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Swab Testing to Optimize Pneumonia treatment with empiric Vancomycin (STOP-Vanc): study protocol for a randomized controlled trial.
Trials
December 2024
Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Background: Vancomycin, an antibiotic with activity against methicillin-resistant Staphylococcus aureus (MRSA), is frequently included in empiric treatment for community-acquired pneumonia (CAP) despite the fact that MRSA is rarely implicated in CAP. Conducting polymerase chain reaction (PCR) testing on nasal swabs to identify the presence of MRSA colonization has been proposed as an antimicrobial stewardship intervention to reduce the use of vancomycin. Observational studies have shown reductions in vancomycin use after implementation of MRSA colonization testing, and this approach has been adopted by CAP guidelines.
View Article and Find Full Text PDFA Case Report of Drug-Induced Acute Gastric Necrosis.
Cureus
November 2024
Section of Histopathology, Department of Pathology, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK.
The stomach has a rich blood supply; for this reason, acute gastric necrosis is a rare clinical condition and needs a high index of suspicion, especially in those patients having no history of an eating disorder and no signs of gastric distension on radiological investigations. We report on a 23-year-old male patient who presented to the emergency department with a one-day history of severe abdominal pain and multiple episodes of vomiting. On examination, his heart rate was 110 beats per minute.
View Article and Find Full Text PDFSomething to see here: ACT Police referrals for impaired driving due to medical conditions.
J Forensic Leg Med
December 2024
Major Collision Team, ACT Policing, Australian Capital Territory, Australia. Electronic address:
Introduction: Medical conditions may cause driving impairment and preventable motor vehicle collisions. Australian Capital Territory (ACT) Police detect potentially medically impaired drivers as part of their duties. ACT Police and medical fitness to drive reviewers sought to determine the accuracy of police suspicion of medically impaired drivers for quality assurance and legislative purposes.
View Article and Find Full Text PDFConcordance Among In Vivo Reflectance Confocal Microscopy, Trichoscopy, and Histopathology in the Evaluation of Alopecia Areata Incognita.
Dermatol Pract Concept
October 2024
Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Objectives: Alopecia areata incognita is a non-scarring autoimmune hair loss condition primarily affecting women aged 20 to 40. It is often misdiagnosed due to its resemblance to other conditions. Diagnosis relies on clinical suspicion, trichoscopic findings, and histological features.
View Article and Find Full Text PDFPulmonary tuberculosis related diffuse cystic lung disease with recurrent pneumothorax mimicking pulmonary lymphangioleomyomatosis in Ethiopia: A review and case report.
J Clin Tuberc Other Mycobact Dis
December 2024
Sodo Christian General Hospital, Wolaita, Ethiopia.
Millions of individuals worldwide are afflicted by the fatal infectious disease tuberculosis, which accounts for thousands of avoidable deaths. The literature has provided a good description of the clinical manifestation and radiologic features of pulmonary tuberculosis. However, the parenchymal complication of pulmonary tuberculosis presenting as cystic lung disease, has not been widely documented in the literature and is one of the incredibly uncommon causes of diffuse cystic lung disease.
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