Comparing 2 antifungals in patients with invasive candidiasis
September 1st 2007In a phase 2 study, the new echinocandin anidulafungin was demon-strated to be effective in the treatment of invasive candidiasis. Additional encouraging findings have recently been reported by Reboli and coworkers, who compared anidulafungin with fluconazole in a randomized, double-blind, noninferiority trial. The study included patients 16 years or older who had invasive candidiasis; 89% had candidemia only. They were randomly assigned to receive either intravenous anidulafungin or intravenous fluconazole. After 10 days of intravenous therapy, the patients could receive oral fluconazole.
Systemic Ramifications of Ocular Findings
September 1st 2007Common eye diseases such as glaucoma, cataract, and age-related macular degeneration (ARMD) (Figure) can have significant systemic ramifications. Recent studies have found that these eye diseases may herald the onset of various types of physical and mental impairment, especially in elderly persons.
Small-Bowel Metastatic Melanoma
September 1st 2007An 83-year-old man with a history of hypertension, hyperlipidemia, and diverticulosis was hospitalized because of painless hematochezia of 1 day's duration. Two years earlier, he had undergone surgical excision of a superficial spreading melanoma on his right thigh.
Dorsal Dislocation of the Fourth and Fifth Metacarpals
September 1st 2007Several hours after striking his closed fist against the side pillar of a passenger car, a 28-year-old man presented with acute pain and swelling of the left hand. The dorsum of the left hand appeared deformed and edematous; there were scattered abrasions but no lacerations, exposed bony fragments, ecchymosis, or active bleeding.
Porphyria Cutanea Tarda in a Construction Worker
September 1st 2007For several months, a 55-year-old white construction worker experienced intense burning of the skin when exposed to direct sunlight. In addition, multiple fragile blisters appeared on the dorsa of his hands and arms; these rapidly developed into crusted, superficial erosions.
New Lymphadenopathy in a Woman With a History of Colon Cancer
September 1st 2007A 47-year-old woman who recently completed adjuvant chemotherapy for colon cancer has painless cervical lymphadenopathy of 1 to 2 cm. She has no fever, sore throat, cough, or unexplained weight loss, and she denies exposure to ill persons or animals.
Willebrand's Disease or an Inherited Clotting Factor
August 31st 2007PRESTON, England -- From Addision's disease to Zollinger-Ellison syndrome, medical eponyms remain ubiquitous in the literature in favor of more scientific descriptions of disease. Now comes a proposal to do away with Down's and its ilk.
Campaign '08: Candidates Broaden Discussion at Armstrong Cancer Forum
August 30th 2007CEDAR RAPIDS, Iowa -- Only six of the 17 declared candidates for President showed up at a two-day forum designed to bring cancer care to the forefront of campaign issues, but the discussion broadened into questions of overall health care.