Atraumatic splenic rupture due to covid-19 infection.

Background: Covid-19 is a novel disease caused by the severe acute respiratory coronavirus (SARS-CoV2). We discuss a gentleman who presented with an atraumatic rupture of the spleen secondary to this infection.

Brief Summary Of Presentation: A 57-year-old service engineer was brought into the emergency department after having collapsed at home.

Lemierre's Syndrome: Recognising a Typical Presentation of a Rare Condition.

Lemierre's syndrome is a rare complication following an acute oropharyngeal infection. The aetiological agent is typically anaerobic bacteria of the genus Fusobacterium. The syndrome is characterised by a primary oropharyngeal infection followed by metastatic spread and suppurative thrombophlebitis of the internal jugular vein.

Late diagnosis among our ageing HIV population: a cohort study.

Introduction: With the advent of combined antiretroviral therapy (cART), more people infected with HIV are living into older age; 22% of adults receiving care in the UK are aged over 50 years [1]. Age influences HIV infection; the likelihood of seroconversion illness, mean CD4 count and time from infection to development of AIDs defining illnesses decreases with increasing age. A UK study estimates that half of HIV infections in persons over 50 years are acquired at an age over 50 [2].

Evaluation of antiretroviral therapy results in Blantyre, Malawi.

Unlabelled: We performed a cross sectional study to evaluate treatment results of the paying antiretroviral therapy clinic of Queen Elizabeth Central Hospital, Blantyre. The only antiretroviral therapy was a fixed drug combination of stavudine, lamivudine and nevirapine.

Methods: Interviews, laboratory tests (CD4 count, viral load, nevirapine plasma levels, transaminases) and data extraction from files.

Pharmacy-implemented guidelines on switching from intravenous to oral antibiotics: an intervention study.

Background: A high proportion of medical in-patients in the UK receive intravenous (IV) antibiotic therapy. This may be inappropriate in non-severe infections, or unnecessarily prolonged.

Aim: To assess the impact of guideline implementation on IV antibiotic prescribing in medical admissions to a general hospital.

Cryptococcus neoformans var. gattii meningitis in an HIV-positive patient: first observation in the United Kingdom.

We present a case of meningitis due to Cryptococcus neoformans var. gattii in an HIV-infected man recently returned from South Africa. We believe this is the first imported case of meningitis secondary to Cryptococcus neoformans var.

Moraxella catarrhalis bacteraemia associated with Mycoplasma pneumoniae infection and pneumonia.

This report describes a case of severe pneumonia associated with Mycoplasma pneumoniae infection and Moraxella catarrhalis bacteraemia in a 44-y-old woman with undiagnosed breast carcinoma. M. pneumoniae is increasingly recognized as a co-pathogen but to the authors' knowledge this is the first reported case of M.