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Musculoskeletal infections associated with species: a case series.
J Bone Jt Infect
September 2024
Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
: is an uncommon pathogen that has been reported to infect musculoskeletal structures. However, studies are largely limited to case reports, and little is known regarding management and outcomes of these infections. : We performed a multicenter retrospective cohort study of adults with culture-confirmed musculoskeletal infections at three Mayo Clinic centers in Arizona, Florida, and Minnesota from November 2011 through April 2022.
View Article and Find Full Text PDFA Case of Bilateral Cryptococcal Olecranon Bursitis.
Cureus
July 2024
Obstetrics and Gynaecology, Mater Dei Hospital, Msida, MLT.
Article Synopsis
- - Non-septic olecranon bursitis (NSOB) is inflammation of the olecranon bursa that usually resolves on its own, while septic olecranon bursitis (SOB) is caused by bacterial infections and presents with serious systemic symptoms needing medical attention.
- - A case study highlighted a 24-year-old woman with disseminated cryptococcal infection due to bilateral SOB, which is uncommon in healthy individuals; she underwent surgery and received antifungal treatment, leading to positive outcomes.
- - Infections like SOB from rare pathogens can be tricky to diagnose, especially in immunocompetent patients, making it essential to involve specialists for proper management and to prevent long-term complications.
Optimal antibiotics duration following surgical management of septic olecranon bursitis: a 12-year retrospective analysis.
J Bone Jt Infect
March 2024
Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Article Synopsis
- The study reviewed charts of 91 adult patients who underwent surgery for septic olecranon bursitis at Mayo Clinic from 2000 to 2022, focusing on antibiotic treatment and outcomes.
- Most patients (92%) received postoperative antibiotics for a median duration of 21 days, which was linked to a significant reduction in clinical failure rates.
- Active smokers faced higher odds of treatment failure, especially when antibiotics were not administered, highlighting the need for standardized antibiotic protocols in treating this condition.
Removing penicillin allergy label in a hospitalized adolescent with a remote penicillin and recent cephalosporin allergy.
Allergy Asthma Proc
May 2024
Division of Pediatric Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia.
β-Lactam antibiotics are widely used with increased utilization in hospitalized patients. Of this population, as high as 10-20% report an allergy to β-lactam antibiotics but <5% are at risk of developing clinically significant immunoglobulin E- or T-lymphocyte-mediated reactions. Most of the time, these reported allergies are present during an illness with no previous inquiry of their validity, which makes investigation and possible removal of this allergy label a challenge.
View Article and Find Full Text PDFHydrothermal ablation in recurrent or chronic olecranon bursitis: a prospective study.
J Shoulder Elbow Surg
September 2024
Department of Orthopaedics, AZ Sint-Jan/Sint-Lucas Bruges, Bruges, Belgium.
Article Synopsis
- Olecranon bursitis can be tough to manage, and while bursectomy is often used for stubborn cases, it has a high risk of complications; hydrothermal ablation is being explored as a safer alternative.
- A study tested this new method on animals for safety, then on 24 human patients with chronic bursitis, using heated saline to target the bursa for 180 seconds at controlled temperatures.
- The results were promising, with 75% of patients seeing significant improvement in their symptoms and a drastic reduction in bursal volume, all without serious complications during the 6-month follow-up.
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