The American journal of the medical sciences
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Review Case Reports
Paracoccidioidomycosis (South American blastomycosis) of the larynx mimicking carcinoma.
Paracoccidioidomycosis is the most frequently identified deep mycosis in South America. Paracoccidioides brasiliensis is a thermally dimorphic fungus that is generally acquired by the respiratory route through airborne inhalation of conidia. Herein, we describe a case of a patient with paracoccidioidomycosis of the larynx mimicking carcinoma of the larynx and we review the literature regarding this unusual manifestation of this fungal infection.
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Gatifloxacin, until recently one of the most commonly prescribed antibiotics, has been shown to produce hypoglycemia. ⋯ In summary, G was clearly associated with both hypoglycemia and hyperglycemia compared with C and R. The risk of hyperglycemia increased in the presence of DM, steroid use, and "sick enough" to be in the intensive care unit.
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Comparative Study
Prevalence of abdominal and pelvic surgeries in patients with irritable bowel syndrome: comparison between Caucasian and African Americans.
Although controversial, studies suggest that irritable bowel syndrome (IBS) is associated with an increased risk of abdominal and pelvic surgeries. However, the role of race in this interaction has not been defined. We studied the prevalence of appendectomy, cholecystectomy, and hysterectomy among African American patients with IBS among the population at large and compared it with the Caucasians residing in same area. ⋯ Based on responses to ROME II criteria questionnaire administered to community at large, IBS is not associated with greater prevalence of abdominal and pelvic surgeries. Caucasians are more likely to have these surgeries irrespective of whether they have IBS or not. Our study does not exclude the possibility that there may indeed be association between IBS and surgeries if only the IBS patients seeking health care are considered.
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Pleural fluid analysis in isolation may have clinical value. To have the greatest diagnostic impact, the clinician must formulate a prethoracentesis diagnosis based on the clinical presentation, blood tests, and radiographic imaging. With this approach, a definitive or confident clinical diagnosis can be expected in up to 95% of patients. The information in this report should allow the clinician to achieve this goal.