Eschar in a Belgian traveler returning from Central Europe.

Background: Tularemia is a zoonotic infection caused by , an aerobic, facultative intracellular coccobacillus, encountered especially in the Northern hemisphere. is a pathogen of humans and hundreds of animal species.

Patients And Methods: A Belgian traveler returning from an adventurous vacation in Central Europe presents fever, flu-like symptoms, a skin ulcer with a necrotic center resembling an eschar on the left thigh and painful left inguinal lymphadenopathy.

Effects of exercise training on muscle wasting, muscle strength and quality of life in adults with acute burn injury.

Objectives: Exercise training during the acute phase of burns is difficult to implement but offers potential benefits. This multicenter trial explored the effects of an exercise program on muscular changes and quality of life during burn center stay.

Methods: Fifty-seven adults with burns ranging between 10% and 70% TBSA were allocated to receive either standard of care (n = 29), or additionally exercise (n = 28), consisting of resistance and aerobic training, commenced as early as possible according to safety criteria.

Reliability and feasibility of skeletal muscle ultrasound in the acute burn setting.

Objectives: Despite the impact of muscle wasting after burn, tools to quantify muscle wasting are lacking. This multi-centre study examined the utility of ultrasound to measure muscle mass in acute burn patients comparing different methodologies.

Methods: B-mode ultrasound was used by two raters to determine feasibility and inter-rater reliability in twenty burned adults following admission.

Timing of Intradermal Rabies Pre-exposure Prophylaxis Injections: Immunological Effect on Vaccination Response.

Introduction: Rabies remains a global threat, with annually over 59,000 deaths. Intradermal (ID) pre-exposure prophylaxis (PrEP) is very efficient and reduces the need for rabies immunoglobulins. Not much is known about factors that influence the immune response to ID administered rabies vaccine.

Cervical Joint Position Sense in Hypobaric Conditions: A Randomized Double-Blind Controlled Trial.

Unlabelled: Well-adapted motor actions require intact and well-integrated information from all of the sensory systems, specifically the visual, vestibular, and somatosensory systems, including proprioception. Proprioception is involved in the sensorimotor control by providing the central nervous system with an updated body schema of the biomechanical and spatial properties of the body parts. With regard to the cervical spine, proprioceptive information from joint and muscle mechanoreceptors is integrated with vestibular and visual feedback to control head position, head orientation, and whole body posture.

Evaluation of critical flicker fusion frequency and perceived fatigue in divers after air and enriched air nitrox diving.

Introduction: Many divers report less fatigue following dives breathing enriched air nitrox (EANx) compared with breathing air. A reduction of post-dive fatigue with EANx would suggest a pathological origin, possibly the presence of asymptomatic nitrogen bubbles in the body after a dive.

Method: We studied fatigue in 219 healthy divers performing either an air (n = 121) or EANx32 (oxygen 32%, nitrogen 68%; n = 98) dive to 21.

Hyperbaric oxygen therapy for acute noise-induced hearing loss: evaluation of different treatment regimens.

Introduction: Impulse noise from firearms is a common cause of acute acoustic trauma (AAT), which is characterized by high-frequency hearing loss and tinnitus. Various treatment modalities have been proposed, some combining medical treatment with hyperbaric oxygen (HBOT) in various ways. We have reviewed the therapeutic effect of primary protocols, with or without HBOT, used in our hospital.