Coccidiomycosis: ankle septic arthritis with an extended incubation period requiring aggressive multidisciplinary surgical intervention.

Coccidiomycosis is a regional disease with global importance, with both an expanding endemic area and population, as well as increasing travel. Although unusual, it should be considered in patients with a travel history to endemic areas, even when immunocompetent and outside the usual incubation period. We present a case of isolated ankle septic arthritis which required an aggressive multidisciplinary surgical approach as well as antibiotic therapy.

Factors that influence field hockey footwear selection: An online survey.

Background: Little is known about factors that influence footwear selection by field hockey players.

Methods: An online survey was used to collect data on participant demographics and physical characteristics, factors influencing footwear selection, perceptions regarding footwear design features on injury and performance, and experiences regarding usability. Nominal and ordinal data were described as absolute frequencies and relative frequencies.

An undernutrition screening score for dogs with protein-losing enteropathy: A prospective multicenter study.

Background: The impact of undernutrition in dogs with protein-losing enteropathy (PLE) caused by inflammatory enteritis, intestinal lymphangiectasia, or both and which variables are most predictive of outcome are unknown.

Objectives: Develop an undernutrition screening score (USS) for use at the time of diagnosis of PLE in dogs, which is predictive of outcome.

Animals: Fifty-seven dogs with PLE prospectively recruited from 3 referral hospitals in the United Kingdom.

In-hospital antibiotic use for severe chronic obstructive pulmonary disease exacerbations: a retrospective observational study.

Background: The use of antibiotics in mild to severe acute exacerbations of chronic obstructive pulmonary disease (COPD) remains controversial.

Aim: To explore in-hospital antibiotic use in severe acute exacerbations of COPD (AECOPD), to analyze determinants of in-hospital antibiotic use, and to investigate its association with hospital length of stay (LOS) and in-hospital mortality.

Methods: A retrospective, observational study was conducted in Ghent University Hospital.

Cardiac arrest associated with non-toxigenic strain: A case report.

Here we document a rare, acute, infection caused by non-toxigenic and the resulting unique and severe clinical sequelae. Our patient was a young man with no known pre-existing conditions that presented in cardiopulmonary arrest. We contrast this case with prior instances of non-toxigenic strain infection in the United States and summarize the literature that suggests systemic infection can result in cardiogenic toxicity.