1/94. arthritis due to mycobacterium fortuitum.mycobacterium fortuitum is classified as a rapidly growing mycobacterium (RGM) according to the Runyon classification. RGM are increasingly being recognized as human pathogens. Joint infection due to M. fortuitum is a rare, but serious disease. This report describes a patient with acquired immunodeficiency syndrome (AIDS) and septic arthritis of the knee due to M. fortuitum in a previously normal joint with no history of surgery or intra-articular injections.- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
2/94. Group G streptococcus sacroilitis with sepsis in a 15-y-old adolescent.Group G streptococci cause invasive infections of different tissues. Most infected patients have underlying diseases and are of adult age. Invasive group G streptococcal infections rarely occur in childhood and adolescence. A 15-y-old boy with a beta-haemolytic group G streptococcus sacroiliitis, sepsis and secondary pulmonary manifestations resembling an acute respiratory distress syndrome is described.- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
3/94. sacroiliitis - it's not all B 27.We describe an HLA-B27 positive patient in whom posttraumatic pyogenic sacroiliitis led to complete unilateral sacroiliac joint ankylosis in the absence of any signs indicative of HLA-B27 associated spondyloarthropathy. sacroiliitis is the pathologic hallmark - and usually one of the earliest pathologic manifestations - of ankylosing spondylitis (AS). Bilateral sacroiliitis is typical for ankylosing spondylitis. The frequency of asymmetric sacroiliitis may be higher in other inflammatory disorders, e.g., reactive arthritis, Reiters syndrome, spondylitis associated with psoriasis, or inflammatory bowel disease. Most but not all of these disorders show an increased prevalence among individuals who have inherited the HLA-B27 gene. In the context of this case, we discuss the differential diagnosis of unilateral sacroiliitis.- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
4/94. Report of 2 fatal cases of adult necrotizing fasciitis and toxic shock syndrome caused by streptococcus agalactiae.We describe 2 cases of fatal necrotizing fasciitis and toxic shock syndrome caused by streptococcus agalactiae-a rare entity that has been reported in only 9 patients-in 2 nonpregnant adults.- - - - - - - - - - ranking = 5keywords = syndrome (Clic here for more details about this article) |
5/94. Reversible nephrotic syndrome in a patient with amyloid A amyloidosis of the kidney following methicillin-resistant staphylococcus aureus infection.A common form of methicillin-resistant staphylococcus aureus (MRSA) associated glomerulonephritis is either an endocapillary proliferative glomerulonephritis or a crescentic glomerulonephritis. This report describes the development of reversible nephrotic syndrome following MRSA infection in a patient with amyloid A amyloidosis. The patient had been diagnosed as having rheumatoid arthritis for 50 years. Suppurative arthritis due to MRSA became complicated 2 years prior to admission to our hospital. In the meantime, a nonnephrotic-range proteinuria developed. Two weeks before admission, nephrotic syndrome developed. The serum creatinine level remained unchanged throughout the course, but common features characteristic of MRSA-associated glomerulonephritis were observed in this patient, such as elevated serum IgG and IgA levels. A renal biopsy specimen showed glomerular amyloid A amyloidosis of a nodular type, infiltrated mononuclear cells in the mesangium, deposition of IgG, IgA, and C3, and swelling of glomerular endothelial cells. There were no crescentic glomeruli. Following surgical eradication of the MRSA focus in the right knee joint, nephrotic syndrome disappeared. Hence, it was highly possible that MRSA infection induced a reversible nephrotic syndrome by causing reversible injuries to glomerular endothelial cells. The description of this case serves to illustrate the range of MRSA infections that may cause various forms of glomerulonephritides.- - - - - - - - - - ranking = 8keywords = syndrome (Clic here for more details about this article) |
6/94. Multifocal streptococcal pyomyositis complicated by acute compartment syndrome: case report.A 5-year-old girl sought treatment for pyrexia of unknown origin. Despite prompt surgical drainage of a streptococcal septic arthritis of the ankle joint, her condition deteriorated. Multifocal pyomyositis was subsequently diagnosed. This was complicated by acute compartment syndrome in three extremities. With aggressive surgical and medical management, the child made a complete recovery. Orthopaedic clinicians in nontropical areas must familiarize themselves with this rare, potentially life-threatening, but eminently curable disease.- - - - - - - - - - ranking = 5keywords = syndrome (Clic here for more details about this article) |
7/94. Polymicrobial polyarticular septic arthritis: a rare clinical entity.Polymicrobial polyarticular septic arthritis is a rare clinical entity, with only a few cases having been reported to date. We report a case due to streptococcus pyogenes and Staphylococcus aureus in an IVDU, complicated by fatal streptococcal toxic-shock syndrome, and review the current literature. We conclude that whenever polymicrobial polyarticular septic arthritis is diagnosed, a high index of suspicion should be maintained for the detection of locally destructive infectious processes as well as systemic complications, and that a high mortality rate should be expected.- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
8/94. Acquired Brown's syndrome in a child with poststreptococcal reactive arthritis.Acquired Brown's syndrome is a disorder of ocular mobility characterized by the inability to elevate the affected eye in full adduction owing to inflammatory tenosynovitis of the superior oblique tendon. We describe a child who developed Brown's syndrome as a complication of poststreptococcal reactive arthritis.- - - - - - - - - - ranking = 6keywords = syndrome (Clic here for more details about this article) |
9/94. Serous flexor tenosynovitis as an associated finding in meningococcal septic polyarthritis.Flexor tenosynovitis complicating meningococcal septic polyarthritis may be sterile and could be misdiagnosed as disseminated gonococcal infection. awareness of clinical findings associated with meningococcal polyarthritis is recommended to prevent onset of fulminant meningococcemia (waterhouse-friderichsen syndrome).- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
10/94. Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine.The authors developed an instrument called the "rehabilitation Problem-Solving Form" (RPS-Form), which allows health care professionals analyze patient problems, to focus on specific targets, and to relate the salient disabilities to relevant and modifiable variables. In particular, the RPS-Form was designed to address the patients' perspectives and enhance their participation in the decision-making process. Because the RPS-Form is based on the International classification of Functioning, Disability, and health (ICF) Model of Functioning and Disability, it could provide a common language for the description of human functioning and therefore facilitates multidisciplinary responsibility and coordination of interventions. The use of the RPS-Form in clinical practice is demonstrated by presenting an application case of a patient with a chronic pain syndrome.- - - - - - - - - - ranking = 1keywords = syndrome (Clic here for more details about this article) |
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