Browsing by Department "Armidale Rural Referral Hospital"

Dissections of the internal carotid artery continue to be one of the underrecognised causes of transient ischaemic attack and stroke, especially in the young. The prompt identification of the dissection as a cause of stroke or transient ischaemic attack is essential for the initiation of appropriate treatment. We report a case of spontaneous extracranial carotid dissection presenting as a transient ischaemic attack followed by the development of Horner's syndrome in a 57-year old male patient. The diagnosis was confirmed by magnetic resonance angiography. Prompt anticoagulation was initiated, and the patient remained stable and well at the end of three months.

Background: Methicillin resistant 'Staphylococcus aureus' (MRSA) infection has classically been associated with institutional health care settings such as hospitals and nursing homes. Objective: This article presents a case of community acquired MRSA infection resulting in severe osteomyelitis of the humerus, followed by a brief discussion and literature review. Discussion: Over the past few years, more community acquired cases of MRSA have occurred. Methicillin resistant 'S. aureus' usually infects skin and soft tissue. Occasionally, a life threatening infection occurs involving the blood, lungs, heart and bone.