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    Primary scarring alopecia: A retrospective study of 89 patients in Taiwan.
    J Dermatol 2018 Jan 16. Epub 2018 Jan 16.
    Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
    Primary scarring alopecia (PSA) is caused by irreversible damage to the hair epithelial stem cells that reside in hair follicles. There is limited published work regarding PSA amongst the Asian population. The aim of this study was to evaluate the clinical features and to characterize the subtypes of PSA in southern Taiwan. Read More

    Treatment of a Klebsiella pneumoniae KPC cellulitis and gut decolonization with ceftazidime/avibactam in a migrant from Libya.
    J Chemother 2018 Jan 16:1-2. Epub 2018 Jan 16.
    a First division of Infectious Diseases , Cotugno Hospital, AORN dei Colli , Naples , Italy.
    KPC-producing Klebsiella pneumoniae (KPC-Kp) is nowadays a global concern. Ceftazidime/avibactam is the most promising novel antibiotic combination available at the moment. We describe the case of a migrant with no risk factors for an infection due to multidrug resistant bacteria. Read More

    Pyoderma gangrenosum demographics, treatments, and outcomes: an analysis of 2,273 cases.
    J Wound Care 2018 Jan;27(Sup1):S4-S8
    Indiana University School of Medicine, Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine Indianapolis, IN, US; Division of Plastic and Reconstructive Surgery, R.L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, US.
    Objective: Pyoderma gangrenosum is a rare, neutrophil-mediated, auto-inflammatory dermatosis. This condition has clinical features analogous to infectious processes and must be quickly diagnosed to be properly treated. The purpose of this study was to characterise relevant clinical features associated with pyoderma gangrenosum based on a large inpatient cohort. Read More

    Human bite injuries to the head and neck: current trends and management protocols in England and Wales.
    Oral Maxillofac Surg 2018 Jan 14. Epub 2018 Jan 14.
    Prince Charles Hospital, Gurnos Road, Merthyr Tydfil, CF47 9DT, UK.
    Introduction: Human bite injuries can be challenging in their presentation to the examining physician. In a study by Merchant et al., 18% of patients presenting with a human bite injury had suffered wounds to the head and neck region. Read More

    Risk of Infection in Type 1 and Type 2 Diabetes Compared With the General Population: A Matched Cohort Study.
    Diabetes Care 2018 Jan 12. Epub 2018 Jan 12.
    Population Health Research Institute, St George's, University of London, London, U.K.
    Objective: We describe in detail the burden of infections in adults with diabetes within a large national population cohort. We also compare infection rates between patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM).

    Research Design And Methods: A retrospective cohort study compared 102,493 English primary care patients aged 40-89 years with a diabetes diagnosis by 2008 (n = 5,863 T1DM and n = 96,630 T2DM) with 203,518 age-sex-practice-matched control subjects without diabetes. Read More

    A Case of Right-Sided Direct Carotid Cavernous Fistula: A Diagnostic Challenge.
    Am J Case Rep 2018 Jan 12;19:47-51. Epub 2018 Jan 12.
    Department of Internal Medicine, University of Nevada-Reno, School of Medicine, Reno, NV, USA.
    BACKGROUND Carotid cavernous fistulas (CCFs) are rare potentially sight-threatening abnormal connections between carotid artery and cavernous sinus. CASE REPORT We report a case of CCF in an 83-year-old female, who presented with swollen and painful right eye. The patient was initially treated with empiric antibiotics for suspected peri-orbital cellulitis, as noted clinically and in computed tomography (CT) orbits. Read More

    Utility of fosfomycin as antibacterial prophylaxis in patients with hematologic malignancies.
    Support Care Cancer 2018 Jan 10. Epub 2018 Jan 10.
    Department of Internal Medicine, Infectious Disease Section, Yale-New Haven Hospital, 20 York Street, New Haven, CT, 06510, USA.
    Purpose: Prolonged and profound neutropenia is common among hematology and hematopoietic stem cell transplant (HSCT) patients as a result of chemotherapy. The National Comprehensive Cancer Network (NCCN) and Infectious Diseases Society of America (IDSA) currently recommend antibacterial prophylaxis in patients who are deemed at intermediate or high risk for infection. Specifically, fluoroquinolone prophylaxis should be considered for high-risk neutropenic patients. Read More

    A Fatal Case of Super-super Obesity (BMI >80) in a Patient with a Necrotic Soft Tissue Infection.
    Intern Med 2018 Jan 11. Epub 2018 Jan 11.
    Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University.
    A 35-year-old man (height, 169 cm; body weight,240 kg; BMI, 84) visited the Department of Dermatology due to left leg pain and swelling. Focused enhanced computed tomography (CT) of the left leg ruled out complications of deep venous thrombosis. Surgical exploration of the left leg resulted in a diagnosis of necrotic soft tissue infection, but amputation was ruled out due to his weight. Read More

    Pasteurella infections in a tertiary centre - from cellulitis to multiple-organ failure: Retrospective case series.
    SAGE Open Med Case Rep 2017 19;5:2050313X17748286. Epub 2017 Dec 19.
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
    The purpose of this article is to review the clinical features of pasteurellosis in a tertiary centre over a period of 4½ years. We have identified eight cases of Pasteurella multocida and one case of Pasteurella canis infection, with a large diversity of clinical pictures and outcomes. All patients were elderly and/or immunocompromised and 55. Read More

    Robotic inguinal lymph node dissection for melanoma: a novel approach to a complicated problem.
    J Robot Surg 2018 Jan 6. Epub 2018 Jan 6.
    Department of Urology, University of Tennessee College of Medicine Chattanooga, 979 East Third Street, Suite C-925, Chattanooga, TN, 37403, USA.
    Background: Indications for superficial inguinal lymph node (ILN) dissection in melanoma include fine needle aspiration or clinically positive ILN and sentinel lymph nodes (SLN). Open inguinal lymphadenectomy may be complicated by poor wound healing, deep vein thrombosis, and lymphedema. Technical considerations and case series of a novel surgical approach, robotic inguinal lymphadenectomy, are presented. Read More

    Tramadol-Induced Hiccups: A Report of Two Cases.
    Drug Saf Case Rep 2018 Jan 5;5(1). Epub 2018 Jan 5.
    Department of Pharmacology, Government Medical College and Sir Takhtasinhji General Hospital, 1st floor, Bhavnagar, Gujarat, 364001, India.
    Hiccups can be idiopathic, psychogenic and organic, with drugs being one of the most important causes of hiccups. Although the exact pathophysiological processes involved are still poorly understood, the neurotransmitters dopamine, serotonin, and γ-aminobutyric acid (GABA) have been documented to play a significant role in the generation of hiccups. We report on two patients with cellulitis who developed hiccups with the use of tramadol as an analgesic. Read More

    Clinical Guidelines for the Antibiotic Treatment for Community-Acquired Skin and Soft Tissue Infection.
    Infect Chemother 2017 Dec;49(4):301-325
    Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
    Skin and soft tissue infection (SSTI) is common and important infectious disease. This work represents an update to 2012 Korean guideline for SSTI. The present guideline was developed by the adaptation method. Read More

    Conservative Management for Subperiosteal Orbital Abscess in Adults: A 20-Year Experience.
    Ann Otol Rhinol Laryngol 2018 Jan 1:3489417751155. Epub 2018 Jan 1.
    1 Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
    Objective: Orbital complications (OC) secondary to acute rhinosinusitis (ARS) in adults are less common than in children, with assumed worse outcome.

    Materials And Methods: Adults with OC secondary to ARS between 1994 and 2014 were reviewed retrospectively. Parameters recorded included age, gender, clinical symptoms and signs, computed tomography (CT) scan findings, duration of hospitalization, treatment before and during admission, cultures, and outcome. Read More

    Septolobular Panniculitis in Disseminated Lyme Borreliosis.
    J Cutan Pathol 2018 Jan 2. Epub 2018 Jan 2.
    University of Iowa Hospitals and Clinics, Departments of Dermatology and Pathology, Iowa City, IA.
    Lyme disease classically evolves through clinical manifestations according to the stage of illness. Because many of the systemic symptoms are nonspecific, and because serology may yield false negative results, cutaneous findings merit even greater importance to diagnosis. The prototypical skin lesion, erythema migrans (EM), occurs early and is the only independently diagnostic clinical feature according to the guidelines of the Infectious Disease Society of America. Read More

    Knowledge and Attitude of Dental Surgeons about Ocular Complications Due to Dental Infection.
    J Pharm Bioallied Sci 2017 Nov;9(Suppl 1):S147-S153
    Department of Oral Pathology, Guru Gobind Singh College of Dental Sciences and Research Centre, Bhuranpur, Madhya Pradesh, India.
    Background: Ocular complications such as ophthalmia, defective vision, orbital cellulitis, and blindness (temporary or permanent) are rare complications due to dental infection. Currently, there is lack of guidelines in preventing and managing ocular problems. Hence, we assessed the dentist's knowledge and attitudes about ocular complications due to dental infection. Read More

    First Ever Use of Proton Stereotactic Body Radiation Therapy Delivered with Curative Intent to Bilateral Synchronous Primary Renal Cell Carcinomas.
    Cureus 2017 Oct 24;9(10):e1799. Epub 2017 Oct 24.
    Department of Radiation Oncology, University of Maryland Medical Center.
    Limited therapeutic options exist for inoperable bilateral kidney tumors. We report the first ever use of proton therapy to treat primary renal cell carcinoma (RCC) and the first report of proton stereotactic body radiation therapy (SBRT) for RCC in an inoperable patient with synchronous RCCs treated with proton SBRT. The patient is a 47-year-old 450-pound female with multiple medical comorbidities, including Stage 3 chronic kidney disease (CKD), who was found to have bilateral renal masses during work-up for cellulitis and sepsis. Read More

    Chickenpox: an ageless disease.
    BMJ Case Rep 2017 Dec 22;2017. Epub 2017 Dec 22.
    Department of Geriatric Medicine, Princess Royal University Hospital, Orpington, UK.
    A 97-year-old woman presented with 4-day history of vesicular rash, initially at the feet but then spread up to the thighs bilaterally, abdomen and trunk. The initial differentials included bullous pemphigus and cellulitis by the emergency department. She was then managed as bullous pemphigus by the acute medical team and started on high-dose steroids, with no other differentials considered. Read More

    Association between atopic dermatitis and serious cutaneous, multiorgan and systemic infections in US adults.
    Ann Allergy Asthma Immunol 2018 Jan;120(1):66-72.e11
    Departments of Dermatology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Northwestern Medicine Multidisciplinary Eczema Center, Chicago, Illinois. Electronic address:
    Background: Atopic dermatitis (AD) is associated with barrier disruption, immune dysregulation, and immunosuppressing treatments that can increase the association with an unusual number of infections.

    Objective: To determine whether adults with AD have an unusually large number of serious infections and related outcomes.

    Methods: Data from the 2002 to 2012 National Inpatient Sample were analyzed, including an approximately 20% sample of all US hospitalizations (n = 72,108,077 adults). Read More

    A surgeon's nightmare: pyoderma gangrenosum with pathergy effect mimicking necrotising fasciitis.
    BMJ Case Rep 2017 Dec 20;2017. Epub 2017 Dec 20.
    Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
    A 53-year-old woman was admitted for vulval swelling and fever. She was initially diagnosed with vulval cellulitis and given parenteral antibiotics. Within 1 week, she developed necrotic-looking skin lesions extending from her vulva to her buttock. Read More

    Biceps Augmentation Using Solid Silicone Implants.
    Aesthet Surg J 2017 Dec 18. Epub 2017 Dec 18.
    Dr Senderoff is a plastic surgeon in private practice in New York, NY.
    Background: Biceps augmentation using solid silicone implants has been increasingly requested in recent years despite a paucity of literature evaluating the safety and efficacy of this procedure.

    Objectives: The purpose of this study was to provide information about complications, surgical planning, and aesthetic outcomes of biceps augmentation.

    Methods: A retrospective chart review was conducted for patients undergoing solid silicone biceps augmentation in the author's practice from April 2011 through May 2016. Read More

    Disseminated cryptococcosis with skin lesions: report of a case series.
    An Bras Dermatol 2017 ;92(5 Suppl 1):69-72
    Department of Pathology, Escola Paulista de Medicina - Universidade Federal de São Paulo (EPM-UNIFESP) - São Paulo (SP), Brazil.
    Cryptococcosis is a common fungal infection in immunocompromised patients, caused by genus Cryptococcus, presenting with meningitis, pneumonia, and skin lesions. Cutaneous presentation can be varied, but specifically in solid organ transplant recipients (iatrogenically immunocompromised), cryptococcosis should always be considered in the differential diagnosis of cellulitis-like lesions, since the delay in diagnosis leads to worse prognosis and fatal outcome. We report four cases of cryptococcosis with cutaneous manifestation not only for its rarity, but also to emphasize the important role of the dermatologist in the diagnosis of this disease. Read More

    Tinea capitis mimicking dissecting cellulitis in three children.
    Pediatr Dermatol 2017 Dec 18. Epub 2017 Dec 18.
    Department of Dermatology, Mayo Clinic, Rochester, MN, USA.
    Tinea capitis mimicking dissecting cellulitis is a rare presentation, and there is a paucity of information regarding this presentation in the literature. Three children 10-14 years of age who presented with an unusual clinical manifestation of tinea capitis that clinically resembled dissecting cellulitis are reported. The patients were treated with systemic antifungals for 3-4 months. Read More

    Features of Prevertebral Disease in Patients Presenting to a Head and Neck Surgery Clinic with Neck Pain.
    Ann Maxillofac Surg 2017 Jul-Dec;7(2):228-231
    Department of Surgery, Florida Atlantic University, Boca Raton, Florida, USA.
    Introduction: Untreated prevertebral space infections, which can be overlooked because of connections with surrounding spaces, may lead to spinal epidural accumulations that cause cord compression. The aim of this study was to analyze the epidemiologic and diagnostic features of cases of prevertebral disease encountered by head and neck specialists.

    Materials And Methods: The study was designed as a retrospective chart review of 11 patients with prevertebral disease who presented to a head and neck surgery specialist for consultation from 2004 to 2010. Read More

    Case report of the family transmission of Streptococcus pyogenes orbital cellulitis.
    Am J Ophthalmol Case Rep 2017 Jun 20;6:52-54. Epub 2017 Feb 20.
    Sainte-Justine Hospital, Montreal University, Canada.
    Purpose: This is a case report of an unusual case of the family transmission of Streptococcus pyogenes infection in three siblings. One brother contracted the infection which resulted in orbital cellulitis of two of his siblings, in the absence of anatomical or immunological predisposing factors.

    Observations: A young boy contracted an uncomplicated S pyogenes upper respiratory tract infection. Read More

    Sulfamethoxazole-Trimethoprim (Cotrimoxazole) for Skin and Soft Tissue Infections Including Impetigo, Cellulitis, and Abscess.
    Open Forum Infect Dis 2017 2;4(4):ofx232. Epub 2017 Nov 2.
    Menzies School of Health Research, Charles Darwin University, North Territory, Australia.
    Skin and soft tissue infections (SSTI) affect millions of people globally, which represents a significant burden on ambulatory care and hospital settings. The role of sulfamethoxazole-trimethoprim (SXT) in SSTI treatment, particularly when group A Streptococcus (GAS) is involved, is controversial. We conducted a systematic review of clinical trials and observational studies that address the utility of SXT for SSTI treatment, caused by either GAS or Staphylococcus aureus, including methicillin-resistant (MRSA). Read More

    Helicobacter canis bacteraemia and cellulitis in a patient with end-stage renal disease.
    JMM Case Rep 2017 Nov 8;4(11):e005126. Epub 2017 Nov 8.
    Department of Pathology, University of Utah School of Medicine/ARUP Laboratories, Salt Lake City, UT, USA.
    Introduction. Invasive infections by Helicobacter canis are uncommon and occur primarily in immunocompromised patients. Here, we describe a case of H. Read More

    Factors that affect the duration of antimicrobial therapy for cellulitis.
    J Infect Chemother 2017 Dec 15. Epub 2017 Dec 15.
    Department of Dermatology, National Hospital Organization Kanazawa Medical Center, 1-1 Shimoishibiki-machi, Kanazawa 920-8650, Japan.
    Background: The recommended duration of antibiotic therapy for patients hospitalized with cellulitis is 5-14 days. However, factors that affect the duration of treatment have rarely been examined.

    Methods: We conducted an observation study in a regional hospital in Japan to examine factors that affect the duration of antibiotic therapy for cellulitis. Read More

    Do Groin Drains Reduce Postoperative Morbidity in Women Undergoing Inguinofemoral Lymphadenectomy for Vulvar Cancer?
    Int J Gynecol Cancer 2018 Jan;28(1):183-187
    Objective: Sentinel lymph node biopsy has been widely adopted in the surgical management of women with early-stage vulvar cancer, but many patients require inguinofemoral lymphadenectomy (IFL). Following IFL, many surgeons drain the groin to prevent lymphocyst formation despite a lack of evidence to support this practice. Our objective was to investigate whether groin drains after IFL are associated with reduced postoperative morbidity in women undergoing surgery for vulvar cancer. Read More

    Orbital Cellulitis Presenting as Giant Cell Arteritis: A Case Report.
    Acta Neurol Taiwan 2017 Jun;26(2):72-75
    Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
    Purpose: To present a case of orbital cellulitis initially mimicking giant cell arteritis.

    Case Report: An 80-year-old man with a history of hypertension and type 2 diabetes mellitus was referred with a prominent progressive headache over the right temporal and periorbital areas. Non-contrast brain CT results were normal, but ESR was elevated. Read More

    Necrotising soft tissue infection without systemic toxicity in a patient with rheumatoid arthritis treated with tocilizumab.
    BMJ Case Rep 2017 Dec 15;2017. Epub 2017 Dec 15.
    Division of General Internal Medicine, Tokai University School of Medicine, Isehara, Japan.
    A Japanese woman aged 76 years with rheumatoid arthritis treated with prednisolone and tocilizumab presented with a 2-day history of redness and pain in her right thigh. She was hospitalised with a primary diagnosis of cellulitis and antimicrobial therapy was initiated. She had been stable until the fourth day of admission, when the swelling of her right thigh rapidly worsened and demonstrated purpura; she was subsequently unable to walk because of the pain. Read More

    Orbital Cellulitis.
    Surv Ophthalmol 2017 Dec 15. Epub 2017 Dec 15.
    Department of Ophthalmology, University of Thessaly, Larissa, Greece. Electronic address:
    Orbital cellulitis (OC) is an inflammatory process that involves the tissues located posterior to the orbital septum within the bony orbit, but the term generally is used to describe infectious inflammation. It manifests with erythema and edema of the eyelids, vision loss, fever, headache, proptosis, chemosis, and diplopia. OC usually originates from sinus infection, infection of the eyelids or face, and even hematogenous spread from distant locations. Read More

    Cutaneous manifestations of obesity and themetabolic syndrome.
    Clin Dermatol 2018 Jan - Feb;36(1):81-88. Epub 2017 Sep 8.
    Department of Dermatology, Istanbul Medeniyet University School of Medicine, Istanbul, Turkey.
    The cutaneous manifestations of obesity and the associated metabolic syndrome (MetS) may present with a wide variety of cutaneous findings, including acanthosis nigricans, acrochordon, cellulitis, psoriasis, hidradenitis suppurativa, acne, and hirsutism. Being aware of such clinical signs and the underlying systemic disorders may facilitate earlier diagnoses, thereby permitting earlier of therapy initiation and prevention of long-term sequelae. In this process, dermatologists are key figures in the early detection of MetS and its clinical manifestations. Read More

    Wells syndrome secondary to influenza vaccination: A case report and review of the literature.
    Hum Vaccin Immunother 2017 Dec 14:1-3. Epub 2017 Dec 14.
    b Division of Internal Medicine, McGill University Health Center , Montreal , Quebec , Canada.
    Vaccinations have been shown repeatedly to be extremely safe with low incidence of complications. Given the rarity, these adverse events, they must be reported and examined cautiously. This case report illustrates the first case of an adult presenting with Wells syndrome that developed soon after vaccination with the thiomersal, a common preservative, containing influenza vaccine. Read More

    Clinical Course of Eosinophilic Cellulitis.
    Tokai J Exp Clin Med 2017 Dec 20;42(4):143-146. Epub 2017 Dec 20.
    Department of General Internal Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, kanagawa 259-1193, Japan.
    The patient was a previously healthy 23-year-old woman who made an outpatient visit to our hospital's Department of General Internal Medicine after developing pain and edema of the lower legs a week earlier. The patient was diagnosed with eosinophilic cellulitis (EC) based on an increased eosinophil count of 5,418/mm3 and the results of a skin biopsy of the lower leg that showed eosinophilic infiltration of the dermal tissue. Her condition improved after oral prednisone therapy. Read More

    Surgical intervention in a complicated persistent chyle leak.
    Int J Surg Case Rep 2017 Nov 28;42:7-9. Epub 2017 Nov 28.
    Sanger Heart and Vascular Institute at CHS, 1001 Blythe Blvd., Suite 300, Charlotte, NC 28203, United States.
    Introduction: Chyle leak following cervical surgery has a reported incidence of around 2% annually, and the injury primarily favors a left sided involvement. Our patient presented with a right sided neck persistent chyle leak status post cervical neck dissection and radiation therapy. Infection complicated the patient's clinical course, and he inevitably required a right sided VATS thoracic duct ligation. Read More

    Which outcomes are reported in cellulitis trials? Results of a review of outcomes included in cellulitis trials and a patient priority setting survey.
    Br J Dermatol 2017 Dec 9. Epub 2017 Dec 9.
    Centre of Evidence-based Dermatology, The University of Nottingham, Nottingham, UK.
    Background: There is an emerging need to develop consistent outcomes in clinical trials to allow effective comparison of treatment effects. No systematic review has previously looked at the reporting of outcome measures used in randomised controlled trials (RCTs) on treatment and prevention of cellulitis (erysipelas).

    Objectives: The primary aim of this review was to describe the breadth of outcomes reported from RCTs on cellulitis treatment and prevention. Read More

    Cellulitis: current insights into pathophysiology and clinical management.
    Neth J Med 2017 Nov;75(9):366-378
    Department of Medicine, Academic Medical Center, Amsterdam, the Netherlands.
    Cellulitis is a bacterial skin and soft tissue infection which occurs when the physical skin barrier, the immune system and/or the circulatory system are impaired. Diabetes, obesity and old age are associated with defects in all of these areas and as a result are major predisposing factors for cellulitis. In this review, we summarise current insights into the pathophysiology of cellulitis and place the Dutch guidelines on the clinical management of cellulitis of the lower extremities in perspective. Read More

    Mycobacterium tuberculosis of the elbow joint.
    BMJ Case Rep 2017 Dec 6;2017. Epub 2017 Dec 6.
    Department of Microbiology, Glasgow Royal Infirmary, Glasgow, UK.
    Mycobacterium tuberculosis(TB) affecting the elbow joint is rarely reported in the developed world. We present the case of an 85-year-old Caucasian female who complained of a chronically discharging and painful wound across her left elbow during her admission for an ischaemic stroke. This was initially deemed to be either a bursitis or local manifestation of amyloid by her general practitioner and dermatologist respectively prior to admission. Read More

    Lymphatic drainage efficiency: a new parameter of lymphatic function.
    Acta Radiol 2017 Jan 1:284185117744226. Epub 2017 Jan 1.
    Department of Nuclear Medicine, 1949 Brighton and Sussex University Hospitals NHS Trust , Brighton, UK.
    Background Following convection from blood capillaries, plasma proteins are transported to loco-regional lymph nodes in two stages: first, uptake into peripheral lymphatics, and second, transport to nodes. Purpose To introduce a new parameter of lymphatic function that quantifies stage 2 - lymphatic drainage efficiency (LDE). Material and Methods Percentage injected activity (IIQ) in ilio-inguinal nodes 150 min following subcutaneous foot web-space injection of Tc-99 m-nanocolloid was measured in 102 patients undergoing lymphoscintigraphy using a method in which a standard is placed by image guidance over the nodes. Read More

    Variation in Care and Clinical Outcomes in Children Hospitalized With Orbital Cellulitis.
    Hosp Pediatr 2018 Jan 5;8(1):28-35. Epub 2017 Dec 5.
    Divisions of Pediatric Hospital Medicine and.
    Objectives: To describe variation in the care of children hospitalized with orbital cellulitis and to determine associations with length of stay (LOS), emergency department (ED) revisits, and hospital readmissions.

    Methods: By using the Pediatric Health Information System, we performed a multicenter, retrospective study of children aged 2 months to 18 years with a primary International Classification of Diseases, Ninth Revision, Clinical Modification discharge diagnosis code for orbital cellulitis from 2007 to 2014. We assessed hospital-level variation in the use of diagnostic tests, corticosteroids, and antibiotics individually and in aggregate for association with outcomes (LOS, ED revisits, readmissions) after risk-adjusting for important clinical and demographic factors. Read More

    Sphingomonas paucimobilis presenting as acute phlebitis: A case report.
    IDCases 2018 22;11:6-8. Epub 2017 Nov 22.
    Department of Internal Medicine, University of Illinois Peoria Campus, OSF Saint Francis Medical Center, Peoria, IL 61637, United States.
    Sphingomonas paucimobilis is a strictly aerobic, non-spore-forming Gram-negative bacillus, ubiquitous bacterium, thought to be an opportunistic pathogen and is rarely reported in clinical settings. Here in, is the first case report of Acute Sphingomonas phlebitis secondary to intravenous (IV) drug use. We present the case of a 39-year-old male who initially presented with pain in his right upper extremity, fevers and chills of three week duration. Read More

    Natural lymphatic ("atypical") actinobacillosis in cattle caused by Actinobacillus lignieresii.
    J Vet Diagn Invest 2017 Dec 1:1040638717742621. Epub 2017 Dec 1.
    Instituto Nacional de Investigación Agropecuaria, La Estanzuela, Colonia, Uruguay (Caffarena, Rabaza, Casaux, Macías Rioseco, Schild, Monesiglio, Fraga, Giannitti, Riet-Correa).
    Bovine actinobacillosis is typically characterized by pyogranulomatous glossitis (wooden tongue). The involvement of other tissues, generally the skin or lymph nodes, has been regarded as atypical or cutaneous. We describe herein 2 outbreaks of actinobacillosis affecting primarily the lymph nodes of the head and neck. Read More

    A Novel Presentation of Cutaneous Angiosarcoma: A Case Report and Review.
    Indian J Med Paediatr Oncol 2017 Jul-Sep;38(3):363-366
    Department of Pathology, Post Graduate Institute of Medical Education and Research Dr. RML Hospital, New Delhi, India.
    We report a case of a 70-year-old male, with slowly widening induration, ulceration, and oozing for 3 months on the scalp and face. The diagnosis of aggressive cutaneous angiosarcoma was made on histopathology and immunochemistry from the biopsy material from the involved area of the skin. Read More

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