The American journal of emergency medicine
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We report a case of a patient with dermal piercings of the hand that were used to anchor body jewelry. The piercings had become infected and were causing the patient pain. ⋯ Both piercings were successfully removed by anesthetizing the area and creating a small linear incision at the base of the stud before gentle removal of the dermal anchor with a hemostat. This report outlines a simple way to remove the piercings while minimizing tissue damage.
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Letter Case Reports
Bongkrekic acid contaminated food, a life-threatening meal.
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Dengue is an arbovirus transmitted by the Aedes spp. mosquito. Approximately 390 million infections occur annually per World Health Organization estimates, with significant increases in infections throughout the last decade. ⋯ Patients experience a wide variety of symptoms ranging from asymptomatic infection to severe disease requiring critical care. Emergency clinicians should consider the diagnosis of dengue in patients from endemic areas presenting with a flu-like illness, rash, and evidence of bleeding.