The Journal of the Oklahoma State Medical Association
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J Okla State Med Assoc · Jan 2000
Case ReportsSevere invasive group A beta-hemolytic streptococcus infection complicating pharyngitis: a case report and discussion.
Group A beta-hemolytic streptococcus (GABHS) has long been recognized as a deadly pathogen with manifestations ranging from impetigo to necrotizing fasciitis. Bacteremia from streptococcal pharyngitis is a rare complication. We report a patient presenting with septic shock and diabetic ketoacidosis from streptococcal pharyngitis. The pathophysiology, classification, and treatment of invasive group A streptococcal infection is discussed.
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J Okla State Med Assoc · Sep 1999
Secular trends in the prevalence of HIV infection among a population of males with hemophilia, 1988-1997: the Oklahoma Hemophilia Surveillance System.
Tracking the natural history of HIV/AIDS in the hemophilia community is useful for planning future health care needs and for adjusting estimates of the prevalence of hemophilia as the impact of HIV/AIDS wanes over time. The present study was designed to determine the annual prevalence of HIV infection from 1988 through 1997 in a population of males with hemophilia A or B. Data were obtained from the Oklahoma Hemophilia Surveillance System and were limited to individuals who were seen at the Oklahoma Hemophilia Treatment Center. ⋯ The highest rates of HIV infection were observed in persons with severe hemophilia and hemophilia A. The overall prevalence rates of HIV infection in this treatment center population are lower than those reported in other populations. No new cases of HIV infection were observed in persons with hemophilia born after 1985.
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Due to advances in technology, physicians and patients are being faced with the issue of do not resuscitate (DNR). DNR is an order that determines whether or not cardiopulmonary resuscitation (CPR) should be administered to a critically ill person. ⋯ The following article focuses on DNR with examples of case histories and possible recommendations for improvement to the current law. Furthermore, this article sets out to show why the decision of whether or not to resuscitate should be made by the patient or their family.