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With the crazy weather lately, all the news about hospitals being full of flu patients, some actually overflowing out to parking lot tents, major cities declaring public health state of emergencies. I was thinking just after the holidays I would like to post an article on the added risks we face due to our suppressed immune systems.
Little did I know I would have real time, up close and personal facts to report to you on the subject. You may or may not know, depending on the length of time you have been treated for RA, that the main villain in RA is your immune system. It is mistaking your synovial linings around your joints as an enemy of your body. As it is programmed to do, your immune system attacks this lining and as it slowly erodes the lining you also begin to lose cartilage, and finally bone. (this is a VERY simplified explanation) There are many different parts of the immune system that may be at fault with RA, T cells, B cells, TNF, IL-6 and IL-1 are only a few....
Alternative NamesPneumocystosis; PCP; Pneumocystis cariniiPreventionPreventive therapy is recommended for:Patients with AIDS who have CD4 counts below 200Bone marrow transplant recipientsOrgan transplant recipientsPeople who take long-term, high-dose corticosteroidsPeople who have had previous episodes of this infectionReferencesFeinberg JE. Pneumocystis pneumonia. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 362.
DiagnosisDiagnostic Difficulties in Community-Acquired Pneumonia (CAP). It is important to determine whether the cause of CAP is a bacterium, atypical bacterium, or virus, because they require different treatments. In children, for example, S. pneumoniae is the most common cause of pneumonia, but respiratory syncytial virus may also cause the disease. Although symptoms may differ, they often overlap, which can make it difficult to identify the organism by symptoms alone. The cause of CAP is found in only about half of cases.Nevertheless, in many cases of mild-to-moderate CAP, the physician is able to diagnose and treat pneumonia based solely on a medical history and physical examination.Diagnostic Difficulties with Hospital-Acquired (Nosocomial) Pneumonia. Diagnosing pneumonia is particularly difficult in hospitalized patients for a number of reasons:Many hospitalized patients have similar symptoms, including fever or abnormal x-rays.In hospitalized patients, sputum or blood tests oft...
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