Liver abscess and sepsis caused by clostridium perfringens

There is usually enough time for identifying the etiology of calculous cholestasis and cholangitis by imaging and laboratory investigations, provided that antimicrobial drug therapy is started immediately after collection of blood cultures and the patient's general condition is good. The situation changes, if the inflammation is caused by Clostridium perfringens, a rare causative agent of severe sepsis and massive intravascular hemolysis. Mortality from the resulting infection and sepsis is as high as over 70%. Quick recognition of the condition, initiation of antimicrobial drug therapy and drainage of a possible focus of infection may save the patient's life.

Acromial shape in asymptomatic subjects: a study of 305 shoulders in different age groups

BACKGROUND

It has been reported that acromial morphology and age have an independent association with rotator cuff pathology. In a recent study, we found the acromial angle of patients with stage III impingement syndrome (tear in the rotator cuff, according to the Neer classification of shoulder impingement syndrome) to be significantly greater than the acromial angle of their age-matched healthy controls.

PURPOSE

To find out if acromial shape also changes, i.e., becomes more curved with age, in shoulders without any rotator cuff problems or previous shoulder surgery.

MATERIAL AND METHODS

Standard supraspinatus outlet view (SOV) was obtained from both shoulders of healthy persons with no shoulder-related problems or previous shoulder surgery (n = 305; 36 SOVs for subjects aged 21-30 years, 60 for 31-40 years, 67 for 41-50 years, 52 for 51-60 years, 48 for 61-70 years, and 42 for over 71 years of age). Acromial angle, tilt, and the type of the acromion were evaluated.

RESULTS

There were no statistically significant differences in the evaluated morphological parameters between the different age groups.

CONCLUSION

Our results suggest that the shape of the acromion does not change with age in individuals who do not have any rotator cuff pathology. According to our results, the changes in acromial morphology seem to be similar in each age group.