Nonoperative Management of Acute Appendicitis in the Geriatric Population: A Review.

Appendicitis remains a common cause of acute abdominal pain, particularly challenging to manage in elderly patients due to age-related declines in physiological reserve and the presence of comorbidities. While appendectomy has traditionally been the standard treatment, nonoperative management (NOM) using antibiotics has emerged as a potential alternative for elderly patients, especially those considered frail or at high surgical risk. This review explores the efficacy and outcomes of NOM compared to surgery in this population, with a focus on recurrence rates, postoperative complications, and the impact of frailty on treatment decisions.

Discrepancies Between Classic and Digital Epidemiology in Searching for the Mayaro Virus: Preliminary Qualitative and Quantitative Analysis of Google Trends.

Background: Mayaro virus (MAYV), first discovered in Trinidad in 1954, is spread by the Haemagogus mosquito. Small outbreaks have been described in the past in the Amazon jungles of Brazil and other parts of South America. Recently, a case was reported in rural Haiti.