Minimalist shoe injuries: three case reports.

Running in minimalist shoes continues to increase in popularity and multiple mainstream shoe companies now offer minimalist shoes. While there is no evidence that traditional running shoes prevent injuries, there are concerns that the designs of minimalist shoes may increase injury risk. However, reports of injuries in runners wearing minimalist shoes are rare.

A temporal model for nonelite triathlon race injuries.

Objective: To (1) classify types and severity of injuries, (2) establish a temporal model for both the incidence and prevalence of injuries, and (3) identify the most appropriate medical manpower needed for nonelite triathlon competition.

Design: Prospective observational study.

Setting: Oklahoma City Redman Triathlon.

Anticonvulsant hypersensitivity: an unfortunate case of triple exposure to phenytoin.

Anticonvulsant hypersensitivity manifests 2 to 12 weeks after patients start taking phenytoin, phenobarbital, or carbemazepine. The syndrome begins with fever followed by a rash that can progress to erythema multiforme, toxic epidermal necrolysis, and multi-organ system involvement. Other common manifestations include lymphadenopathy, facial edema, eosinophilia, and elevated transaminase levels.

Elevated antitoxin titers in a man with generalized tetanus.

Vaccination programs have significantly reduced the incidence of tetanus in the United States. The disease develops almost exclusively in those who have been inadequately immunized. This report describes severe, generalized tetanus in a 29-year-old man who had received a primary series as a child and two booster injections.