British journal of nursing (Mark Allen Publishing)
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Sore throat is a common complaint, generally thought to be viral in origin, for which there may be a reluctance to prescribe antibiotics. This, combined with the emergence of antibiotic resistance, may explain the recent rise in the number of reports of Lemierre's syndrome (LS). LS characterises a postanginal septicaemia that is associated with significant morbidity and mortality if not recognised and treated early. This article describes the management of a 17-year-old boy diagnosed with LS to illustrate its classical presentation, common pitfalls in diagnosis and optimal management.
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Chronic cystitis associated with ketamine use is a growing problem among a young patient population who use the drug recreationally. Patients may present with symptoms such as urinary frequency, dysuria, urgency and haematuria in accident and emergency departments, GP surgeries, urology outpatient departments, drug rehabilitation or substance misuse units, genitourinary medicine clinics or continence services. Nurses in these areas therefore need to be aware of the symptoms associated with ketamine-associated bladder damage and be prepared to ask patients about recreational drug use and inform them of possible treatments. This case report illustrates one patient's successful response to treatment with chondroitin sulphate 0.2% (Gepan) over a 1-year period.