Marine Develops Chronic Right Knee Granuloma After Initial Injury at The Basic School.

With skin lesions that have failed previous treatments, consideration for an atypical mycobacteria, specifically Mycobacterium marinum, infection should be suspected. Importance of the history cannot be stressed as this is a clue that the patient may have been inoculated and infected in the field environment. A marine with chronic right knee plaque for 3 yr that first appeared after a field exercise at The Basic School but worsened despite treatment with clindamycin, TMP-SMX, and incision and drainage in 2012.

[Efficient and improved diagnosis of osteoporosis by simultaneous bone density measurement and spinal morphometry].

Objective: As the vertebral fracture status is an important and independent parameter for the prediction of future fractures, we aimed to determine the added value of spinal morphometry performed in combination with bone density measurement in the determination of vertebral fracture status in patients referred for conventional bone density measurement.

Design: Prospective, observational.

Method: Consecutive patients referred to our university medical centre department for bone mineral density measurement also underwent spinal morphometry at the same session.

Diagnosis of lumbar spinal stenosis: a systematic review of the accuracy of diagnostic tests.

Study Design: Systematic review of diagnostic studies.

Objective: To investigate the diagnostic performance of tests used to detect lumbar spinal stenosis.

Summary Of Background Data: Little is known about the diagnostic accuracy of tests in detecting lumbar spinal stenosis.