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Infectious Disease: Endemics

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Total 2540 results found since Jan 2013.

Chronic upper back and rib pain in a healthy man: re-examining the cause
We describe a 44-year-old man from India who presents to his general practitioner with a 2-week history of rib and upper back pain. He was initially diagnosed with non-specific musculoskeletal pain. However, after representing twice 2 months later due to persistent pain and due to the uncertainty about his condition, he was investigated with different imaging modalities. It was discovered on bone scan that he had osteolytic lesions in the right 11th rib and T2 vertebrae. As the cause of his osteolytic lesions were unclear, he was referred to different specialists. Skeletal tuberculosis was suspected when one of his special...
Source: Journal of Primary Health Care - October 8, 2021 Category: Primary Care Authors: Cai Jun Jean Liang George Wen-Gin Tang Philip Herald Source Type: research

The Double-Faced Pain Problem: Reflections On July’s Narrative Matters Essay
Reading Janice Lynch Schuster’s tormented account of her persistent pain and her journey through the medical maze of care in the July issue of Health Affairs, I’m reminded of how millions of Americans are living with not one, but two, pain challenges. The first is the epidemic of over-prescription; the second is the condition of endemic under-medication. In her essay “Down The Rabbit Hole: A Chronic Pain Sufferer Navigates The Maze Of Opioid Use,” Schuster herself hints at the dual issues when she writes: “pain patients like me often feel trapped between the clinical need to treat and manage pain and the social ...
Source: Health Affairs Blog - July 28, 2014 Category: Health Management Authors: Keith Wailoo Tags: Access All Categories Chronic Care Narrative Matters Personal Experience Pharma Policy Source Type: blogs

(386) Medial Foot Column Disorders (Morton's and Rothbart's): Endemic, Underdiagnosed, and Undertreated
From Sept. 2016-Sept. 2018, 214 consecutive pats underwent a complete evaluation by both an MD and a Board Certified Myofascial Trigger point Therapist at one pain clinic.  Of the 214, 133 pts (62%) had a medial foot column disorder ranging form Morton's Toe  (short first metatarsal or primus metatarsus elevatus) to Rothbart's Foot  (incomplete unwinding of talus).  The most common complaints of the 133 pts were back pain in 37  and leg, knee, or hip pain in 29.  Only 14 pts had foot pain, 5 of whom also had peripheral neuropathy.
Source: The Journal of Pain - March 21, 2019 Category: Materials Science Authors: R. Hartz, M. Biancalana Source Type: research

Tuberculosis Septic Arthritis of the Elbow: A Case Report and Literature Review
Cureus. 2021 Mar 8;13(3):e13765. doi: 10.7759/cureus.13765.ABSTRACTTuberculosis (TB) infections of the musculoskeletal system are rare. A 77-year-old female with chronic left elbow pain for five months was treated by irrigation and debridement of the elbow for a presumed diagnosis of septic arthritis. Her pain and wound condition did not improve, and she was referred to our institution. Plain radiograph and magnetic resonance imaging (MRI) revealed an osteolytic lesion with joint effusion and severe destruction of the elbow joint. We suspected an atypical infection of the elbow due to the chronicity, negative culture resul...
Source: Pain Physician - April 12, 2021 Category: Anesthesiology Authors: Pasin Tangadulrat Sitthiphong Suwannaphisit Source Type: research

Sacroiliac tuberculosis – A neglected differential in refractory low back pain – Our series of 35 patients
Conclusion Sacroiliac tuberculosis must be kept as a differential in all refractory low back pain particularly in endemic areas. MRI is very helpful in early diagnosis of disease. In the early stages of the infection aspiration using a closed needle biopsy is recommended. An open biopsy is essential when the aspirate yields no growth. Open debridement should be done in those not responding to conservative management.
Source: Journal of Clinical Orthopaedics and Trauma - October 12, 2014 Category: Orthopaedics Source Type: research

Aristolochic acid, a plant extract used in the treatment of pain and linked to Balkan Endemic Nephropathy, is a regulator of K2P channels
Conclusions and ImplicationsEnhancement of TREK1 and TREK2 and inhibition of TRESK by AristA may contribute to therapeutically useful effects of this compound in pain. Whilst AristA is unlikely to interact directly with TASK2 channels in BEN, loss of functional TASK2 channels may indirectly increase susceptibility to AristA toxicity.
Source: British Journal of Pharmacology - February 23, 2016 Category: Drugs & Pharmacology Authors: Emma L. Veale, Alistair Mathie Tags: RESEARCH PAPER Source Type: research

Trichuris trichiura Infection in North Korean Defector Resulted in Chronic Abdominal Pain and Growth Retardation.
Abstract Trichuris trichiura infection is a common helminth infection, which is transmitted via soil, with worldwide distribution, especially in rural areas of developing countries. Occasionally, sporadic cases occur in non-endemic, developed areas due to the widespread of immigration. We experienced a case of Trichuris dysentery syndrome in a young North Korean defector, who had been suffering from chronic abdominal pain for 10 years. He is relatively short and thin compared with his older brother. Unexpectedly, the diagnosis, made by a colonoscopy, revealed numerous, small, white, and gently moving worms at the ...
Source: Korean J Gastroenter... - April 25, 2017 Category: Gastroenterology Authors: Kim JB, Seo KI, Moon W Tags: Korean J Gastroenterol Source Type: research

Point-of-care ultrasound utilized for foreign body in a toe: A case report of botfly  larvae
J Emerg Med. 2022 May 10:S0736-4679(22)00172-X. doi: 10.1016/j.jemermed.2022.02.008. Online ahead of print.ABSTRACTBACKGROUND: Myiasis, as defined by the Centers for Disease Control and Prevention, is infection with fly larvae commonly occurring in tropical and subtropical areas. Whereas the presentation of skin infection with organisms such as Dermatobia hominis (human botfly) is more easily recognized in these regions, identification of myiasis in the United States is difficult due to its rarity. Due to unspecific signs and symptoms, myiasis may initially be mistaken for other conditions, like cellulitis.CASE REPORT: Thi...
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Megumi T Mori Claire L Paulson Marna Rayl Greenberg Kevin R Roth Source Type: research

Strongyloides stercoralis is a cause of abdominal pain, diarrhea and urticaria in rural Cambodia
Conclusions: In rural communities of Cambodia, strongyloidiasis with high parasite load is endemic. It is associated with substantial symptoms and clinical signs, particularly abdominal pain, diarrhea and urticaria. Access to adequate diagnosis and treatment is a pressing issue that needs attention.
Source: BMC Research Notes - May 20, 2013 Category: Research Authors: Virak KhieuSophanaroth SreyFabian SchärSinuon MuthHanspeter MartiPeter Odermatt Source Type: research

Granuloma formation and suspected neuropathic pain in a domestic pigeon (Columba livia) secondary to an oil‐based, inactivated Newcastle disease vaccine administered for protection against pigeon paramyxovirus‐1
ConclusionPPMV‐1 is now considered endemic in Australia and protecting pigeons with vaccination is important. Until a product is registered for use, vaccination remains off‐label and the risk of adverse reaction, including sterile granuloma, must be considered.
Source: Australian Veterinary Journal - April 27, 2014 Category: Veterinary Research Authors: ML Cowan, DJ Monks, SR Raidal Tags: CASE REPORT Source Type: research

A huge cardiac hydatid cyst: an unusual cause of chest pain revealing multivisceral hydatidosis in a young woman
We report the case of a 36 year-old Tunisian woman admitted with chest pain and T-wave inversion in the inferior leads on her electrocardiogram. Transthoracic echocardiography revealed a large hydatid cyst in the epicardium throughout the left ventricle. Thoracoabdominal CT scan showed several hydatid cysts in the left lung, the liver and in both breasts. After one week of Albendazole treatment, surgical excision of the cardiac cyst on cardiopulmonary bypass was carried out as well as pulmonary and breast cysts excision. The postoperative course was uneventful and the Albendazole treatment was continued for 6 months. Thoug...
Source: Journal of the Saudi Heart Association - May 1, 2015 Category: Cardiology Source Type: research