Meningitis secondary to Cryptococcus gattii, an emerging pathogen affecting immunocompetent hosts.

Background: Meningitis continues to be one of the most important infections diagnosed and treated by emergency physicians. Despite the advent of anti-infective therapy, meningitis carries a mortality rate of 20%-40%. In this study, we describe the first reported emergency medicine case of meningitis associated with Cryptococcus gattii to alert providers of this insidious, emerging global pathogen infecting immunocompetent individuals.

Clinical practice guidelines for the care and treatment of breast cancer: 13. Sentinel lymph node biopsy.

Objective: To provide information and recommendations to women with breast cancer and their physicians regarding what is now known about sentinel lymph node (SLN) biopsy.

Options: Axillary dissection; SLN biopsy followed by backup axillary dissection; SLN biopsy.

Outcomes: Accurate determination of cancer stage, resulting in better-informed therapeutic decisions.

Clinical practice guidelines for the care and treatment of breast cancer: 11. Lymphedema.

Objective: To provide information and recommendations for women and their physicians when making decisions about the management of lymphedema related to breast cancer.

Options: Compression garments, pneumatic compression pumps, massage and physical therapies, other physical therapy modalities, pharmaceutical treatments.

Outcomes: Symptom control, quality of life, cosmetic results.