The First Case of Hand Infection Caused by Dermabacter jinjuensis in a Symmetrical Peripheral Gangrene Patient

ConclusionThis is the first reported case of a human D. jinjuensis infection. We were able to treat patients without any complications by operative treatment and administering appropriate antimicrobial agents according to antibiotics susceptibility test.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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ConclusionCondom catheter is frequently used to manage male urinary incontinence but it should not be used carelessly or overlooked as it can cause severe complications such as penile strangulation and penile gangrene.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Source: Indian Journal of Pediatrics - Category: Pediatrics Source Type: research
Peripheral arterial disease (PAD) is a highly prevalent, yet underdiagnosed, condition [1]. Although frequently asymptomatic, it is a leading cause of leg pain, claudication, ulceration, gangrene, and even amputation. On the other hand, patients with type 2 diabetes (T2DM) are more likely to develop PAD than do the non-diabetic subjects. Furthermore, they are affected by more severe and extensive form of the disease that tends to involve more distal arteries, progress more quickly, and also it is more likely to lead to ischemic ulceration and amputation [2].
Source: Primary Care Diabetes - Category: Primary Care Authors: Tags: Original research Source Type: research
ConclusionIn randomised, placebo-controlled trials of patients with T2DM, ipragliflozin was well tolerated, with a similar overall incidence of TEAEs to placebo. No new safety signals were observed.Trial Registration NumbersNCT01071850, NCT00621868, NCT01057628, NCT01117584, NCT01135433, NCT01225081, NCT01242215, NCT02175784, NCT01505426, NCT02452632, NCT02794792, NCT01316094.FundingAstellas Pharma Inc.
Source: Diabetes Therapy - Category: Endocrinology Source Type: research
Authors: Shima N, Akiyama Y, Yamamoto S, Kokuzawa A, Nagatani K, Iwamoto M, Matsubara D, Kawai S, Sato K, Minota S Abstract A 48-year-old woman with severe pain and numbness of her right leg and foot was admitted to our hospital. She had never smoked and had little exposure to passive smoking. Initially, polyarteritis nodosa with anti-phospholipid antibodies was considered. Combination therapy with methylprednisolone pulse therapy, intravenous cyclophosphamide pulse therapy, vasodilators, antiplatelet agents, and anticoagulants was not effective. Vasculopathy was progressive, and she presented with gangrene of the ...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Jyotsna PunjIndian Journal of Anaesthesia 2019 63(10):851-855 Medical management along with stellate ganglion block is frequently given to prevent the vasculitis of fingers in patients of systemic lupus erythematosus (SLE). Bilateral stellate ganglion block is rarely given due to the concern of phrenic and recurrent laryngeal nerve palsy. In this article, we describe the management of a recently diagnosed SLE patient presented with progressive gangrene of fingers of both upper limbs. Meticulously planned serial bilateral ultrasound-guided stellate ganglion blocks were successfully given to prevent impending loss of digits...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Authors: Agarwal P, Gautam A, Bansal M, Jose R, Upadhyay S PMID: 31571461 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
This article provides non-radiologists with a systematic approach to identifying emergency pathology on abdominal and pelvic CT scans. It reviews the relevant cross-sectional anatomy and discusses the CT appearances of bowel perforation, bowel obstruction, bowel ischaemia (gangrene), bleeding, appendicitis and hydronephrosis using illustrative examples from the authors' clinical practice. Underlying causes for these conditions and the importance of interpreting the radiological appearances in conjunction with the patient's clinical condition and history are discussed. The authors hope that by using the POGBAH acronym and a...
Source: British Journal of Hospital Medicine - Category: Internal Medicine Authors: Tags: Br J Hosp Med (Lond) Source Type: research
This article explains how to diagnose and manage scrotal emergencies such as testicular torsion, Fournier gangrene, and testicular trauma. These diagnoses are often difficult to discern from less-concerning causes. This article helps to elucidate the differences between the dangerous and the less-harmful pathologic conditions. PMID: 31563197 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Emerg Med Clin North Am Source Type: research
We report a case of a female patient with rapidly advancing blue discoloration of her feet. Peripheral artery disease (PAD) and thrombosis were quickly ruled out. Eventually, she required transmetatarsal amputation for gangrene. Pathologic analysis confirmed the unexpected diagnosis of fibromuscular dysplasia (FMD), an arterial disease that most frequently causes renal and carotid artery stenosis. Common symptoms include secondary hypertension refractory to antihypertensives, dizziness and pulsatile tinnitus, and abdominal pain due to mesenteric artery involvement.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Letter to the editor Source Type: research
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