Bartonella quintana coinfection with Mycobacterium avium complex and CMV in an AIDS patient: case presentation

BACKGROUND: As a greater number of HIV-infected patients survive despite profound immunodepression due to medical progress, we face complex infection with multiple agents in AIDS-patients. CASE PRESENTATION: We report the case of an AIDS patient with a primary clinical presentation suggestive of bacillary angiomatosis. We also found in cutaneous lesions Mycobacterium avium complex and cytomegalovirus. CONCLUSION: This clinical case illustrates the possibility of multiple coinfections in AIDS patients and the need to be exhaustive in evaluating infectious diseases in severely immunocompromised patients

Treatment of post-traumatic degenerative changes of the radio-carpal and distal radio-ulnar joints by combining radius, scaphoid, and lunate (RSL) fusion with ulnar head replacement

Distal radial fractures are a common type of fracture. In the case of intra-articular fractures, they often result in post-traumatic arthrosis. The objective of this study is to describe a novel alternative to the established salvage techniques for the treatment of post-traumatic arthrosis of the radio-carpal and distal radio-ulnar joints (DRUJ). Six patients with radio-carpal and DRUJ arthrosis were treated with a combined radius, scaphoid, and lunate (RSL) arthrodesis and as a Herbert ulnar head prosthesis. Follow-up consisted of both radiographic and functional assessments. Functional measurements were noted both pre- and postoperatively. No non-union or pseudoarthrosis was seen; neither did any of the ulnar head prostheses show loosening. Clinical examination showed an improvement in strength, pain, and range of movement, as well as a decrease in disability. Combining RSL arthrodesis with a Herbert ulnar head prosthesis, which deals with pain while retaining partial wrist movement, can be an alternative to established salvage procedures

Ulnar-sided wrist pain. Part I: anatomy and physical examination

Ulnar-sided wrist pain is a common complaint, and it presents a diagnostic challenge for hand surgeons and radiologists. The complex anatomy of this region, combined with the small size of structures and subtle imaging findings, compound this problem. A thorough understanding of ulnar-sided wrist anatomy and a systematic clinical examination of this region are essential in arriving at an accurate diagnosis. In part I of this review, ulnar-sided wrist anatomy and clinical examination are discussed for a more comprehensive understanding of ulnar-sided wrist pain

Ulnar-sided wrist pain. II. Clinical imaging and treatment

Pain at the ulnar aspect of the wrist is a diagnostic challenge for hand surgeons and radiologists due to the small and complex anatomical structures involved. In this article, imaging modalities including radiography, arthrography, ultrasound (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography are compared with regard to differential diagnosis. Clinical imaging findings are reviewed for a more comprehensive understanding of this disorder. Treatments for the common diseases that cause the ulnar-sided wrist pain including extensor carpi ulnaris (ECU) tendonitis, flexor carpi ulnaris (FCU) tendonitis, pisotriquetral arthritis, triangular fibrocartilage complex (TFCC) lesions, ulnar impaction, lunotriquetral (LT) instability, and distal radioulnar joint (DRUJ) instability are reviewed

A REVIEW OF HERBIVORE EFFECTS ON SEAWEED INVASIONS

Almost 300 non-native seaweeds are identified worldwide and an increasing number of these are classified as invasive with potential negative effects on the diversity and functioning of native ecosystems. Marine herbivores affect seaweed biomass and community structure in marine habitats across the globe. Consequently, herbivore-seaweed interactions are expected to be important for the establishment and invasion success of non-native seaweeds. To synthesize current knowledge of consumer effects on non-native seaweeds, we performed a meta-analysis on feeding preferences of native herbivores for non-native versus native seaweeds. Data were included from 35 studies, published from 1992-2015 and comprising 18 non-native seaweeds. Results showed that overall, native herbivores tended to prefer to feed on native rather than non-native seaweeds. Preferences were, however, variable across studies with significant differences between taxonomic and functional groups of seaweeds. In particular, filamentous red non-native seaweeds were of low palatability to native herbivores. No general feeding preferences were apparent between natives and non-natives for brown and green seaweeds, or for leathery and corticated seaweeds. In addition, we reviewed the existing studies on the effects of consumers on the performance of native and non-native seaweeds in invaded communities. This indicated that non-native seaweeds performed better than their native competitors in the presence of grazers, but in many cases had superior competitive abilities also in the absence of herbivory. To achieve a comprehensive evaluation of consumers' role in seaweed invasion success, future research should have a larger focus on manipulative community experiments, ideally on time scales that include seasonal changes and complete life cycles of the seaweeds