RESUMO
Inflammatory polymyositis can be precipitated by acute febrile illness of viral origin, but similar association with pyogenic bacterial illness is not recognised. We describe two cases in which recovery from staphylococcal septicaemia was complicated by a widespread inflammatory myopathy.
Assuntos
Miosite/etiologia , Sepse/complicações , Infecções Estafilocócicas/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Músculos/patologia , Miosite/patologiaAssuntos
Bronquiectasia/etiologia , Pneumonia por Mycoplasma/complicações , Adulto , Humanos , MasculinoRESUMO
The elderly are receiving more attention because of their increasing numbers and because of the substantial public funding for their health and welfare. This article summarizes the findings of an Institute of Medicine committee, whose recently completed report concludes that gerontology (study of aging) and geriatrics (care of the aged) are not covered adequately in medical education. Suggested remedies include increased attention to these subjects in existing medical-school courses, establishment of a complementary required course integrating information from diverse disciplines and emphasis in house-staff training programs on continuous care of the aged in settings other than acute-care facilities. Although an academic discipline of geriatrics is necessary to enhance teaching, research, and specialized patient care, development of a practice specialty would be unwise. More funds for training and research in gerontology and geriatrics are essential to increase the science base and to encourage the development of knowledgeable faculty.
