Escherichia coli clinical isolate BD07372 of sequence type ST131 recovered from a bed sore specimen exhibited high-level resistance to ceftazidime and cefotaxime but exhibited susceptibility to imipenem and meropenem. The isolate harbored two β-lactamase genes, the bla(CTX-M-15) gene carried by an ∼250-kbp plasmid carrying the FIA and FIC replicons and the bla(GES-5) gene carried by a class 1 i...

Screening questions will usually sort out the location and source of the pain: “Is it sore when you are lying in bed?”; “Is it sore when you lie on that side?” Trochanteric bursitis occurs about 4 inches lateral to the hip joint and hurts when the patient lies on it. Soreness occurs with climbing ladders or hills, running or using elliptical trainers. In distinction to osteoarthritis of the hip...

A 56-year-old man became quadriplegic, bed bound, and carer-dependent secondary to cervical osteomyelitis. Three years later, he presented with generalised spasticity, crouched posture, and a large sacral pressure sore. The severe spasticity in his hips and knees prevented ischial sitting. Injections of botulinum toxin type A to both hamstrings and gastrosoleuii controlled the flexor spasticity...

OBJECTIVE To assess the association between physical fitness and its recovery over time on the one hand, and complications and duration of phases of rehabilitation on the other. DESIGN AND SETTING Prospective cohort study at eight rehabilitation centres. SUBJECTS People with a spinal cord injury were assessed four times: at the start of active rehabilitation (n = 110), three months later (n...

Copyright © 2008 Massachusetts Medical Society. A 29-year-old woman presents for evaluation. The previous evening, her husband, who was in the next room, heard unusual sounds and found her lying on the bed looking dazed. She was confused for a few minutes but quickly returned to normal. On questioning, she recalls an unwitnessed event about 1 month previously; at that time, she awoke feeling mi...

September, 1817, labouring under a loss of voluntary power over the muscles of the extremities. This woman, ten years ago, had a venereal sore throat, for which she was treated accordingly ; she had also been in St. Bartholomew's Hospital, under the care of one of the physicians, where, from what I could learn, she had taken mercurials with decoctum sarsaparillai. When first I saw her, she was ...