Dengue co-infection with Stenotrophomonas maltophilia
(Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - April 15, 2015 Category: Journals (General) Source Type: research
Pharmacoeconomic Evaluation of Hospitalized Pre-Dialysis and Dialysis Patients: A Comparative Study
Conclusion There was a significant difference in the median direct total costs between pre-dialysis and dialysis patients. The number of medications per prescription and length of hospital stay are the factors that influence the median direct total costs. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - April 15, 2015 Category: Journals (General) Source Type: research
Diabetic foot complications in a secondary hospital: A clinical audit
Conclusion This audit highlights the need for improved care for patients with diabetic foot complications and better coordination among the multidisciplinary teams involved. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - April 12, 2015 Category: Journals (General) Source Type: research
Still leaving stains on teeth–the legacy of minocycline?
This article reports a case of staining to only the crowns of unerupted third molars in a girl prescribed minocycline at age 16 for papulopustular acne. We review the literature in the area of minocycline teeth staining, consider the role of minocycline as a first-line agent for papulopustular acne, and outline strategies on the prevention of minocycline teeth staining. The case highlights current deficiencies in the disclosure information for minocycline, and provides information that is relevant to practitioners who may prescribe this drug. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - April 12, 2015 Category: Journals (General) Source Type: research
Statins and Memory Loss: The Australian Perspective
Conclusion We found that there were no differences in memory-related adverse events between statins and other cholesterol-lowering medications using Australian PBS and TGA adverse events data. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - March 30, 2015 Category: Journals (General) Source Type: research
A rare case of lactation anaphylaxis
Lactation anaphylaxis (LA) is an extremely rare condition with only five other cases having been previously reported in the literature. Patients will exhibit cutaneous symptoms, respiratory symptoms, gastrointestinal symptoms, and/or cardiovascular symptoms. Post-partum, the drop in hormones is thought to facilitate an exaggerated histamine response. An elevated serum tryptase level performed between 15 minutes to three hours of onset of symptoms will confirm a true anaphylactic reaction. It is important to be aware of this extremely rare medical condition and its management with antihistamines. Better awareness and educat...
Source: Australasian Medical Journal - AMJ - March 28, 2015 Category: Journals (General) Source Type: research
Giant sigmoid diverticulum: A case report
Sigmoid colon diverticulosis is commonly seen in both the surgical outpatient and emergency departments. Rarely, these sigmoid diverticulum, which usually range from 2–3mm to 2cm in size, can enlarge to more than 10 times. This is due to a ball-valve type mechanism that traps colonic gas inside the sigmoid diverticulum causing it to gradually enlarge. Patients with a giant sigmoid diverticulum (GSD) must be investigated thoroughly as 2 per cent of patients will present with a colonic carcinoma either within or distal to the GSD. Clinical symptoms of a GSD can range from chronic abdominal pain, altered bowel habits, abdom...
Source: Australasian Medical Journal - AMJ - March 28, 2015 Category: Journals (General) Source Type: research
Rasmussen's Encephalitis: A case report
Rasmussen’s encephalitis (RE) is a rare neurological disorder of inflammatory aetiology characterised by encephalitis, intractable seizures, hemiparesis, variable motor deficits, and dementia. It is not commonly considered in the clinical differential diagnosis of a patient with a past history of a stroke-like episode presenting with status epilepticus. It is suspected mainly in children in whom the disease is more common. Here we report a case of an adult man presenting with a common symptom of seizure caused by Rasmussen’s encephalitis. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - March 28, 2015 Category: Journals (General) Source Type: research
Letters to the Editor
(Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - March 16, 2015 Category: Journals (General) Source Type: research
Polyarthritis and massive small bowel bleed: An unusual combination in Scrub typhus
We report a case of scrub typhus in an 18-year-old male who presented with severe polyarthritis involving all large joints and a massive lower gastrointestinal bleed from ulcers in the terminal ileum, secondary to vasculitis in the small bowel. This combination of pathologies has not previously been reported in cases of scrub typhus. The patient improved following surgical intervention and specific anti-rickettsial therapy with azithromycin. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - March 10, 2015 Category: Journals (General) Source Type: research
Scombroid fish poisoning illness and coronary artery vasospasm
We present an interesting case of a young man with coronary artery vasospasm complicating scombroid fish poisoning illness. The initial presentation included tachycardia and significant hypotension. A 12-lead ECG showed sinus tachycardia with marked widespread ST segment depression and ST elevation in aVR. Symptoms subsequently improved with intravenous fluid rehydration, antihistamines, and glyceral trinitrate. The underlying pathogenesis and treatment of this rarely described manifestation of the fish poisoning illness is discussed. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - March 9, 2015 Category: Journals (General) Source Type: research
Impact of assessment of medical students in India on assuring quality primary care
(Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - February 28, 2015 Category: Journals (General) Source Type: research
Neonatal sepsis caused by Shewanella algae: A case report
We report a case of S. algae blood stream infection in a newborn with early onset neonatal sepsis. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - February 28, 2015 Category: Journals (General) Source Type: research
Letters to the Editor
(Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - February 21, 2015 Category: Journals (General) Source Type: research
The potential role for a pharmacist in a multidisciplinary GP Super Clinic
Conclusion Results suggest a pharmacist’s services can potentially be better used within the multidisciplinary super clinic model of care to address current gaps within the semi-rural practice setting. Any future role for the pharmacist could be addressed as part of a formalised, strategic approach to creating an integrated healthcare team, with attention to funding and government legislation. (Source: Australasian Medical Journal - AMJ)
Source: Australasian Medical Journal - AMJ - February 21, 2015 Category: Journals (General) Source Type: research
