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Introduction: Common mental disorders, such as anxiety disorders, depression, and posttraumatic stress disorder (PTSD), present a substantial health and economic burden. The gut microbiome has been associated with these psychiatric disorders via the microbiome-gut-brain axis. However, previous studies have focused on the associations between the gut microbiome and common mental disorders in European, North American, and Asian populations.

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Comparison of the aetiology, microbiological isolates and antibiotic susceptibilities of endophthalmitis between children and adults in southern China: a retrospective, cohort study.

BMJ Open

November 2024

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of ophthalmology Ⅴisual Science, Guangzhou, Guangdong, China

Article Synopsis
  • - The study compares the causes, bacterial isolates, and antibiotic susceptibility of endophthalmitis in children versus adults, revealing trauma as the primary cause in both groups, with children experiencing it more frequently.
  • - In terms of microbial isolates, specific bacteria were prevalent in each age group: pediatric cases mostly involved certain species, while coagulase-negative staphylococci were more common in adults; fungi also played a notable role in adults' postoperative infections.
  • - Children showed higher antibiotic susceptibility rates compared to adults for the majority of tested antibiotics, with levofloxacin being the most effective for children and ofloxacin for adults.
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Given progressive population ageing and the increase in the number of patients with comorbidities, the management of chronic and/or hard-to-heal wounds (HHWs) nowadays represents a common problem in many clinical settings. In these cases, standard strategies may not be sufficient. Autologous grafting represent the gold standard for permanent wound closure, but is almost never realized when the skin loss is extensive/the patient is young.

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Introduction: Accurate microbiological identification is crucial when managing chronic osteomyelitis (COM) and post-traumatic osteomyelitis (PTO). Although bone single photon emission computed tomography/computed tomography (SPECT/CT) has helped in localizing osteomyelitis lesions, its effectiveness in guiding microbiological sampling remains unclear. This study aimed to determine whether bone SPECT/CT can improve microbiological identification rates in COM or PTO of the extremities.

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Article Synopsis
  • A 26-year-old man with Ehlers-Danlos syndrome and chronic ear infections faced a complex medical situation after a car accident that led to a leg amputation and leg fracture requiring surgical fixation.
  • He presented with severe pain and discharge from the injured area, but initial antibiotic treatments did not improve his condition, leading to further medical evaluations.
  • Ultimately, he was diagnosed with a rare infection caused by Mycobacterium goodii, which improved with targeted antibiotic therapy, highlighting the difficulties in diagnosing infections in patients with compromised immune systems.
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