October 15th, 2011 by American Journal of Neuroradiology in Research
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Cerebral vasculitis is a known cause of ischemic and hemorrhagic strokes and has been described as one of the rare but important causes of corpus callosum infarction. Biopsy-proved giant cell arteritis causing callosal infarction is an exceedingly rare finding because a tissue specimen is usually not obtained and conclusions are drawn on the basis of clinical and radiologic findings alone. We present a case of callosal infarction, which evolved and eventually affected large portions of both cerebral hemispheres.
A 63-year-old woman presented to our hospital with left-sided numbness and neglect, cognitive changes, and apraxia. One month earlier, she was found to have a C-reactive protein level of 8.0 mg/dL (normal <0.5 mg/dL) and 75% stenosis in both femoral arteries. These results prompted Read more »
*This blog post was originally published at AJNR Blog*
October 5th, 2011 by Toni Brayer, M.D. in News
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If you have watched any news over the past week you know there is a listeria outbreak from contaminated cantaloupes that has been traced to Jensen Farms in Colorado. The CDC has confirmed 72 illnesses, including 13 deaths linked to the melons and three other deaths may be involved. By now most of the cantaloupes should be gone as they usually last only a couple of weeks. The recalled cantaloupes were shipped between July 29 and Sept 10.
Listeriosis is a serious infection caused by eating food contaminated with the bacterium Listeria monocytogenes. It causes fever, muscle aching and sometimes diarrhea. It feels like a bad flu with headache, stiff neck, confusion, loss of balance and in severe cases, convulsions. As with many infections; babies, pregnant women, people with weakened immune systems and older adults are more likely to have severe illness. There are about Read more »
*This blog post was originally published at EverythingHealth*
October 1st, 2011 by Toni Brayer, M.D. in Opinion
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We must not turn a blind eye to the shocking facts about land mines and the damage they cause to civilians and our own troops. The fact that modern warfare involves buried explosives that are completely untargeted should shock the conscience of the world. The number of severe wounds that affect our servicemen is on the rise and the Army’s Landstuhl Regional Medical Center in Germany is filled with casualties from Iraq and Afghanistan.
There have been 79 cases of multiple amputations this year for our U.S. soldiers…more than any previous year and through July, 134 servicemen and women lost limbs. The year is only 1/2 over!
Doctors treating the troops said there is often damage to lungs, kidneys and livers from massive blood loss and shock. Infection is rampant and 90 soldiers lost Read more »
*This blog post was originally published at EverythingHealth*
September 30th, 2011 by MatthewKuehnertMD in News
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Over the past few years, my team at the CDC looked into more than 200 reports of unexpected disease transmission through organ transplantation. Of the cases that were confirmed, some had fatal outcomes. Clearly, transmission of infections through organ transplants remains a patient safety concern that calls for action.
To help address the problem, CDC recently led a team of experts to develop the Draft 2011 Public Health Service (PHS) Guideline for Reducing Transmission of HIV, HBV, and HCV through Solid Organ Transplantation. The guideline was posted to the Federal Register last week, and I encourage your review and comment.
While recognizing the critical need for organs, our team also wants Read more »
*This blog post was originally published at Safe Healthcare*
September 25th, 2011 by Toni Brayer, M.D. in Health Policy
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I spent the day today with 60 physicians and nurses at a symposium focused on quality improvement and reducing mortality from sepsis. Sepsis (overwhelming infection) is the number 1 cause of hospital deaths and the mortality rate can be as high as 60% if the patient goes into shock from infection. Survival depends upon thousands of independent pieces coming together in an organized way. A patient doesn’t come to the emergency department and say “I have sepsis”. He may arrive by ambulance or be brought in by a relative and simply feel weak, or confused or have a fever.
To make the diagnosis, the doctor or nurse has to be thinking sepsis is a possibility and it is critical to get the right tests and treatments within a very short time frame. There are complicated steps that must be taken quickly and the entire hospital team (lab, pharmacy, transport, doctors and nurses) must act Read more »
*This blog post was originally published at EverythingHealth*
