Primary meningococcal arthritis as initial presentation in a previously undiagnosed HIV-infected patient.

abstract：:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

journal_title：Southern medical journal

authors： Nguyen H,Le C,Nguyen H

更新日期：2010-09-01 00:00:00

abstract：:Abscess of the spleen is uncommon and potentially lethal, but until recently it was rarely diagnosed except by exploratory celiotomy or at autopsy. Now, with the advent of radionuclide scanning, ultrasonography, and selective angiography, earlier diagnosis is possible in most cases. We report a case of traumatic absce...

journal_title：Southern medical journal

authors： Brown JJ,Sumner TE,Crowe JE,Shaffner LD

更新日期：1979-05-01 00:00:00

abstract：:A technic of combined split-thickness and full-thickness skin grafts and local flap closure for extensive deep cicatricial neck contractures is presented. The head and neck are mobilized by excision of limiting tissues. The lateral neck skin is mobilized to be rotated anteriorly as flaps, and a full-thickness skin gra...

journal_title：Southern medical journal

authors： Vandeput JJ,Tanner JC,Lewis JR

更新日期：1976-06-01 00:00:00

abstract：:A case of left renocolic fistula secondary to chronic pyonephrosis has been reported. Neprectomy, excision of the fistulous tract, and closure of the colon is the treatment of choice. This was accomplished in this case with excellent results. ...

journal_title：Southern medical journal

authors： Vargas AD,Victor I

更新日期：1975-05-01 00:00:00

abstract：:Patent ductus arteriosus (PDA) is a malady usually identified during childhood. Prompt surgical correction provides definitive therapy with long-term survival. When not corrected, PDA leads to significant morbidity and mortality, making it a rare condition in the adult population. We report the case of a 44-year-old m...

journal_title：Southern medical journal

authors： Chang EE,Diethelm L,Lasky JA,Rubio ER

更新日期：2001-03-01 00:00:00

abstract：:Meropenem is a new carbapenem antibiotic shown to resist degradation by renal dehydropeptidase I. In a multicenter, open-label, prospective trial, we compared the efficacy and safety of meropenem with imipenem/cilastatin in patients with skin and soft tissue infections. Patients received either 500 mg of meropenem eve...

journal_title：Southern medical journal

authors： Nichols RL,Smith JW,Geckler RW,Wilson SE

更新日期：1995-04-01 00:00:00

abstract：:A 74-year-old man was admitted with rhabdomyolysis after undergoing initial treatment for gastrointestinal cancer with irinotecan. The syndrome partially resolved after the discontinuation of all of his usual medications, including his chronic selective serotonin reuptake inhibitor (SSRI). The rhabdomyolysis was exace...

journal_title：Southern medical journal

authors： Richards S,Umbreit JN,Fanucchi MP,Giblin J,Khuri F

更新日期：2003-10-01 00:00:00

abstract：:A 76-year-old man with chronic obstructive pulmonary disease who developed P multocida pneumonia and bacteremia has been described. The infection was treated with antibiotics, and the patient recovered. Pasteurella multocida is known to infect many species of animals. The instances of human infection due to this organ...

journal_title：Southern medical journal

authors： Milder JE,Hall NK,Finley RA

更新日期：1977-09-01 00:00:00

abstract：OBJECTIVE:Intraventricular hemorrhage (IVH) represents a clinicopathologic entity with a dismal prognosis. The associated mortality rate has been reported as high as 80%; the morbidity is also quite high. The use of various fibrinolytic agents (streptokinase, urokinase, and recombinant tissue-type plasminogen activator...

journal_title：Southern medical journal

authors： Fountas KN,Kapsalaki EZ,Parish DC,Smith B,Smisson HF,Johnston KW,Robinson JS

更新日期：2005-08-01 00:00:00

abstract：:Skin and soft tissue necrosis is an uncommon but increasingly recognized complication of coumarin anticoagulant therapy. A patient is described with extensive involvement of all four extremities and the nose, requiring amputation of three extremities. The characteristic clinical features of the disorder are reviewed, ...

journal_title：Southern medical journal

authors： Scandling J,Walker BK

更新日期：1980-11-01 00:00:00

abstract：:Inhalation abuse of volatile solvents, previously known generically as "glue sniffing," is typically pursued by adolescents. A wide range of legal, easily obtained products containing volatile substances are available for abuse. We report two illustrative cases of fatal volatile substance abuse: gasoline sniffing in a...

journal_title：Southern medical journal

authors： Steffee CH,Davis GJ,Nicol KK

更新日期：1996-09-01 00:00:00

abstract：:A patient with typical classic migraine, including clear-cut visual auras, who had been followed up clinically for more than 15 years developed permanent right homonymous hemianopia. The underlying cause of this clinical syndrome was established by computerized axial tomography as vascular infarction or ischemia, invo...

journal_title：Southern medical journal

authors： Moorehead MT 2nd,Movius HJ,Moorehead JR,Jackson MH,Jackson JG

更新日期：1979-07-01 00:00:00

abstract：:A 64-year-old female patient presented with acute cerebellar ataxia. After ruling out vascular, infectious, metastatic, demyelinating, and medication etiologies, a paraneoplastic origin for her illness was determined. A renal mass was discovered and found to be renal cell carcinoma. Her symptoms resolved after a radic...

journal_title：Southern medical journal

authors： Ammar H,Brown SH,Malani A,Sheth HK,Sollars EG,Zhou SX,Gupta C,Mughal S

更新日期：2008-05-01 00:00:00

abstract：:We have described a patient with a biopsy-proven mucoepidermoid carcinoma of the orbit. Although it may have represented a metastasis from a malignancy of the upper respiratory tract, clinically it appeared to be a primary neoplasm of the lacrimal gland. This case emphasizes the value of transmission electron microsco...

journal_title：Southern medical journal

authors： Lawton AW,Karesh JW

更新日期：1989-05-01 00:00:00

abstract：:Amiodarone, a widely used antiarrhythmic drug, is associated with pulmonary toxicity, with an estimated mortality of 1% to 33%. Standard treatment for amiodarone pulmonary toxicity (APT) has been discontinuance of the drug and steroid therapy. We report a case of APT that recurred after withdrawal of steroids and fail...

journal_title：Southern medical journal

authors： Chendrasekhar A,Barke RA,Druck P

更新日期：1996-01-01 00:00:00

abstract：:One goal of primary care training programs is to provide "continuity experiences" for residents. Although programs funded by the Health Resources Administration are mandated to provide and evaluate such experiences, a wide variety may exist in both the concept and the evaluation of continuity in these training program...

journal_title：Southern medical journal

authors： Petrusa ER,Yunker R,Brink S

更新日期：1983-06-01 00:00:00

abstract：:We conclude that DIC can occur as a result of sickle cell crisis in the absence of sepsis and we recommend that patients with sickle cell disease, particularly those with hemoglobin SC disease, presenting in crisis should be considered at risk for the development of disseminated intravascular coagulation. With symptom...

journal_title：Southern medical journal

authors： Corvelli AI,Binder RA,Kales A

更新日期：1979-04-01 00:00:00

abstract：:A 45-year-old Costa Rican woman was seen for a jejunostomy tube malfunction. There was no evidence of tube malposition or intestinal obstruction. During endoscopy, a long worm was retrieved from the distal duodenum; it was later confirmed to be Ascaris lumbricoides. After treatment with mebendazole, no further episode...

journal_title：Southern medical journal

authors： Kiafar C,Shah D,Wadas D,Gilani N

更新日期：2008-06-01 00:00:00

abstract：:The frequency with which house staff noticed their patients to be anemic, the frequency with which they tried to find out why the patients were anemic, and the diagnostic accuracy of such endeavors were measured. Next, an intervention was conducted in which the teams were lectured on the subject of anemia, given readi...

journal_title：Southern medical journal

authors： Sapira JD

更新日期：1991-02-01 00:00:00

abstract：:Compartment syndrome of the leg is usually associated with significant trauma. It has also been associated with prolonged surgery in the hemilithotomy position. Fracture tables that are used for the internal fixation of proximal femur fractures under fluoroscopy place a patient in this position. This report chronicles...

journal_title：Southern medical journal

authors： Meldrum R,Lipscomb P

更新日期：2002-02-01 00:00:00

abstract：:In a ten-year period 139 patients with epidermoid carcinoma of the esophagus were treated by palliative feeding procedures, palliative radiation therapy, radiation therapy for cure, or resection. Analysis of the results of these modes of therapy indicates that long-term palliation is best achieved when resection is th...

journal_title：Southern medical journal

authors： Hollenbeck JI,Tobias JA,Wheat MW,Daicoff GR

更新日期：1976-06-01 00:00:00

abstract：:The hypothenar hammer syndrome is a distinct entity of digital ischemia caused by the repetitive compression of the distal ulnar artery against the hook of the hamate. Definite diagnosis should most likely rely on selective arteriography. Primary resection with anastomosis and cervicodorsal sympathectomy have both bee...

journal_title：Southern medical journal

authors： Ettien JT,Allen JT,Vargas C

更新日期：1981-04-01 00:00:00

abstract：BACKGROUND:Among patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease. METHOD:We retrospectively studi...

journal_title：Southern medical journal

authors： Chan ED,Iseman MD

更新日期：1999-06-01 00:00:00

abstract：:The "wink" sign of nerve root cut-off seen on metrizamide-enhanced computerized tomography correlates well with compression of a lumbar nerve by a herniated disk. Seven of 46 patients had normal or equivocal myelograms, but had definite nerve root cut-off on metrizamide-enhanced CT scan. All seven patients were found ...

journal_title：Southern medical journal

authors： Smith GR

更新日期：1986-05-01 00:00:00

abstract：:A resurgence of acute rheumatic fever (ARF) has been reported in many areas of the United States in recent years. We retrospectively reviewed the medical records of inpatients with a new diagnosis of ARF from 1982 through 1988 at a children's hospital that serves a six-state referral area in the mid-South. Thirty pati...

journal_title：Southern medical journal

authors： Leggiadro RJ,Birnbaum SE,Chase NA,Myers LK

更新日期：1990-12-01 00:00:00

abstract：:Phenformin-associated lactic acidosis is an important though unusual cause of acute abdominal pain. Its clinical picture suggests other catastrophic abdominal entities. A representative case is presented. Aids to arriving at this diagnosis are presented and the specific therapy is outlined. The pathophysiology of this...

journal_title：Southern medical journal

authors： Bartecchi CE,Williams JD

更新日期：1978-03-01 00:00:00

abstract：:After a pilot study had suggested that a drug augmented delayed hypersensitivity, we conducted a control study in which 19 normal volunteers had the same skin test battery applied as in the pilot study, on two occasions one month apart with no intervening treatment. No change was observed in delayed hypersensitivity r...

journal_title：Southern medical journal

authors： Maguire LC,Lackey SD,Roszman TL,Kidwell NS

更新日期：1986-09-01 00:00:00

abstract：:Subdural hematomas are among the most common forms of intracranial hemorrhage encountered in clinical practice and are a surgically remediable cause of dementia. When the symptom presentation is subtle or diffuse, a subdural hematoma can be overlooked. This is especially true among elderly people who may exhibit unrel...

journal_title：Southern medical journal

authors： Velasco J,Head M,Farlin E,Lippmann S

更新日期：1995-09-01 00:00:00

abstract：OBJECTIVES:Immunochromatographic urine pneumococcal antigen testing (ICT) has become a common diagnostic tool for those presenting with possible invasive pneumococcal disease. The incidence and clinical impact of ICT false-positivity on hospitalized patients has not been assessed outside of specific patient subpopulati...

journal_title：Southern medical journal

authors： Ryscavage PA,Noskin GA,Bobb A,Bardowski L,Zembower TR

更新日期：2011-08-01 00:00:00

abstract：:The application of 70% helium-30% oxygen mixtures by tight-fitting face mask in the emergency management of large airway obstruction is well known. We present the case of an infant with severe large airway obstruction and respiratory failure that was unresponsive to the more traditional approaches of airway management...

journal_title：Southern medical journal

authors： Sauder RA,Rafferty JF,Bilenki AL,Berkowitz ID

更新日期：1991-05-01 00:00:00