The American journal of the medical sciences
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Numerous studies have reported associations between particulate matter with aerodynamic diameters of ≤2.5 μm (PM2.5) and chronic obstructive pulmonary disease (COPD) hospitalizations and mortality in cities worldwide. Nonetheless, the evidence of an association remains varied and limited. ⋯ PM2.5 is associated with COPD hospitalizations and mortality. Controlling ambient air pollution would provide benefits to COPD patients.
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Review Case Reports
Diagnostic Challenges and Dilemmas in Tuberculous Meningitis.
Tuberculosis is a global burden with an unacceptably high mortality rate, especially in low- and middle-income countries. We reported the case of 34-year-old Somali female with no significant risk factors who initially presented with headache and blurred vision. The patient subsequently developed altered mental status and significant vision changes. ⋯ Repeated polymerase chain reactions for Mycobacterium tuberculosis from the lumbar drain samples was positive, and the diagnosis of tuberculous meningitis was confirmed. The patient improved after lumbar drain placement and treatment with isoniazid, rifampin, pyrazinamide, ethambutol and steroid tapering. This case illustrated the challenge of diagnosing tuberculous meningitis.
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Letter Case Reports
Staghorn Renal Stone With Magnesium Ammonium Phosphates Crystals.
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Editorial Historical Article
Why Did the Original Jones Criteria Not Emphasize Streptococcal Infection?