Ugeskrift for laeger
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Ugeskrift for laeger · Oct 2012
[No evidence for renal protective effect of loop diuretics for patients having oliguria].
In many intensive care units, loop diuretics are used more or less routinely to achieve a urinary output above 1 ml/kg/h in critically ill patients. We do not in the literature find any basis of this strategy. ⋯ The use of loop diuretics in oliguric critically ill patients may be harmful. Consequently an individual assessment is required.
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Ugeskrift for laeger · Oct 2012
Case Reports[Pyomyositis caused by Streptococcus pneumoniae in a previously healthy 20-year-old man].
Pyomyositis is a bacterial infection of the skeletal muscle usually caused by Staphylococcus aureus. This case report presents a 20-year-old man with pyomyositis caused by Streptococcus pneumoniae. Pyomyositis is a rare but potentially critical disease, and early diagnosis, drainage and use of appropriate antibiotic therapy are essential to reduce morbidity and mortality. However, early diagnosis of pyomyositis can be challenging as initial symptoms may be vague, but the condition should be suspected in patients with acute onset of severe, localised muscle pain and fever.