Patients with inflammatory bowel diseases (IBD) are at an increased risk of pneumonia, and using immunosuppressive medications further increases this risk. Hospitalized patients IBD have a significantly higher mortality rate from infections pneumonia being one them. The American College Gastroenterology recommends pneumococcal vaccination for all as part preventative care patients. However, com...

Abstract Background Paraneoplastic pemphigus is an autoimmune skin and mucosal disorder, rarely associated with solid malignancies, devastating impact. Patients methods Herein, we report the case of a middle-aged patient who presented recalcitrant stomatitis was ultimately diagnosed advanced-stage cervical cancer. Results Despite prompt initiation immunosuppressive medications, in parallel syst...

c t g w m h e a e A 59-year-old woman was evaluated for dysphagia and odynophagia. She had undergone double lung transplantation 3 months earlier for hypersensitivity pneumonitis complicated by respiratory failure. At the time of endoscopy, her immunosuppressive medications consisted of tacrolimus, azathioprine, and prednisone. In addition to her immunosuppression regimen, she was taking an ora...

Complex regional pain syndrome (CRPS) is a relatively rare, chronic, and debilitating condition that significantly impacts the patient's quality of life. There is an overall paucity of literature addressing the management of CRPS in immunocompromised patients. We define features of CRPS, outline its treatment options, and describe a course of CRPS management for a 35-year-old patient who had he...

In the past two years, several national and international bodies have made recommendations and published updated practice guidelines for hepatitis B. In addition, new drugs have become available for treatment of hepatitis B. This article will review the new recommendations for screening for hepatitis B and for first-line antiviral medications to use for treatment. In addition, I will discuss th...

Granulomatous inflammation in the lung may occur from a variety of causes. Many of these are the result of specific antigens that reach the lung and induce a granulomatous response. A prototype of this schema is pulmonary tuberculosis where the organism serves as the inciting antigen. Treatment of tuberculosis is aimed at killing and clearing the organism. It would be foolhardy and potentially ...

<p class="abstract">Rhino-orbital-cerebral mucormycosis is an invasive disease associated with high mortality ranging from 25-62%. There increase in the incidence of post COVID-19 infection patients. We have come across 10 such On retrospective analysis patient’s records, we found that 60% patients had received steroids and majority co-morbidities. All similar treatment IV amphotericin B ...

conclusions findings reveal a significant degree of prescription errors, emphasizing the need for stringent surveillance. results a total of 227 case notes were reviewed, 129 (56.8%) of which belonged to male patients. no medication was prescribed for 13 patients, whereas 697 drug prescriptions (excluding intravenous fluids) were given for 214 patients, equaling 3.25 drugs/patient; antibiotics ...

Many rheumatic diseases affect women of childbearing age, and the medications used to treat these diseases may affect conception, pregnancy, fetal development, and lactation. Physicians who care for these women need to be aware of the potential adverse effects of these medications, and which medications can be used safely prior to conception and during pregnancy and lactation. Although reviews ...