Tracheoesophageal and bronchoesophageal fistulas are usually diagnosed early in life after an infant presents with difficulty feeding or recurrent pneumonias. These conditions rarely presents in adulthood. We report a case of a 59-year-old woman who presented with cough and recurrent pneumonias. The workup revealed a bronchoesophageal fistula that was diagnosed on CT and confirmed with a barium...

BACKGROUND Pneumonias are among the most common causes of hospitalization among inflammatory bowel disease (IBD) patients. Guidelines published in 2004 advocate vaccination against Streptococcus pneumoniae and influenza virus. We sought to examine trends in hospitalizations for vaccine preventable pneumonias among IBD patients since the availability of published guidelines, and to identify whet...

an aquifer located within a petroleum processing plant in moín, costa rica, suffers hydrocarbon pollution. this study aimed to determine the ability of indigenous microorganisms from this site to degrade polycyclic aromatic hydrocarbons (pahs) to evaluate the feasibility of an eventual bioremediation process. aerobic conditions were found in the aquifer, while microbial analyses of the groundw...