Category Salutary tale

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 Infectious Diseases and Microbiology postgraduate teaching:
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 .…

Human metapneumovirus causes severe pneumonia at any age

Further to another hMPV case managed in one of our intensive care units (an adult with acute COPD deterioration), I’m sharing this presentation concerning local experience with hMPV infections that also summarises current hMPV knowledge. Metapneumovirus presentation  2014 im id meeting.  Picture: acute severe pneumonia due to human Metapneumovirus infection in an 82 year old diabetic […]

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 […]