After the discovery of melioidosis and its causative organism, Burkholderia pseudomallei, in Burma (Myanmar) in 1912 and further reports in 1915 and 1917, no further reports of melioidosis emerged from the country in the international medical literature. The present study aimed to determine whether the occurrence of melioidosis among hospital patients with abscess in Yangon, Myanmar is sufficiently frequent to indicate further studies to determine its clinical and public health significance in the country. A clinical and bacteriological survey of patients with abscess at 21 hospitals in Yangon was carried out during 2004-2006. Pus specimens from three of 133 patients yielded bacteria with the morphological, cultural and biochemical characteristics of B. pseudomallei. The estimated melioidosis prevalence rate among patients with abscess in selected Yangon hospitals was approximately 2%. Further studies are indicated to assess the clinical and public health significance of melioidosis in Myanmar.
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http://dx.doi.org/10.1016/S0035-9203(08)70004-X | DOI Listing |
Am Fam Physician
January 2025
University of Kansas Medical Center, Kansas City.
Acute rhinosinusitis causes more than 30 million patients to seek health care per year in the United States. Respiratory tract infections, including bronchitis and sinusitis, account for 75% of outpatient antibiotic prescriptions in primary care. Sinusitis is a clinical diagnosis; the challenge lies in distinguishing between the symptoms of bacterial and viral sinusitis.
View Article and Find Full Text PDFIndian J Thorac Cardiovasc Surg
February 2025
Dept of CTVS, NEIGRIHMS, Shillong, India.
Isolated right superior vena cava (RSVC) drainage into the left atrium (LA) is a rare congenital anomaly, presenting diagnostic and management challenges. This study presents two cases of isolated RSVC drainage into the LA alongside a comprehensive literature review to improve understanding and delineate optimal surgical approaches. The study describes two cases of isolated RSVC drainage into the LA and their surgical management.
View Article and Find Full Text PDFCureus
December 2024
Department of Orthopaedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, TUR.
Shoulder abscesses, commonly resulting from bacterial infections, can occasionally present with atypical etiologies and delayed onset. We report a rare case of a massive polymicrobial shoulder abscess developing two decades after an insect bite, emphasizing its clinical presentation, diagnostic approach, and surgical management. A 65-year-old female presented with severe, progressively worsening right shoulder pain, a 20 cm swelling, and purulent discharge persisting for 15 days.
View Article and Find Full Text PDFTech Coloproctol
January 2025
Epidemiology, IQVIA, 60549, Frankfurt, Germany.
Background: This study aims to evaluate the current rates and outcomes of minimally invasive versus open surgery for colonic diverticular disease in Germany, using a nationwide dataset.
Methods: We analyzed data from 36 hospitals, encompassing approximately 1.25 million hospitalizations from 1 January 2019 to 31 December 2023.
Mil Med
January 2025
Dental Anesthesiology, Jacobi Medical Center, Bronx, NY 10461, USA.
Gout is caused by monosodium urate crystal deposition within joints and periarticular structures. It is characterized by the typical arthritis symptoms such as pain, swelling, and redness usually involving the first metatarsophalangeal joint. Recurrent attacks of gout are common, especially after major surgical procedures during which intense cell turnover takes place and can lead to hyperuricemia and accumulation of monosodium urate crystals.
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