Perianal streptococcal dermatitis

A previously healthy 3-year-old boy presented with rectal pain and refusal to sit and defecate over the past 24  h. He had no fever. The perianal region showed a painful circumferential bright erythema with well-demarcated margins (diameter 4 cm) covered with light exudate (Fig. 1). An anal fissure was noted. He had chronic obstipation. There were no close contacts with tonsillitis or impetigo. The rapid a ntigen detection test for group A Streptococcus (GAS) of the perianal lesion showed a positive result (Healgen GAS Rapid Test – Cassette).
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Tags: Images Source Type: research

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CONCLUSION: Glucocorticoids is the the mainstay of treatment. Therenal function tests, of the vast majority of patients, normalizedwith treatment. Relapse may occur, so a follow-up over a longperiod of time is required. A high index of suspicion is neededfor diagnosis in asymptomatic patients. PMID: 31422391 [PubMed - in process]
Source: Iranian Journal of Kidney Diseases - Category: Urology & Nephrology Tags: Iran J Kidney Dis Source Type: research
Recently I have spent much time listening to linguistic podcasts. They have triggered many thoughts about how we take histories from patients. Linguistics represents a very complex science of language. One concept that has intrigued me involves the meaning of words. When we hear words or read words, we automatically assign a meaning to those words. Too often, especially when we are students and residents, we make assumptions about meaning. However, with experience we learn that words mean different things to different persons. Experience teaches us that certain words have different meanings amongst patients. Thus, w...
Source: DB's Medical Rants - Category: Internal Medicine Authors: Tags: Medical Rants Source Type: blogs
Authors: Bayoumi AB, Ikizgul O, Karaali CN, Bozkurt S, Konya D, Toktas ZO Abstract Antidepressant drugs can be advantageous in treating psychiatric and non-psychiatric illnesses, including spinal disorders. However, spine surgeons remain unfamiliar with the advantages and disadvantages of the use of antidepressant drugs as a part of the medical management of diseases of the spine. Our review article describes a systematic method using the PubMed/Medline database with a specific set of keywords to identify such benefits and drawbacks based on 17 original relevant articles published between January 2000 and February ...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
The necessary length of follow-up required for publication in most journals until recently was 2 years. The article by, Staartjes et al. [1] shows that irrespective of the surgical procedure, 12-month patient-reported outcome measures for functional ability and pain severity accurately reflect those at 24 months. They site references [2 –4] in support of a 12-month follow-up which may be sufficient for evaluating spinal care in clinical practice as well as in research.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Letter to the editor Source Type: research
Conclusions: Loxoprofen was the most prescribed of the non-steroidal anti-inflammatory drugs in Japan. The information obtained provides an overview of prescribed oral analgesics in Japan and could be useful for potential research into prescribed oral analgesics in the future. PMID: 31422709 [PubMed - as supplied by publisher]
Source: Expert Opinion on Pharmacotherapy - Category: Drugs & Pharmacology Tags: Expert Opin Pharmacother Source Type: research
Publication date: Available online 19 August 2019Source: Journal of Cardiology CasesAuthor(s): Ryosuke Tani, Yoichi Yamashita, Keiji Matsunaga, Waki Toyama, Kaoru Mantani, Takahisa Noma, Taiko Horii, Tetsuo MinaminoAbstractWe often observe patients with antiphospholipid syndrome (APS) presenting with both venous and arterial thrombi. Anticoagulant therapy is effective for venous and peripheral arterial embolisms in these patients; however, it has opposite effects when applied for thoracic aortic mural thrombosis because of the risk of new arterial embolisms. Recently, thoracic endovascular aortic repair (TEVAR) has been us...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
In this study, a consecutive series of four patients suffering from extensive bone marrow edema triggered by intra-articular osteoid osteoma underwent clinical examination, magnetic resonance imaging (MRI) and computed tomography (CT) as well as dual-energy X-ray absorptiometry (DXA) and laboratory bone turnover analyses. The obtained resection specimens were processed by undecalcified histology and were subsequently analyzed by light microscopy and quantitative backscattered electron imaging (qBEI). We report an entity of intra-articular osteoid osteoma in the knee and foot, in which an extensive and persistent bone marro...
Source: Journal of Bone Oncology - Category: Cancer & Oncology Source Type: research
CONCLUSION: Intracapsular tonsillectomy appears to result in reduced morbidity overall and should be considered as a viable alternative in relevant cases. PMID: 31422778 [PubMed - as supplied by publisher]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
Publication date: Available online 19 August 2019Source: NeuroImageAuthor(s): Anna M. Zamorano, Pedro Montoya, Ignacio Cifre, Peter Vuust, Inmaculada Riquelme, Boris KleberAbstractRecent resting-state fMRI studies associated extensive musical training with increased insula-based connectivity in large-scale networks involved in salience, emotion, and higher-order cognitive processes. Similar changes have also been found in chronic pain patients, suggesting that both types of experiences can have comparable effects on insula circuitries. Based on these observations, the current study asked the question whether, and if so in ...
Source: NeuroImage - Category: Neuroscience Source Type: research
Conclusions: MWs in Italy may suffer from OH inequalities. Qualified public OH professionals and occupational physicians in workplaces should have a proactive role to concretely meet MWs’ health needs.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
More News: Chronic Pain | Dermatitis | Dermatology | Group A Streptococcus | Impetigo | Pain | Pediatrics | Perinatology & Neonatology | Tonsillitis