Category Salutary tale

Acute rheumatic fever and heart disease in regional NSW: risk, rates and recognition
Guest posting: Peter Massey and Julie Kohlhagen, Hunter New England Population Health. Much of the media and health service attention on Acute Rheumatic Fever (ARF) & Rheumatic Heart Disease (RHD) are rightly focused on the top end and desert communities in Australia. In a prospective screening survey of RHD in northern Australia Roberts et al […]

Reflections on speeches by Nobel Prize winners – Bob Dylan to Alexander Fleming to BLING-3
Guest posting: David Paterson is a Professor of Medicine at The University of Queensland Centre for Clinical Research, and Chief Executive Officer of the Wesley Medical Research. He is also a Consultant Infectious Diseases Physician, and Consultant Microbiologist. Reflections on Nobel Prize winner speeches – Bob Dylan to Alexander Fleming [David should require little […]

“UTI” – Requiem for a Heavyweight – a landmark paper
A recent paper, “Urinary Tract Infection”-Requiem for a Heavyweight by Dr Thomas Finucaine skillfully unpacks many key issues, coupling this with a consideration of the emerging knowledge of the urinary microbiome and virome, suggesting that the term “UTI” might better be referred to as a “urinary dysbiosis”. The paper is worth a detailed read – here […]
Fatal case of meningococcal infection – a salutary tale
This unfortunate 27 year old pregnant woman collapsed at home with a seizure and then died soon after. She had a disseminated W135 serotype infection – this serotype has been associated with a number of recent severe cases in Hunter New England. Neisseria meningitidis case presentation Dr Rexson Tse May 2016 Perhaps there were no preventable […]

Kawasaki disease in a 13 month old diagnosed at post mortem
Originally posted on Microbiology and Infectious Diseases postgraduate teaching (PRIDA):
Guest posting: Dr Leah Clifton, NEWCASTLE DEPARTMENT OF FORENSIC MEDICINE, Forensic Pathology Registrar Kawasaki disease is characterized with acute systemic vasculitis, occurs predominantly in children between 6 months to 5 years of age. Patients with this disease recover well and the disease is self-limited in most cases…
An everyday tragedy: treating asymptomatic bacteruria with antibiotics
Act 1 of a common tragedy that sets the scene for antibiotic resistance – an elderly female resident of a nursing home complains of minor dysuria or perhaps just has urine that appears cloudy or smelly. The nurse collects some urine and performs a urinalysis that shows presence of white cells and nitrite. The urine is sent […]