Asunto(s)
Exantema/etiología , Cefalea/etiología , Tifus Endémico Transmitido por Pulgas/diagnóstico , Animales , Antibacterianos/uso terapéutico , Recuento de Células Sanguíneas , Diagnóstico Diferencial , Vectores de Enfermedades , Doxiciclina/uso terapéutico , Fiebre/etiología , Humanos , Masculino , Rickettsia typhi , Texas , Transaminasas/sangre , Viaje , Tifus Endémico Transmitido por Pulgas/complicaciones , Tifus Endémico Transmitido por Pulgas/tratamiento farmacológico , Tifus Endémico Transmitido por Pulgas/transmisión , Adulto JovenRESUMEN
Illicit drug use can result in a wide range of medical complications. As the availability, synthesis, and popularity of illicit drugs evolve over time, new syndromes associated with their use may mimic infections. Some of these symptoms are anticipated drug effects, and others are complications of adulterants mixed with drugs or complications from the method of using drugs. Some illicit drugs are associated with rare infections, which are difficult to diagnosis with standard microbiological techniques. The goal of this review is to orient a wide range of clinicians-including general practitioners, emergency medicine providers, and infectious diseases specialists-to complications of illicit drug use that may be underrecognized. Improving awareness of infectious and noninfectious complications of illicit drug can expedite diagnosis and medical treatment of persons who use drugs and facilitate targeted harm reduction counseling to prevent future complications.
Asunto(s)
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/epidemiología , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/patología , Drogas Ilícitas/efectos adversos , Abuso de Sustancias por Vía Intravenosa/complicaciones , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/diagnóstico , HumanosAsunto(s)
Síndrome Pulmonar por Hantavirus/diagnóstico , Bloqueo de Rama/diagnóstico , Diagnóstico Diferencial , Disnea/etiología , Síndrome Pulmonar por Hantavirus/complicaciones , Pruebas Hematológicas , Humanos , Pulmón/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Radiografía , Fiebre Maculosa de las Montañas Rocosas/diagnóstico , ViajeRESUMEN
Prevention is the best method for avoiding potentially serious complications of Lyme and other tick-borne diseases. In this article, we discuss preventative measures that can be used by individuals or communities. Among the topics discussed are personal protective measures, tick reduction, reservoir reduction, and vaccination. Additionally, new preventative measures that are in development-including new Lyme disease vaccines, antitick vaccines, and reservoir-targeted vaccination-are discussed.
Asunto(s)
Vacunas contra Enfermedad de Lyme , Enfermedad de Lyme/prevención & control , Control de Ácaros y Garrapatas/métodos , Enfermedades por Picaduras de Garrapatas/prevención & control , Garrapatas/crecimiento & desarrollo , Animales , Reservorios de Enfermedades/veterinaria , Humanos , Ropa de ProtecciónRESUMEN
INTRODUCTION: Diabetic ketoacidosis (DKA) continues to be a medical emergency, in part because of a rare and devastating complication associated with its treatment, cerebral edema. In children, cerebral edema is the principal cause of mortality, but clinically significant cerebral edema in adults is rare. METHODS AND RESULTS: We report the case of a 27-year-old male (not previously known to be diabetic) who presented with a first episode of DKA complicated by the development of fatal cerebral edema despite medical treatment. CONCLUSION: The pathophysiological mechanisms for cerebral edema associated with DKA occurring in children and adults are believed to be similar and are discussed in this report. However, patients who develop cerebral edema may deteriorate rapidly, and experience with successful treatment has been limited.