By Linda on May 20, 2010 in Interesting Stories | comments(0)
Excerpt:
A 36year old male patient presented to emergency cardiology
department because of fatigability. ECG revealed high grade II
atrio-ventricular block and bradycardia of 31beats/min. An
erythema increasing in size to up to 7-8cm in diameter appeared a
month earlier and spontaneously resolved within 10days.
ELISA testing for antibodies against Borrelia burgdorferi IgM was
positive and IgG titer was 1:40. Intravenous ceftriaxone 2g qod,
and 0.5g metronidazole tid lead to regression of grade II block
to grade I block within 2days. Grade I block persisted for an
additional 10days. This is a relatively rare case of early
occurrence of Lyme carditis within one month of exposure as the
first sign of Lyme disease dissemination. Copyright (c) 2010.
Published by Elsevier Ireland Ltd.
By Linda on May 12, 2010 in Infections | comments(0)
Article:
A 36year old male patient presented to emergency cardiology
department because of fatigability. ECG revealed high grade II
atrio-ventricular block and bradycardia of 31beats/min. An
erythema increasing in size to up to 7-8cm in diameter appeared a
month earlier and spontaneously resolved within 10days.
ELISA testing for antibodies against Borrelia burgdorferi IgM was
positive and IgG titer was 1:40. Intravenous ceftriaxone 2g qod,
and 0.5g metronidazole tid lead to regression of grade II block
to grade I block within 2days. Grade I block persisted for an
additional 10days. This is a relatively rare case of early
occurrence of Lyme carditis within one month of exposure as the
first sign of Lyme disease dissemination. Copyright (c) 2010.
Published by Elsevier Ireland Ltd.
Link: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=20226549&retmode=ref&cmd=prlinks
By Linda on Jan 11, 2010 in Infections | comments(0)
Red Baby Syndrome is a new disease seen in infants and young children. Dramatic onset of clinical symptoms with high intensity, short duration and lack of similarity with other cutaneous lesions makes it distinct. Of 50 such patients studied over a period of 5 years, half were below one year of age. Abrupt onset of high fever and generalized erythema involving the entire skin, which is swollen and tender is characteristic. These children were highly irritable and had paradoxical cry when cuddled. Rapid resolution of symptoms occurred in 7-10 days with extensive desquamation. Routine investigations were normal, C-reactive protein was raised only in 10 patients. Human Parvo virus B-19 IgM antibodies were positive in 15 out of 24 patients. Real time polymerase chain reaction was positive for human parvovirus B 19 DNA in one. Histopathological changes in the skin biopsy showed post infectious vascular injury pattern.
