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Neurologic emergencies of pregnancy range from life-threatening conditions such as eclamptic seizures to self-limiting disorders like meralgia paresthetica. This discussion will include those neurologic disorders directly resulting from pregnancy or the puerperium, those that are pre-existing conditions but now affect the pregnant patient or are affected by the gravid state of the patient, and those disorders that are not directly related to the pregnancy but may first become apparent during the gravid state.
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In this small, retrospective analysis, surgical drainage of epidural abscesses was not associated with improved outcomes, even in patients who presented with neurological deficits.
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Previous studies have suggested that aseptic loosing of joint prostheses may be caused by infection with non culturable bacteria. This study found that PCR testing of operative specimens for bacterial 16s RNA did not identify the presence of bacteria if adequate microbiologic processing of specimens was performed and was negative.
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HHV6 DNA was detected in 57 of 5638 (1%) cord blood samples, while HHV7 DNA was detected in none of 2129 cord blood samples. Congenital HHV6 infections were clinically and virologically distinct from postnatal HHV6 infections.
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A 52-year-old female pet store employee presented to a Florida Emergency room with a 2-day history of a febrile illness. She was hypotensive and, despite receiving antibiotic therapy in an ICU setting, died within 12 hours of admission.
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Health-care providers should be vigilant for LGV, especially among MSM exposed to persons from Europe, and be prepared to diagnose the disease and provide appropriate treatment to patients and their exposed sex partners.
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A Colorado family purchased 6 hamsters from a pet store, all of whom died within a week from a diarrheal illness. One, however, managed to bite a 3-year-old child on the index finger before dying. One week later, the child developed fever and painful left axillary lymphadenopathy, as well as sloughing of skin at the site of the bite.
