Do brown recluse spider bites induce pyoderma gangrenosum?

abstract：:A 45-year-old woman with poorly controlled hypertension and diabetes mellitus presented with left iliac fossa pain, constipation alternating with diarrhea, and weight loss. She had been diagnosed with idiopathic cardiomyopathy five years previously. Echocardiogram had shown a left ventricular ejection fraction (LVEF) ...

journal_title：Southern medical journal

authors： Tan F,Thai AC,Cheah WK,Mukherjee JJ

更新日期：2009-10-01 00:00:00

abstract：:A 66-year-old white male presented with jaundice, pruritus, and a 30-pound weight loss over two months. Physical examination revealed scleral icterus. Laboratory evaluation revealed ALT 161 U/L, AST 290 U/L, alkaline phosphatase 2004 U/L, GGT 2,552 U/L, total bilirubin 10.2 mg/dL, and a carbohydrate antigen 19-9 (CA 1...

journal_title：Southern medical journal

authors： Lowe D,Lee J,Schade R,Chaudhary A

更新日期：2006-03-01 00:00:00

abstract：:Using local anesthesia, we did 97 carotid endarterectomies--48 of them for acute completed stroke, stroke in evolution, or stroke associated with unstable neurologic status, and 49 for transient cerebral ischemic attack. The neurologic status of the awake patients was monitored continuously. Neurologic deterioration r...

journal_title：Southern medical journal

authors： Khanna HL,Garg AG

更新日期：1989-12-01 00:00:00

abstract：:We have reported the case of a 30-year-old woman with Cushing's disease who died of massive pulmonary thromboembolism 5 weeks after successful transsphenoidal hypophysectomy. Glucocorticoid excess appears to cause a hypercoagulable state, and consideration of this thromboembolic propensity and its potential duration a...

journal_title：Southern medical journal

authors： Jackson JA,Trowbridge A,Smigiel M

更新日期：1990-08-01 00:00:00

abstract：:Thirty-five patients with chronic low back pain responded to a follow-up survey 18 months after being discharged from the hospital. All patients had objective (MMPI) evidence of psychologic disturbance during hospitalization. Seven patients subsequently obtained additional elective back surgery; the remaining 28 did n...

journal_title：Southern medical journal

authors： Gentry WD

更新日期：1982-10-01 00:00:00

abstract：OBJECTIVES:Community violence is associated with health-compromising behaviors (HCBs) and adverse general health and pregnancy outcomes. It is unknown whether these effects persist after adjusting for health behaviors. METHODS:Retrospective cohort study of 36,637 pregnancies, 2005-2009, using birth certificate/hospita...

journal_title：Southern medical journal

authors： Okah FA,Oshodi A,Liu Y,Cai J

更新日期：2014-08-01 00:00:00

abstract：:Interruption of the inferior vena cava by the transvenous placement of a filter or umbrella effectively prevents pulmonary embolism by acting primarily as a physical barrier to emboli. Such a device will be effective only if the site of thrombosis is distal to the planned placement site. We have presented two cases in...

journal_title：Southern medical journal

authors： Alberts WM,Tonner JA,Goldman AL

更新日期：1989-06-01 00:00:00

abstract：OBJECTIVES:Manifestations of gastroparesis are heterogeneous and clinical complications are poorly defined. Misconceptions of gastroparesis may be common. The objective was to determine physicians' perception of gastroparesis and identify areas that need further research and education. METHODS:A physician survey was p...

journal_title：Southern medical journal

authors： Briley LC,Harrell SP,Woosley A,Eversmann J,Wo JM

更新日期：2011-06-01 00:00:00

abstract：:Atypical facial pain or neuralgia and lower-half headache are confusing terms and should be discarded. Recurrent unilateral, throbbing, frontal headaches should be referred to as facial migraine. Patients whose trigeminal branches have been subjected to repeated surgical procedures and who have relentless unilateral f...

journal_title：Southern medical journal

authors： McFarland HR

更新日期：1982-07-01 00:00:00

abstract：:We report a rare case of Candida glabrata liver abscess and fungemia complicating severe calculus cholecystitis in a 64-year-old female patient who had no history of immunosuppression or diabetes mellitus. The patient underwent cholecystectomy, resection of liver abscess, and systemic antifungal therapy using micafung...

journal_title：Southern medical journal

authors： Lima R,Shams W,Kalra S,Borthwick T

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Echocardiographic demonstration of valvular infection now ranks with positive blood cultures as one of the two major clinical criteria for diagnosis of infective endocarditis (IE), according to new, more accurate guidelines for diagnosis. Because early detection of IE and its complications is essential for d...

journal_title：Southern medical journal

authors： Kemp WE Jr,Citrin B,Byrd BF 3rd

更新日期：1999-08-01 00:00:00

abstract：:Radiation therapy and/or chemotherapy are the treatment modalities of choice in lymphomas. Except for Burkitt's tumor, surgery is usually indicated only when percutaneous biopsy fails to establish the histologic diagnosis. We have described a patient with glomerulonephritis and anasarca secondary to an IgM-producing p...

journal_title：Southern medical journal

authors： Osguthorpe JD,Rice D,Adkins WY

更新日期：1982-11-01 00:00:00

abstract：:In the past 30 years there has been no improvement in the five-year survival rate for endometrial carcinoma. Any change comparable to improved survival in cervical carcinoma will be accomplished only by similar detection of the early asymptomatic and precursor lesions of endometrial carcinoma. Reasons why the conventi...

journal_title：Southern medical journal

authors： Muenzer RW,Kim K

更新日期：1980-04-01 00:00:00

abstract：:Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists se...

journal_title：Southern medical journal

authors： Rucker L,Mabourakh S,Onishi R

更新日期：1990-06-01 00:00:00

abstract：:Transchondral talar dome fractures are a rare but not unknown cause of continued disability following a "sprained ankle." The diagnosis is made with standard ankle roentgenograms and an awareness of the lesion. Surgical treatment is recommended in acute and chronic cases, based on the amount of displacement of the fra...

journal_title：Southern medical journal

authors： Nash WC,Baker CL Jr

更新日期：1984-05-01 00:00:00

abstract：:There is controversy in the medical literature regarding the significance of "sickle cell cardiomyopathy." In an attempt to clarify this, we studied 14 patients with sickle cell anemia (age range 16 to 36 years) using simultaneous echocardiography and phonocardiography. The values of systolic time intervals and echoca...

journal_title：Southern medical journal

authors： Covarrubias EA,Sheikh MU,Solanki DL,Morjaria M,Fox LM

更新日期：1980-03-01 00:00:00

abstract：:Fixation of femur fractures in children and adolescents is becoming widely accepted because of the lower chance of iatrogenic infection and prohibitive cost of in-hospital traction and spica cast care. Interlocking nails, which have dramatically improved adult femur fracture care, have posed problems, such as injury t...

journal_title：Southern medical journal

authors： McGraw JJ,Gregory SK

更新日期：1997-07-01 00:00:00

abstract：:The comparative value of palpation, light percussion, and auscultatory percussion for detecting the liver below costal margin was studied in 45 normal subjects and 20 patients. The presence of the liver 2 cm or more below the costal margin was considered abnormal, since this organ was found no more than 1 cm below in ...

journal_title：Southern medical journal

authors： Gilbert VE

更新日期：1994-02-01 00:00:00

abstract：:We have reported two cases involving bacteremic patients who failed to respond adequately to the investigational agent daptomycin. Despite apparent sensitivity of the organisms, therapy was unsuccessful in both patients using the recommended dosage. The sponsor of daptomycin is currently reevaluating the recommendatio...

journal_title：Southern medical journal

authors： Garrison MW,Rotschafer JC,Crossley KB

更新日期：1989-11-01 00:00:00

abstract：:The empirical use of amphotericin B in febrile leukemic patients not responding to antimicrobial agents has previously led to a significant decrease in fatal fungal infections and a significant increase in complete remissions. In this series of 66 patients receiving induction therapy for acute myelogenous leukemia (AM...

journal_title：Southern medical journal

authors： Stein RS,Greer JP,Ferrin W,Lenox R,Baer MR,Flexner JM

更新日期：1986-07-01 00:00:00

abstract：BACKGROUND:Chlamydia is the most commonly reported infectious disease in the United States, yet many women at risk for chlamydia infection are not being tested. METHODS:We conducted a chlamydia screening study (Phase I) and retrospective medical chart review (Phase II) of 199 women from 16 to 40 years of age attending...

journal_title：Southern medical journal

authors： Oster NV,Rothenberg R,McPhillips-Tangum CA,Gazmararian J,Franks AL

更新日期：2003-09-01 00:00:00

abstract：OBJECTIVE:There is a relation between tumor stage and grade with the risk of cancer recurrence in patients undergoing surgical treatment for kidney cancer. The association of patient comorbidity with disease recurrence is less well characterized. The objective of this study was to explore the association between comorb...

journal_title：Southern medical journal

authors： Reinstatler L,Klaassen Z,Madi R,Terris MK,Moses KA

更新日期：2017-05-01 00:00:00

abstract：:Anticonvulsant hypersensitivity syndrome (AHS) is a potentially life-threatening adverse drug reaction presenting with fever, skin eruptions, and internal organ involvement. We describe a case of AHS with fulminant hepatitis that occurred two weeks after introduction of lamotrigine in a 40-year-old female patient with...

journal_title：Southern medical journal

authors： Ouellet G,Tremblay L,Marleau D

更新日期：2009-01-01 00:00:00

abstract：:In a ten-year review at a large community teaching hospital clostridia accounted for less than 1% of all positive bloodstream isolates (26 episodes in 25 patients). All but one of the isolates were clinically significant. Twenty-two patients (88%) had a serious underlying medical condition, and 17 of the episodes (65%...

journal_title：Southern medical journal

authors： Ingram CW,Cooper JN

更新日期：1989-01-01 00:00:00

abstract：:A patient with pancytopenia, severe sensory neuropathy, and a six-year history of excessive vitamin intake showed portal hypertension on evaluation. A liver biopsy revealed hypervitaminosis A. His sensory findings were characteristic of a recently described syndrome of sensory neuropathy secondary to megadoses of vita...

journal_title：Southern medical journal

authors： Davidson RA

更新日期：1984-02-01 00:00:00

abstract：:We report a case of perforated solitary jejunal diverticulum in an 80-year-old woman. Jejunal diverticulosis occurs in 0.07% to 2.0% of the population. Jejunal diverticulitis with perforation is rare and is associated with high mortality. Treatment is surgical resection of the involved segment. Several theories to exp...

journal_title：Southern medical journal

authors： Albu E,Parikh V,Alankar S,Gerst PH

更新日期：1995-05-01 00:00:00

abstract：:We have described a patient with unilateral adrenal hyperplasia, a rare cause of primary aldosteronism, and reviewed the literature on this subject. The treatment of this disorder appears to be surgical. Whether its pathogenesis is related to the more common varieties of primary aldosteronism is open to speculation. ...

journal_title：Southern medical journal

authors： Dye NV,Litton NJ,Varma M,Isley WL

更新日期：1989-01-01 00:00:00

abstract：:A 50-year-old man presented with progressive visual loss, headache, and two days of confusion. A computed tomography of his head suggested subarachnoid hemorrhage with accompanying right parietal ischemic infarction. The magnetic resonance image was consistent with right parietal perisulcal pial and superficial cortic...

journal_title：Southern medical journal

authors： Hoque R,Gonzalez-Toledo E,Jaffe SL

更新日期：2008-12-01 00:00:00

abstract：:Mesenteric lipodystrophy (ML) is a rare condition characterized by a nonspecific inflammatory process that involves the root of the mesentery in a lipoma-like lesion. Presenting features of ML include abdominal pain, weight loss, nausea, vomiting, diarrhea, and constipation. This case illustrates that ML should be inc...

journal_title：Southern medical journal

authors： Hemaidan A,Vanegas F,Alvarez OA,Arroyo MA,Lee M

更新日期：1999-05-01 00:00:00

abstract：:An elderly man with previous tuberculosis exsanguinated from esophageal rupture of an atherosclerotic thoracic aneurysm. Because the patient refused angiography, the source of bleeding was discovered only at autopsy. Selected clinical and pathologic aspects of the case are discussed in relation to the different causes...

journal_title：Southern medical journal

authors： Braman R,Napoli VM

更新日期：1979-07-01 00:00:00