Black tar heroin blamed after flesh-eating bacteria kills seven people in San Diego 
Health officials from San Diego County say nine people were hospitalized with myonecrosis, a life-threatening bacterial infection, linked to black tar heroin use, with seven people dying. (Source: the Mail online | Health)
Source: the Mail online | Health - December 5, 2019 Category: Consumer Health News Source Type: news

7 Heroin Users Die From Flesh-Eating Bacteria in San Diego
County health officials are asking the medical community to be on the lookout for additional cases of myonecrosis, a bacterial infection associated with black-tar heroin use. (Source: NYT Health)
Source: NYT Health - December 5, 2019 Category: Consumer Health News Authors: Michael Levenson Tags: Drug Abuse and Traffic Heroin Deaths (Fatalities) San Diego (Calif) Source Type: news

Frostbite
With the cold months here people need to be made aware of injuries that may occur during these months. Exposure to a temperature below freezing usually leads to severe soft tissue damage (Figure 1). How does the body protect itself from cold? Thermoregulation The body has the ability to maintain a core body temperature by the process of thermoregulation. During extreme cold, the body receives a signal from sensory receptors. For example, there receptors are present in the hands or the feet (Figure 2). These sensory receptors will respond to the cold and send a signal up to the brain. The posterior hypothalamus is respo...
Source: Healthy Living - The Huffington Post - December 27, 2016 Category: Consumer Health News Source Type: news

Trusting Your Gut: Diagnosis and Management of Clostridium septicum Infections
Clostridium septicum is a Gram-positive anaerobic bacillus that causes serious, life-threatening infections, including aggressive septicemia and myonecrosis. Clostridial myonecrosis can be broadly classified into two defined clinical presentations: traumatic and spontaneous. Clostridium perfringens is the most common cause of traumatic myonecrosis, while C. septicum is the most common etiological agent of spontaneous myonecrosis. Although rarely clinically encountered, C. septicum infections are often fatal. (Source: Clinical Microbiology Newsletter)
Source: Clinical Microbiology Newsletter - November 19, 2016 Category: Microbiology Authors: Michael J.G. Mallozzi, Andrew E. Clark Source Type: news

Tourniquets in Field Management of Active Bleeding
This study was groundbreaking. First, it was a prospective study; second, it found a complication rate of 1.7% limited to nerve palsies. These updated findings on complications of the device have helped to allay prior fears of morbidity that deterred tourniquet use. Following suit, the civilian community conducted its own research. Yielding low complication rates and high potential benefits, this research bolstered the recommendation for aggressive early tourniquet use.7 Mirroring the wave of change in military protocols, by 2012 some large metropolitan areas began equipping ambulances with commercial tourniquets and ...
Source: JEMS Patient Care - April 6, 2016 Category: Emergency Medicine Authors: Elisabeth White, MD Tags: Major Incidents Trauma Source Type: news

Your NEJM Group Today: Gas Gangrene Image, Malpractice Reform & ED Use, Boston Internist Opportunity (FREE)
By the Editors NEJM Group offers so many valuable resources for practicing clinicians. Here's what we chose for … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 17, 2014 Category: Primary Care Source Type: news

Gate for bacterial toxins found
(University of Freiburg) Prof. Dr. Dr. Klaus Aktories and Dr. Panagiotis Papatheodorou from the University of Freiburg have discovered the receptor responsible for smuggling the toxin of the bacterium Clostridium perfringens into the cell. The TpeL toxin is formed by C. perfringens, a pathogen that causes gas gangrene and food poisoning. It is very similar to the toxins of many other hospital germs of the genus Clostridium. Aktories is member of the BIOSS Centre for Biological Signalling Studies. (Source: EurekAlert! - Biology)
Source: EurekAlert! - Biology - April 16, 2014 Category: Biology Source Type: news

Endocrinology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoA painful swollen thigh in a diabetic patient: diabetic myonecrosis. The Lancet, 05/2014.Subperiosteal Bone Resorption due to primary hyperparathyroidism caused by parathyroid adenoma. NEJM, 05/2014.Eschar Formation from Testosterone Patch.Homozygous familial hypercholesterolaemia. Lancet, 04/2012.Insulin-Induced Lipohypertrophy. NEJM, 02/2012.Ectopic Cushing's Syndrome. NEJM, 12/2011.Porphyria Cutanea Tarda. NEJM, 09/2011.Auricular Cartilage Calcification and Adrenal Insufficiency. NEJM, 01/2011.Hemichorea –Hemiballism after Diabetic Ketoa...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Endocrinology Images Source Type: news