[Cavernous Nontuberculous Mycobacterial Lung Infection in an HIV-positive Patient].

Since we first described Mycobacterium heckeshornense, a rare species of mycobacteria in 2000, only 21 cases of infection with this mycobacterium have been described in humans. We relate the diagnosis and therapy of another case of this uncommon nontuberculous mycobacterium in an immune-suppressed patient.

[Migration and Tuberculosis].

The majority of the people suffering from tuberculosis in Germany are migrants. The treatment of this demographic still presents certain challenges. Only up to a quarter to a fifth of tuberculosis cases in migrants is being diagnosed by the screening methods that were implemented by The German Protection against Infection Act (Infektionsschutzgesetz, IfSG).

Our favorite tips for "getting in" with difficult patients.

This article presents two techniques for interviewing difficult patients. In "crossing over the to the other side of the canyon," the interviewer can gain the confidence and cooperation of a patient who does not accept the existence of a psychiatric problem by focusing on and reducing the client's distress, rather than quibbling over a diagnostic label. By using the "what if.

Brain functions and psychiatric disorders. A clinical view.

Psychiatric disorders are viewed as brain disorders affecting five circuits of the brain: the brainstem, the hypothalamus, the motor striatum, the limbic system (ventral striatum), and the neocortex. This five-circuit model combines neuroscientific, psychopharmacologic, evolutionary, introspective, and behavioral data. The article presents a broad speculative overview of some brain functions and dysfunctions relevant for clinicians.