cancer treatment, brachytherapy-based accelerated partial breast radiotherapy (RT), was adopted before long-term effectiveness evidence, potentially increasing morbidity and costs compared with whole breast RT. The aim of this study was to estimate complication rates and RT-specific and 1-year costs for a cohort of female Medicare beneficiaries diagnosed with breast cancer (N = 47 969). We analyzed 2005-2007 Medicare claims using multivariable logistic regression for complications and generalized linear models (log link, gamma distribution) for costs. Read More

    Improving Management of Hospitalized Adults With Uncomplicated Cellulitis or Cutaneous Abscess.
    Open Forum Infect Dis 2017 20;4(2):ofx094. Epub 2017 Jun 20.
    Division of Infectious Diseases, Baystate Medical Center, Springfield, Massachusetts; and.
    Implementation of a guideline for the management of hospitalized adults with uncomplicated skin and soft-tissue infections may decrease unnecessary antibiotic use. For cellulitis, treatment with vancomycin and broad-spectrum antibiotics decreased significantly. For cutaneous abscess, treatment with broad-spectrum antibiotics decreased significantly. Read More

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