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Above-Knee Amputation in a 69-Year-Old Male with Gouty Tophi Complicated by Necrotizing Fasciitis - A Case Report.
Mod Rheumatol Case Rep
December 2024
Department of Plastic and Reconstructive Surgery, Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Gout is the most prevalent form of inflammatory arthritis in males as a result of high uric acid levels that cause deposition of monosodium urate crystals in soft tissues, bones and joints. It commonly presents as swollen, erythematous and painful joint. Necrotizing fasciitis is rapidly progressing aggressive soft tissue infection that spreads along the fascial planes sparing the skin; it is very uncommon for necrotizing fasciitis to occur as a complication of gouty arthritis.
View Article and Find Full Text PDFAn Unusual Case of Haemophilus influenzae Associated Polyarthritis: Diagnostic and Therapeutic Challenges in Concurrent Septic and Reactive Arthritis.
Cureus
November 2024
Acute Medicine, Sandwell and West Birmingham NHS Trust, Birmingham, GBR.
Septic arthritis and reactive arthritis are both recognized as distinct causes of swollen joints; however, they can, at times, overlap as causes of acute polyarthritis. Septic arthritis is an orthopedic emergency, typically caused by bacterial infection, and requires urgent antibiotic treatment and joint drainage to prevent irreversible joint damage. In contrast, reactive arthritis is a sterile, immune-mediated arthritis that occurs following infections and is managed with anti-inflammatory treatments such as corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs).
View Article and Find Full Text PDFUnusual Morphology of a Distal Femur Fracture.
Cureus
September 2024
Orthopedics, Prince Sultan Military Medical City, Riyadh, SAU.
Article Synopsis
- - Fractures of the distal femur, although rare, are serious and typically occur in younger and older populations due to high-energy trauma in younger people and falls in the elderly.
- - A case study of a 65-year-old woman with multiple health issues illustrates a serious distal femur fracture resulting from a fall, showcasing symptoms like severe knee pain and swelling.
- - Early diagnosis and surgical stabilization are crucial for effective treatment, focusing on aligning the bone and maintaining blood flow, with surgery being the standard approach for displaced fractures.
Performance of the ChatGPT large language model for decision support in community pharmacy.
Br J Clin Pharmacol
December 2024
Department of Pharmaceutical Sciences, University at Buffalo, The State University of New York, Buffalo, New York, USA.
Article Synopsis
- * ChatGPT provided satisfactory responses when queried about specific drugs and identified labeling errors, demonstrating comparable decision-making to pharmacists for certain patient scenarios.
- * The findings suggest that large language models like ChatGPT could be valuable in community pharmacy, but more validation is necessary to ensure their effectiveness and patient privacy.
A spontaneously healed distal femoral fracture in an infant born preterm: A case report and review of the literature.
J Clin Ultrasound
November 2024
Section of Neonatology, Department of Pediatrics, Windsor Regional Hospital, Windsor, Ontario, Canada.
Distal femoral fractures are uncommon in the newborn period, and conventional radiographs can miss the diagnosis in infants born prematurely due to delayed ossification. Hence, modalities like ultrasound may have a role in diagnosis. Herein, we report a male infant born preterm with a swollen knee due to a distal femoral fracture after a non-traumatic Caesarean section.
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