[Death certificates-an underestimated source of information for statistics, judicature, public health, and science].

The thorough external examination of a corpse and the correct completion of the death certificate are medical duties with far-reaching consequences. Data obtained from the death certificates are the basis for mortality statistics and for scientific research. They can be helpful in uncovering criminal offences or for the surveillance of medical facilities.

[Clostridium difficile-associated deaths from 2013-2016 in Munich and Nuremberg : Reporting behavior and patient characteristics].

Background: A number of risk factors for C. difficile infection (CDI) are described in the literature, in particular an antibiotic therapy 4-6 weeks before disease, an age of >65 years, immunosuppression and living in a long-term care facility. Increasing incidence rates have been reported for Germany.

[Antibiotic consumption surveillance - state of implementation in Munich hospitals : Latest survey by the Munich public health department on the implementation of § 23 Infection protection act].

Background: On 4 August 2011 a modification of the infection protection act became law, meaning that antibiotic consumption surveillance and evaluation of data on the local resistance situation became obligatory for hospitals. Four years after the modification of the infection protection act became law, the Munich public health department aimed to evaluate the state of implementation of antibiotic consumption surveillance in Munich hospitals and to ascertain which antibiotic stewardship (ABS) structures have already been established.

Methods: A questionnaire was sent to Munich hospitals about their antibiotic management structural data and state of implementation of legal requirements.

A combination of predispositions and exposures as responsible for acute eosinophilic pneumonia.

Background: Acute eosinophilic pneumonia (AEP) is a rare febrile illness which is characterized by respiratory failure and often requires mechanical ventilation. The causes and sequence of events of this disease at a biochemical and histological level remain largely unknown. In this article we report the exceptional case, possibly unique, of a patient who developed AEP and three pneumothoraces within less than one month during her hospitalization.

[Case report--cerebral fat metabolism syndrome after bilateral femoral fracture].

The cerebral fat embolism syndrome has many facets, ranging from delirium to seizures or even brain death. The diagnosis is a real challenge, especially if the pulmonary symptoms are missing, as in the case presented here. After elimination of other causes MRI imaging together with clinical symptoms paths the way to the diagnosis.