Eosinopenia as a diagnostic marker of bloodstream infection in a general internal medicine setting: a cohort study.

Background: Little is known about the potential use of the eosinophil count as a predictive marker of bloodstream infection. In this study, we aimed to assess the reliability of eosinopenia as a predictive marker of bloodstream infection.

Methods: This retrospective cohort study was performed in the outpatient department and general internal medicine department of a tertiary university hospital in Japan.

Safety and efficacy of outpatient follow-up for referred patients with undiagnosed fever: A retrospective cohort study.

Fever is one of the most common symptoms seen in patients. The work-up and follow-up of fever in an outpatient-only setting is a reasonable option for stable patients referred for unexplained fever; however, the safety and efficacy of outpatient follow-up for those patients remain unclear. We conducted this study to evaluate the safety and efficacy of outpatient follow-up for referred patients with unexplained fever.

Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report.

Background: Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained.

Case Presentation: We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES) when Carnett's test was positive and block anesthesia using trigger point injections dramatically improved the symptom of abdominal pain.

Conclusion: We concluded that the differentiation of SSDs, such as psychogenic pain, from ACNES is very difficult.