Anaerobic Spondylodiscitis due to Fusobacterium Species: A Case Report Review of the Literature.
Spondylodiscitis caused by Fusobacterium species is rare. Most cases of spontaneous spondylodiscitis are caused by Staphylococcus aureus and most postoperative cases are caused by Staphylococcus aureus or coagulase-negative staphylococci. Escherichia coli is the most common Gram-negative organism causing spondylodiscitis. Fusobacterium species are unusual causes for anaerobic spondylodiscitis. We report the case of a patient with spontaneous L2-L3 spondylodiscitis, vertebral osteomyelitis, and epidural abscess caused by Fusobacterium species and review the literature for patients with Fusobacterium spondylodiscitis.
Latta Tiffany N; Mandapat Aimee L; Myers Joseph P
Case reports in infectious diseases
2015
1905-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1155/2015/759539" target="_blank" rel="noreferrer noopener">10.1155/2015/759539</a>
Body mass index moderates the effects of portable oxygen transport modality on
*Oxygen Inhalation Therapy/instrumentation/methods; *Pulmonary Disease; *Quality of Life; Activities of Daily Living; Aged; Body Mass Index; Chronic Obstructive – Diagnosis; Chronic Obstructive – Metabolism; Chronic Obstructive – Physiopathology; Chronic Obstructive – Psychosocial Factors; Chronic Obstructive – Therapy; Chronic Obstructive/diagnosis/metabolism/physiopathology/psychology/therapy; Drug Delivery Systems – Methods; Drug Delivery Systems – Standards; Drug Delivery Systems/methods/standards; Exercise Test – Methods; Exercise Test/methods; Exertion; Female; Heart Rate; Hemoglobins – Analysis; Human; Humans; Male; Middle Age; Middle Aged; Outcome Assessment; Outcome Assessment (Health Care); Oxygen Consumption; Oxygen Therapy – Equipment and Supplies; Oxygen Therapy – Methods; Oxyhemoglobins/analysis; Physical Exertion; Pulmonary Disease; Quality of Life; Walking – Physiology; Walking/*physiology
PURPOSE: While portable, supplemental oxygen is often necessary for patients with chronic obstructive pulmonary disease (COPD) to retain independence, it may provide functional limitations because of the increased workload imposed. This issue may result in nonuse, creating a need to identify carrying modalities that optimize transport. This study assessed the effects of 3 methods of portable oxygen transport on 6-minute walk distance (6 MWD), rate of perceived exertion (RPE), heart rate (HR), and oxyhemoglobin saturation (SpO2). As weight status is known to impact functional ability in COPD, effects of body mass index (BMI) were also assessed. METHODS: Data were analyzed using the mixed-model procedure to test for effects of transport modality (reference, rolling cart, backpack, shoulderstrap), time (minutes 1-6), BMI, non-overweight, overweight, and interactions of these variables on outcome parameters. RESULTS: A main effect of condition was found for 6 MWD, and an interaction of condition x BMI was found for HR and RPE, and of time x BMI for 6 MWD and SpO2. Participants walked the least distance in rolling cart condition, which was also characterized by the greatest RPE. For the overweight group, HR was least in the reference compared with other conditions; but for the non-overweight group, the opposite pattern was observed. At latter time points, 6 MWD was greater in the non-overweight group, while SpO2 was reduced. CONCLUSION: Results demonstrate that transport modality of portable oxygen exerts differential effects on functional performance in COPD patients and that BMI may moderate underlying physiologic factors that contribute to performance outcomes.
Pohle-Krauza Rachael J; McCarroll Michele L; Pannikottu Kurian; Latta Tiffany N; DiNuoscio David R; Volsko Teresa A; Gothard M David; Krauza Matthew L
Journal of cardiopulmonary rehabilitation and prevention
2014
2014-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/HCR.0000000000000035" target="_blank" rel="noreferrer noopener">10.1097/HCR.0000000000000035</a>