Biomedical subjects

Joseph P Myers

Publications and source records attributed to Joseph P Myers.

3 recordsLinked to original sources

PubMed2006

Skin and soft tissue infections and envenomations acquired at the beach.

Millions of people spend vacation and leisure time on the shores of the lakes and oceans of North America. Many others are employed in water-related industries. In doing so, they potentially expose themselves to infections and envenomations that other people do not even consider when making their plans for leisure time activities or in going to work each day. This article reviews some common and uncommon beach-related infections and envenomations that can affect the skin and soft tissues of people frequenting the shores and beaches of North America. Physicians are thereby provided with a guide to such skin and soft tissue injuries and infections and will be better able to recognize and treat these maladies associated with recreational and occupational activities.

Journal Article↗

PubMed2005

New recommendations for the treatment of tuberculosis.

PURPOSE OF REVIEW: The aim of this article is to give practicing physicians a practical approach to the treatment of latent and active tuberculosis and to review newer recommendations and common problems encountered in the treatment of patients with tuberculosis. RECENT FINDINGS: Recently published literature documents the increased incidence of multidrug resistant strains of Mycobacterium tuberculosis, the importance of antituberculosis drug toxicities and drug-drug interactions, persistent problems in the correct interpretation of the tuberculin skin test and ongoing problems with treatment compliance and treatment completion. SUMMARY: This article provides a practical approach to the interpretation of the tuberculin skin test, the proper approach to the treatment of latent tuberculosis infection, and a structured approach to the treatment of presumed or documented active tuberculosis infection. Questions about tuberculosis that are often asked of infectious disease and pulmonary specialists are addressed in a very practical manner.

Antitubercular Agents↗

PubMed2004

Bacterial Pyomyositis.

Bacterial pyomyositis has been defined as a subacute, deep bacterial infection of the soft tissues. The entity was originally described only in tropical climates, but it is increasing in incidence in temperate climates, such as in the United States. This is mainly attributed to the presence of immunocompromising states such as HIV/AIDS or liver disease. The etiology of pyomyositis remains a mystery, but its characteristics are well-described. If untreated, the disease process progresses through three distinct stages. The first stage is defined by vague complaints, muscle pain, and a low-grade fever. The second stage presents as worsening pain, swelling, fever, and actual abscess formation in the muscle. If the patient remains untreated, pyomyositis progresses to the third stage, which includes septicemia and possible septic shock. Large muscles around the pelvis are most commonly affected, and Staphylococcus aureus is the bacteria seen in most documented cases. To make a timely diagnosis and prevent serious sequelae, physical examination, laboratory results, imaging studies, and a high clinical suspicion must all be combined. Magnetic resonance imaging is the diagnostic study of choice, but it may be inconclusive early in the disease process. Definitive diagnosis must be made with aspiration or surgical drainage. Once diagnosed, treatment consists of appropriate intravenous antibiotics and possible surgical intervention. A full recovery is expected if appropriate treatment is initiated early in the process.

Journal Article↗