1/5. Cutaneous acanthamoeba in a patient with AIDS: a case study with a review of new therapy; quiz 386.GOAL: To describe the presenting signs of an acanthamoeba infection. OBJECTIVES: Upon completion of this activity, dermatologists and general practitioners should be able to: 1. Discuss the clinical presentation of acanthamoeba infection. 2. Describe the conditions that make a patient susceptible to acanthamoeba. 3. Outline treatment options for acanthamoeba infection. CME: This article has been peer reviewed and approved by Michael Fisher, MD, Professor of medicine, Albert Einstein College of medicine. review date: April 2001. This activity has been planned and implemented in accordance with the Essentials and Standards of the accreditation Council for Continuing Medical education through the joint sponsorship of Albert Einstein College of medicine and Quadrant HealthCom, Inc. The Albert Einstein College of medicine is accredited by the ACCME to provide continuing medical education for physicians. Albert Einstein College of medicine designates this educational activity for a maximum of 1.0 hour in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. This activity has been planned and produced in accordance with ACCME Essentials.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. staphylococcus aureus colonization of burrows in erythrodermic Norwegian scabies. A case study of iatrogenic contagion.Scanning electron microscopy demonstrated extensive bacterial colonization of scabies burrows honeycombing the stratum corneum of an elderly woman with erythroderma. Cultures of scybala revealed hemolytic staphylococcus aureus, possibly responsible for the erythroderma. Epidemiologic data revealed a trail of scabies through two nursing homes and one hospital during the 2-year period that physicians believed she had a drug-induced erythroderma.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
3/5. Cutaneous myiasis.Although cutaneous myiasis remains uncommon in north america, any traveler to the tropics may return with this ailment. A history of travel to a tropical country, a persistent pruritic lesion resembling a boil but having a dark central punctum with seropurulent or serosanguineous drainage, and complaints of a crawling sensation in the area of the lesion should lead the physician to consider myiasis. Treatment is directed at prompt removal of the fly maggot by incision and extraction.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
4/5. strongyloidiasis. When to suspect the wily nematode.strongyloidiasis is a tenacious soil-transmitted nematode infestation endemic in the south-eastern united states. Thirty-three cases were diagnosed in a series of 1,290 stool examinations in 971 patients at veterans Administration Medical Center, Mountain Home, tennessee. Most patients had a concurrent major illness, such as chronic lung disease, serious bacterial infection, or cancer. A minority presented with gastrointestinal symptoms alone. skin rash was uncommon. eosinophilia, IgE elevation, and skin anergy were common. Atypical presentations included severe proctitis, colitis, and exacerbation of inflammatory bowel disease. In a patient with the hyperinfection syndrome, the diagnosis was made only at autopsy. Since strongyloidiasis seems to present like an opportunistic illness, all physicians, not just those in endemic areas, should consider its presence in the appropriate setting.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
5/5. An approach to the treatment of psychogenic parasitosis.BACKGROUND: patients with psychogenic parasitosis typically seek help from nonpsychiatric physicians and can be difficult and time-consuming to treat. pimozide has been promoted as the treatment of choice but is not indicated for every patient presenting with this symptom. Our purpose was to develop a realistic treatment protocol for the nonpsychiatric physician faced with these patients. methods: Using what is known about this problem through review of the literature and our own experience with 20 patients, a practical treatment strategy is suggested. RESULTS: It is proposed that dermatologists and primary care professionals seeing these patients determine (1) whether or not the patient's belief in infestation is shakable and (2) whether or not the patient is depressed, in order to chose a therapeutic plan. CONCLUSIONS: Dermatologists and psychiatrists can work together to develop treatment protocols that minimize risk and maximize therapy for patients with psychogenic parasitosis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |