Ugeskrift for laeger最新文献

Kingella kingae is a common cause of osteoarticular infections in children less-than 5 years but is also known as a rare cause of endocarditis. This case report describes a 17-month-old girl with invasive infections caused by K. kingae who had pneumonia, osteomyelitis, and endocarditis which caused septic emboli with occlusion of the a. cerebri media dexter. K. kingae endocarditis in children is rare but has a high incidence of complications, and is often diagnosed late in the course of the disease. Awareness of this rare presentation of K. kingae infection is important to prevent fatal complications.

The prevalence of vegetarian and vegan diets among pregnant women in Denmark is rising. This paper reviews the maternal and neonatal outcomes associated with such diets, highlighting considerations for supplementation and potential risks, including B12-vitamin deficiency. Recommendations include early dietary assessment, B12-supplementation, and monitoring of key nutrients such as protein and iron. Despite potential challenges, with proper guidance and supplementation, vegetarian and vegan diets can be compatible with a healthy pregnancy and sufficient lactation.

Gluteal compartment syndrome (GCS) is a rare condition but undiagnosed it can be fatal. Because only a few cases are reported, the condition is not well characterized. This is a case report of a 56-year-old male who developed GCS most likely due to surgery and post-operative immobilization. We would like to increase the attention on GCS with respect to potential risk factors, symptoms and how the condition can be prevented and managed. Time to intervention can be critical and healthcare workers should be aware of the condition in a differential diagnostic context.

This case report describes a 15-year-old boy who developed severe psychotic symptoms and EKG changes after using synthetic cannabis via "puff bars". The patient had consumed the substance for eight weeks for his sleep disturbances. His EKG showed a prolonged QTc and he became increasingly agitated and psychotic during admission. Intensive treatment with lorazeapm and antipsychotic medication resulted in reduced symptoms. This case highlights the importance of collaboration between psychiatry and somatic care, and careful monitoring of cardiovascular risks associated with synthetic cannabinoid use.

This review finds that obsessive-compulsive disorder (OCD) and eating disorders share significant epidemiological and psychopathological similarities, entailing diagnostic challenges and potential for delayed treatment. Recent research suggests that several biological features are also shared between the diseases. However, further research is needed to explore this connection in more detail. Clinicians must identify the psychopathological features to ensure accurate diagnosis and outcome.

Bioelectrical impedance analysis (BIA) is a non-invasive and inexpensive technique for assessing body composition. Predictive models can estimate fluid volumes and fat-free mass but they depend on assumptions. Although less easy to interpret, raw data like phase angle are assumption-free. Phase angle relates to cellular health, with high values in healthy populations. BIA finds multiple clinical applications in nutrition, chronic diseases, and rehabilitation. Its implementation in clinical practice and research requires standardized protocols, and better reference material should be established, as argued in this review.