Posts tagged: General

World Leprosy Day

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Yesterday was World Leprosy Day, an event to raise awareness of this age-old disease, particularly to spread understanding that leprosy is cureable and manageable.

Our journals have published several case reports of patients with leprosy, and of course we welcome more to help share knowledge and experience of this disease.

Single lesion multibacillary leprosy, a treatment enigma: a case report Sapkota BR, Neupane KD, Maharjan RK

Intraneural injection of corticosteroids to treat nerve damage in leprosy: a case report and review of literature Nashed SG, Rageh TA, Attallah-Wasif ES, Abd-Elsayed AA

Concomitant age old infections of mankind – tuberculosis and leprosy: a case report Sreeramareddy CT, Menezes RG, Kishore PV

Google Flu Trends predicts US flu activity

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Google have launced a new online tool, Flu Trends, that can predict influenza outbreaks in different areas of the US. The tool works by monitoring how many flu-related internet searches are carried out – Google have previously correlated this with data on flu outbreaks from the US Center for Disease Control (see graph, below).

Users can check Flu Trends to check the level of ‘flu activity’ in their state day by day – currently Arkansas, Mississippi, Kentucky, Delaware, Maine and Hawaii have the highest incidence.

Has flu season reached your area yet? Don’t forget to write up a case report for your interesting cases, such as this recent report from En Kimura et al, "A reversible lesion …

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Anabolic steroid use resulting in multi-organ failure


A new article in JMCR from Ali Samaha and colleagues reports a case of multiple organ failure in a 24-year old man who had been taking testosterone injections three times a week for two months, as well as diuretics and amino acid supplements.

The patient presented at the emergency room with abdominal pain, nausea and vomiting, and was admitted for management with a primary diagnosis of acute pancreatitis, acute renal failure and hypercalcemia.

Read the case report in full here.

Popliteal venous aneurysm diagnosed in primary care


A new case report in JMCR, ‘Diagnosing a popliteal venous aneurysm in a primary care setting‘ is one of the journal’s first to be written by general practitioners.

The report describes the case of a 68-year-old woman presenting to her general practitioner with a history of local discomfort and swelling in the right popliteal fossa, with pain during palpation. Colour Doppler ultrasonography revealed local widening and saccular dilatation in the right distal popliteal vein. Click here to read more.

We particularly welcome GPs to become involved with the journal – we know that the experience of family doctors is not often shared in the medical literature, and with JMCR and Cases Journal we offer a route for …

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Living with osteoarthritis: a patient’s perspective


Osteoarthiritis is a life-changing, degenerative joint disease. It affects millions of people worldwide, both those who live with the disease and those who care for them.

Helen Burrell, along with her GP Dr Christian Mallen and researcher Dr Jane Richardson, tells the story of how osteoarthritis affects her and her experiences of it in a primary care setting in this alternative case report.

Dr Jane Richardson says, "The
idea for this report was generated by one of the authors (Helen Burrell) who
was diagnosed with osteoarthritis at an early age following childhood Perthes
disease. She approached her general practitioner wanting an
opportunity to tell her story. Using Helens’ poems to illustrate her
experiences, we have produced a …

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JMCR and Cases Journal at Wonca


Thanks to all of you who visited us at the BioMed Central booth at the Wonca Europe conference in Istanbul last week.

It was great to meet so many who have published in JMCR and Cases Journal, and of course also all those who are new to the journals and are now looking to publish their first case report.

We will also be exhibiting at the Wonca Asia Pacific meeting in Melbourne in October, so do visit us at booth number 50 if you are attending.

Richard Smith’s guest blog post: The still small power of medicine

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Medicine has made progress from Voltaire’s famous aphorism that “the art
of medicine consists of amusing the patient while nature cures the disease,”
but two articles just published in Cases
show that progress is slow and not all that it appears to be. Tom
and Enzo Grossi describe the agonising and currently insoluble
problem of advising individuals based on evidence gathered in populations.

Let me try and
illustrate with the following dialogue:

Inquisitive patient: If I take this drug will I be cured?

Complacent doctor: Yes.

Inquisitive patient: How do you know?

Complacent doctor: The drug company told me. They kindly sent me
reprints from a prestigious medical journal.

Inquisitive patient: Did you read them critically?

Complacent doctor: Well no. In fact …

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First report of ambiguous genitalia in diabetic fetopathy


A recently
published article
in Journal
of Medical Case Reports
describes the case of an infant born to a 19-year-old Thai
woman with familial history of diabetes mellitus, which showed evidence of
diabetic fetopathy with classic facial malformation and ambiguous genitalia. Although maternal
diabetes is known to increase the risk of congenital malformations, this is the
first reported case of ambiguous genitalia.

The infant died
shortly after birth; the autopsy showed multiple facial
anomalies including a prominent forehead, an absent nose, absent bilateral ears
and a median cleft lip and palate. The most unusual finding was bilateral
adrenal hyperplasia with ambiguous external genitalia, with clitoral
hypertrophy and hyperpigmentation. Other anomalies found included preaxial
polydactyly of …

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Web 2.0 technologies in healthcare


A new article from the NHS Resource Centre, ‘Web 2.0 technologies in healthcare‘, discusses what patients, doctors and policy makers are doing with collaborative and multi-media technologies.

Cases Journal is cited as an example of how Web 2.0 technologies are changing the way that medical and scientific knowledge is disseminated. The article includes views from Richard Smith, Editor-in-Chief, on why doctors have been slow to connect in online communities and collaborative tools, compared to patients. PatientsLikeMe is an example of a formalised patient network that connects patients with similar treatment experiences, and as the article explains, patients are often very willing to discuss their problems and experiences openly online.

What do you think? Which Web 2.0 networks and collaborations …

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Two cases of anaphylactic reaction to ranitidine


Journal of Medical Case Reports has just published its second case report on a patient experiencing anaphylactic shock on injection of ranitidine.

The first case report, published in August last year by UK authors, described the case of a patient with acute pancreatitis being treated with ranitidine for gastric discomfort. The patient rapidly lost consciousness and went into cardio respiratory arrest after treatment with adrenaline, hydrocortisone and high flow oxygen. The patient was successfully resuscitated, and recovered after three days in the ICU.

The new case report, from Antonio Oliva et al, the patient received routine ranitidine administration 24 hours after transurethral resection of the prostate. Within minutes the patient developed wheezing, dyspnea and hypotension and lost consciousness. Despite intensive …

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