Epidemiologic Investigation A total of 28 patients met the case definition; none had more than one abscess. The 28 case-patients received the injections associated with their abscesses during a 2-month period (April 20-June 22, 1995). Case-patients ranged in age from 13.6 to 79.8 years (mean = 43.2); 23 (82.1%) were female. All case-patients had been [...]
Benzalkonium chloride (ВС) is an unreliable disinfectant. A matched case-control study and environmental investigation were conducted to determine the cause of and risk factors for a cluster of postinjection abscesses at a private medical clinic where ВС was used as a disinfectant. Twenty-eight case-patients who had an abscess at the injection site were matched with [...]
Results We mailed 1,030 questionnaires and received responses from 710 (70%) of 1,009 eligible subjects. We excluded 21 subjects who moved without leaving a forwarding address, died, or were no longer in practice. Respondents were predominantly white males with busy practices (Table 2). Respondents had experience with managed care, fee-for-service reimbursement (Table 3), capitation, utilization [...]
In managed care, financial incentives and utilization review create conflicts of interest for physicians. We sought to determine whether these incentives would lead physicians to deny indicated services. We surveyed internists practicing in areas with at least 30% penetration of managed care. Our questionnaire included four scenarios in which a test or referral is indicated [...]
KETOACIDOSIS is A RARE complication of diabetic pregnancies. It occurred at a rate of 1.73% in a recent series of pregnancies with preexisting, insulin-dependent diabetes. Ketoacidosis is an extremely rare complication of gestational diabetes, as well. In addition, ketoacidosis has been reported in two patients with previously undiagnosed diabetes. We report a case of early [...]
Travelers’ Diarrhea Travelers’ diarrhea occurs worldwide and is most prevalent in travelers visiting developing countries. It is characterized by the onset of watery diarrhea usually within one week of travel. The most common associated symptoms include abdominal cramping, sometimes followed by bloody stools and vomiting. Fever is unusual and is recorded in 1%—10% of cases. [...]
With the increase in global travel, no disease is beyond the reach of any population. Traveling patients should be advised to follow food and water precautions and encouraged to receive the recommended immunizations. Travel medicine plays a vital role not only in limiting the morbidity of travel-related illnesses but also in limiting the spread of [...]
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