Ugeskrift for laeger
-
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.
-
Ugeskrift for laeger · Oct 2012
[Sudden deaths by hobble restraint of severely hyperactive persons].
Cardiac arrest may occur while persons are being kept in hobble restraint. It has been suggested that asphyxia caused by the restraint position, so-called restraint asphyxia, is the cause, but experimental evidence has not confirmed this theory. ⋯ The pathophysiology of EDS is complex and poorly understood. Sensibilisation of the heart by a hyperadrenergic autonomous dysfunction, metabolic acidosis and hyperthermia offer possible mechanisms.