Infection versus disease activity in rheumatoid arthritis: eight years' experience.

Abstract:

:Septic arthritis is a serious and sometimes fatal complication of rheumatoid arthritis. We have examined the clinical characteristics of 16 patients with infectious arthritis seen during an eight-year period. This represented 0.5% of all admissions to our hospital for patients with rheumatoid arthritis. Although rheumatoid arthritis is considered a predisposing factor for joint sepsis, 15 of our patients had other conditions that most likely increased their susceptibility to infection. Many patients lacked distinctive features of joint sepsis (fever, chills) and only one half had leukocytosis. Six had polyarticular complaints despite documented monarthric sepsis. Delay in diagnosis of joint infection and persistent effusions of the infected joints portended a poor prognosis.

journal_name

South Med J

journal_title

Southern medical journal

authors

Blackburn WD Jr,Dunn TL,Alarcón GS

doi

10.1097/00007611-198610000-00011

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

1238-41

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

79

pub_type

杂志文章
  • Unusual presentation of pheochromocytoma with ischemic sigmoid colitis and stenosis.

    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

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181b571e6

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

    更新日期:2009-10-01 00:00:00

  • Primary squamous cell carcinoma of the breast.

    abstract::Primary squamous cell carcinoma of the breast is a rare cancer. Published reports of prognosis are variable, and most studies are case reports of one or a few patients. We report an additional case of squamous cell carcinoma of the breast occurring in a 53-year-old black woman. In reviewing the reported cases of this ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199605000-00013

    authors: Weigel RJ,Ikeda DM,Nowels KW

    更新日期:1996-05-01 00:00:00

  • Differences in Routine Laboratory Ordering Between a Teaching Service and a Hospitalist Service at a Single Academic Medical Center.

    abstract:OBJECTIVES:Studies have shown that the overutilization of laboratory tests ("labs") for hospitalized patients is common and can cause adverse health outcomes. Our objective was to compare the ordering tendencies for routine complete blood counts (CBC) and chemistry panels by internal medicine residents and hospitalists...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000592

    authors: Ellenbogen MI,Ma M,Christensen NP,Lee J,O'Leary KJ

    更新日期:2017-01-01 00:00:00

  • Benefits of screening mammography: a review for the primary care physician.

    abstract:BACKGROUND:Screening mammography, particularly for women in their 40s, has become a confusing issue for many physicians. Recent scientific and political controversies regarding screening guidelines have added to this confusion. METHODS:Many randomized clinical trials have shown the benefits of mammographic screening f...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Reichle JL

    更新日期:1998-06-01 00:00:00

  • Facial diplegia due to amyloidosis.

    abstract::In a 61-year-old man with facial diplegia and new onset of congestive heart failure (CHF), electroneuromyography indicated diffuse axonal degeneration, but sural nerve biopsy showed mild changes and no amyloid. Four months later, after the onset of diplopia and increasing CHF, rectal biopsy demonstrated amyloid. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00037

    authors: Massey EW,Massey JM

    更新日期:1986-11-01 00:00:00

  • Megaloblastic anemia in a vegetarian taking oral contraceptives.

    abstract::A case is reported of megaloblastic anemia resulting from folate deficiency in a vegetarian who had been taking oral contraceptives for eight years. A brief report of the pertinent literature is included, ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197502000-00029

    authors: Green JD

    更新日期:1975-02-01 00:00:00

  • Diagnosis of scabies.

    abstract::Mineral oil scrapings from an infant with a persistent, puzzling, generalized eruption revealed the mite, Sarcoptes scabiei. Various diagnostic technics and treatment for scabies are discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00008

    authors: Hazelrigg DE,Jarratt M

    更新日期:1975-05-01 00:00:00

  • Contraceptive use in Georgia: estimation by telephone survey.

    abstract::Because household surveys are expensive and time consuming, determination of state or local family planning needs is based on national household survey estimates of contraceptive use rather than state-specific estimates. In June 1982, the University of Georgia Survey Research Center invited the Georgia Department of H...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198503000-00022

    authors: Spitz AM,Schuster E,Oberle MW,Zaro SM,Morris L

    更新日期:1985-03-01 00:00:00

  • Hepatobiliary tuberculosis: a review of presentations and outcomes.

    abstract::Hepatobiliary tuberculosis (HTB) is uncommon and can be difficult to diagnose. We present our experience with HTB (over a 10-year period). Fourteen patients were identified from a total of 1888 cases of tuberculosis (TB) infection during this period. Five patients had isolated organ involvement [hepatic (n=3) and bili...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e318164ddbb

    authors: Chong VH

    更新日期:2008-04-01 00:00:00

  • Penile tourniquet syndrome caused by hair.

    abstract::We have described two circumcised children who developed a urethral fistula caused by long hairs constricting and ulcerating the penis. These cases are presented to remind physicians to examine the infant's penis when he presents with a swollen glans, abnormal urinary stream, and a parent with long hair. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197905000-00036

    authors: Toguri AG,Light RA,Warren MM

    更新日期:1979-05-01 00:00:00

  • Echocardiography in planned interruption of the inferior vena cava.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-198906000-00025

    authors: Alberts WM,Tonner JA,Goldman AL

    更新日期:1989-06-01 00:00:00

  • Giant cell arteritis in a black patient.

    abstract::Giant cell arteritis has been thought to occur only in white patients. There have been several recent reports of this disorder to blacks, however, and this case of biopsy-proven giant cell arteritis in a black patient indicates the diagnosis should be considered in any elderly patient with typical symptoms regardless ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197909000-00045

    authors: Wilson JW,Topolosky MK,Hettleman BD,Bredehoeft SJ

    更新日期:1979-09-01 00:00:00

  • Self-help and self-care in chronic illness.

    abstract::Some cultural and epidemiologic factors leading to a new emphasis on self-care in chronic illness are reviewed and current applications of self-care in medicine are illustrated with examples. Emotional and behavioral aspects of self-care programs are detailed with special attention to compliance, family involvement, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198309000-00016

    authors: Grieco AL,Kopel KF

    更新日期:1983-09-01 00:00:00

  • Report of the International Society for Clinical Densitometry 2007 Adult Position Development Conference and Official Positions.

    abstract::The International Society for Clinical Densitometry (ISCD) periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health -- the nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of...

    journal_title:Southern medical journal

    pub_type: 杂志文章,实务指引

    doi:10.1097/SMJ.0b013e31817a8b02

    authors: Lewiecki EM,Baim S,Binkley N,Bilezikian JP,Kendler DL,Hans DB,Silverman S,International Society for Clinical Densitometry.

    更新日期:2008-07-01 00:00:00

  • Cardiac rupture due to blunt trauma.

    abstract::Cardiac rupture due to blunt trauma has been recognized with increasing frequency over the past two decades. The mortality rate is high and the majority of patients die before they arrive at the emergency department. A high index of suspicion and prompt surgical intervention are crucial for survival. We report the man...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199707000-00019

    authors: Tassiopoulos AK,Carlin RE,Dibos L,McGraw DJ

    更新日期:1997-07-01 00:00:00

  • Developing and Piloting a Tool to Identify Food Insecurity in Older Adults.

    abstract:OBJECTIVE:The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital discharge to identify...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001007

    authors: King A,Roofeh R,Nouryan C,Zhang M,Carney MT

    更新日期:2019-08-01 00:00:00

  • Preservation of normal menstrual cycles in a patient with Sheehan's syndrome.

    abstract::A unique case of Sheehan's syndrome is characterized by deficiencies of growth hormone, prolactin, thyrotropin, and ACTH. Clinically, it was manifested by adrenal and thyroid insufficiency with regular cyclical menses. Normal menstrual cycles do not preclude extensive hypothalamic-pituitary destruction. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198308000-00040

    authors: Westbrock DA,Srivastava LS,Knowles HC Jr

    更新日期:1983-08-01 00:00:00

  • Clinical and biopsy specimen features in black and white men with clinically localized prostate cancer.

    abstract:BACKGROUND:The incidence of prostate cancer in black men is estimated to be 30% to 50% higher than among age-matched white men, and black men have a twofold higher mortality rate. To determine whether racial differences exist in men with similarly staged disease, we compared clinical and pathologic features in black an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Bozeman C,Williams BJ,Whatley T,Crow A,Eastham J

    更新日期:2000-04-01 00:00:00

  • Appendicovesical fistula presenting as Klebsiella urosepsis.

    abstract::Appendicovesical fistula is an uncommon condition usually occurring in boys and young men and associated with chronic urinary tract infection. Diagnosis is based on cystoscopic findings that may be confirmed by a retrograde study. Treatment by appendectomy is usually successful. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198004000-00037

    authors: Carson CC 3rd,Malek RS

    更新日期:1980-04-01 00:00:00

  • Endocarditis and hip arthritis associated with Scedosporium inflatum.

    abstract::A 30-year-old man had endocarditis and hip arthritis associated with the recently recognized fungus, Scedosporium inflatum. Inhibition, and possibly cure, of endocarditis occurred with medical therapy alone. Data from in vitro susceptibility testing did not predict clinical response. This case also illustrates the nee...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199008000-00025

    authors: Toy EC,Rinaldi MG,Savitch CB,Leibovitch ER

    更新日期:1990-08-01 00:00:00

  • Metastatic prostatic carcinoma presenting as fulminant hepatic failure.

    abstract::A 68-year-old male presented with progressive abdominal pain, dyspnea, weight loss, and dysuria. Lab work revealed elevated creatine phosphokinase levels, prostate-specific antigen level (approximately 60 ng/mL), and elevated liver enzymes. He was admitted to the intensive care unit for worsening respiratory distress ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31817c74c3

    authors: Shakir FA,Madhoun M,Whorton J,Harty R

    更新日期:2008-10-01 00:00:00

  • Smokeless tobacco: health hazard on the rise.

    abstract::There are an estimated 22 million users of smokeless tobacco in the United States, 3 million of them under age 21. We surveyed physicians and patients to determine whether the health hazard of smokeless tobacco was recognized and whether preventive measures were being implemented. Although more than 80% of physicians ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Gross JY,D'Alessandri R,Powell VL,Rodeheaver A

    更新日期:1988-09-01 00:00:00

  • Hematuria unrelated to hemophilia in a hemophiliac.

    abstract::Whereas painless gross hematuria in the hemophiliac is usually secondary to the basic coagulation defect, it is not always so. An elderly man presented with this clinical situation which, after a protracted course, was ultimately proven to be associated with an infarcted kidney. In retrospect, the patient's age and th...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198207000-00029

    authors: Carroll RR,Kitchens CS

    更新日期:1982-07-01 00:00:00

  • Multifocal sporotrichosis presenting with lobar pulmonary consolidation.

    abstract::A case of multifocal systemic sporotrichosis presenting with lobar pneumonia caused by Sporothrix schenkii is described. While five cases of pulmonary involvement in multifocal sporotrichosis have been previously reported, all had nodular or cavitary apical lesions. Similarly, unifocal pulmonary sporotrichosis usually...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198106000-00030

    authors: Arango C,Davila E,Greenman R

    更新日期:1981-06-01 00:00:00

  • Clonorchiasis: an update.

    abstract::The ability of Clonorchis sinensis to cause severe hepatobiliary disease is illustrated by the case we have reported, in which biliary obstruction and hepatic fibrosis resulted from the pathologic process associated with chronic clonorchiasis. Immunodiagnostic tests are currently limited, and diagnosis, as illustrated...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198707000-00030

    authors: Lin AC,Chapman SW,Turner HR,Wofford JD Jr

    更新日期:1987-07-01 00:00:00

  • Chronic lymphocytic leukemia in Turkey: experience of a single center in Istanbul.

    abstract:BACKGROUND:In this study, the clinical characteristics, survival, and prognostic factors of 200 patients diagnosed as having chronic lymphocytic leukemia (CLL) were analyzed. METHODS:The medical charts of 200 CLL patients registered to our center between 1984 and 2000 were retrospectively evaluated. RESULTS:Of all pa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000053674.03385.B7

    authors: Pamuk ON,Pamuk GE,Soysal T,Ongören S,Başlar Z,Ferhanoğlu B,Aydin Y,Ulkü B,Aktuğlu G,Akman N

    更新日期:2004-03-01 00:00:00

  • Chronic back pain: does elective surgery benefit patients with evidence of psychologic disturbance?

    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

    pub_type: 杂志文章

    doi:

    authors: Gentry WD

    更新日期:1982-10-01 00:00:00

  • Stercoraceous perforation of the colon.

    abstract::Stercoraceous perforation of the colon is most often unsuspected and is usually diagnosed at operation or autopsy. Abdominal radiographs show large fecal masses in the rectum and sigmoid colon, and occasionally lying free in the peritoneal cavity. Free intraperitoneal air is present. We have reported a single case, wi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197910000-00037

    authors: McCrea ES,Diaconis JN

    更新日期:1979-10-01 00:00:00

  • Miliary tuberculosis and consumption of clotting factors by multifocal vasculopathic coagulation.

    abstract::We have reported a third case of miliary tuberculosis and associated consumption coagulopathy. It is proposed that clotting factors may be locally consumed, thus producing the syndrome of "multifocal vasculopathic coagulation." ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197911000-00042

    authors: Krauss JS,Walker DH

    更新日期:1979-11-01 00:00:00

  • Efficacy and safety of sodium phosphate for colon cleansing in type 2 diabetes mellitus.

    abstract:OBJECTIVES:The need for colonoscopy is common among diabetic patients. However, there are no standards per se for bowel preparation in patients with type 2 diabetes. In this study, we evaluated the efficacy, safety, and tolerability of sodium phosphate (NaP), and the quality of bowel cleansing in relation to glycemic c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181f20b13

    authors: Ozturk NA,Gokturk HS,Demir M,Unler GK,Gur G,Yilmaz U

    更新日期:2010-11-01 00:00:00