Out of this world: complicated urinary tract infection in a patient with associated pubic symphysis osteomyelitis and pyomyositis.

is a gram-negative rod initially isolated from condensation at the Russian Mir space station. In the literature, there are few cases of human isolates that have been identified, with only one prior case of urinary tract infection (UTI). Here we report a case of a patient with a chronic suprapubic catheter that was found to have UTI with fistulization between the bladder and pubic symphysis, leading to osteomyelitis and surrounding pyomyositis.

Outcomes of Idiopathic Pulmonary Fibrosis Improve with Obesity: A Rural Appalachian Experience.

Objectives: Obesity can be an independent predictor of fibrosis in tissues, including the liver, heart, and skin. We evaluated a rural Appalachian cohort of idiopathic pulmonary fibrosis (IPF) for its relation to obesity.

Methods: Using American Thoracic Society 2018 diagnostic guidelines, an IPF cohort was systematically identified at an Appalachian academic medical center (2015-2019).