Hand infections can be associated with considerable morbidity. Expeditious treatment is needed to minimize permanent dysfunction, loss of work, and medical cost. Hand infections can affect the skin, subcutaneous tissues, fascia, subfascial and synovial spaces, joints, and bone. Pathogens include a variety of bacteria, viruses, yeasts, fungi, and mycoplasmata. Management frequently involves rest...

BACKGROUND Chronic stress, mediated by adrenal hormones, is a major risk factor in the progression and outcome of human disease. While the secretion of adrenal hormones is known to be the primary endocrine mediator of stress-induced immunocompromise, the molecular mechanisms underlying the immunocompromise remain unspecified. Overproduction of the nuclear enzyme, poly (ADP-ribose) polymerase (P...

PURPOSE To use magnetic resonance (MR) imaging to document the appearance of perianal infection in patients with a hematologic malignancy (HM) compared with that in immunocompetent control patients. MATERIALS AND METHODS After an ethical waiver was obtained, 38 patients with an HM were matched by age and sex to 38 control patients with no history of immunocompromise or Crohn disease. Both gro...

OBJECTIVE To determine the efficacy of extracorporeal membrane oxygenation (ECMO) for nonneonatal acute respiratory failure. DESIGN Single-institution, retrospective medical record review from February 1990 to March 2008. SETTING Tertiary care hospital. PATIENTS Eighty-one nonneonatal patients (mean age, 23 years; age range, 2 months to 61 years) with acute respiratory failure who had fai...

Laryngeal carcinoma is a malignancy on larynx that may occur in glottic, supraglottic and subglottic. Larynx plays role coordination of upper aerodigestive tract such as breathing, verbal swallowing. This reported the third most common ENT-HN department. Total laryngectomy procedure performed T3 T4 lesions. The complication prolonged wound healing process. process very complex consist four over...

BACKGROUND Patients with compromised immune systems often complain of chronic cough. While these patients are susceptible to opportunistic infections that should be considered in the evaluation, common causes should also be investigated. METHODS MEDLINE search using the terms "cough," "immunocompromise," "HIV," "AIDS," "neutropenia," and "corticosteroids," from 1966 through the end of 2003. ...