ABSTRACT
We describe a case of sporotrichoid lymphangitis (nodular lymphangitis or lymphocutaneous syndrome) that was an unusual clinical presentation of Staphylococcus aureus infection in a diabetic patient. Common pyogenic bacteria should be considered in the differential diagnosis of sporotrichoid lymphangitis.
Subject(s)
Abscess/microbiology , Diabetes Mellitus, Type 1/complications , Lymphangitis/microbiology , Staphylococcal Skin Infections/microbiology , Abscess/drug therapy , Adult , Anti-Bacterial Agents , Drug Therapy, Combination/therapeutic use , Humans , Lymphangitis/drug therapy , Male , Skin/microbiology , Staphylococcal Skin Infections/drug therapy , Staphylococcus aureus/isolation & purificationSubject(s)
Economic Competition/legislation & jurisprudence , Fees and Charges/statistics & numerical data , Private Practice/economics , Social Work, Psychiatric/economics , Commerce/legislation & jurisprudence , Insurance, Psychiatric , Least-Squares Analysis , Maine , Massachusetts , Models, Statistical , Rate Setting and Review , Regression AnalysisSubject(s)
Mental Disorders , Respite Care , Chronic Disease , Family , Humans , Mental Disorders/psychologyABSTRACT
The chronically mentally ill generally need a variety of social supports to maintain themselves in the community. This study assessed the health care practices and health status of community-based respondents to determine if the health care needs of this chronic population were being met. Although positive results were found, service gaps deserving of attention were also revealed.
Subject(s)
Attitude to Health , Health Status , Health , Mental Disorders/psychology , Adult , Chronic Disease , Female , Health Services Needs and Demand , Humans , Male , Preventive Health Services/statistics & numerical data , Self Care , Social AdjustmentABSTRACT
This paper reviews three areas of research on the health of the chronically mentally ill: epidemiological studies on this population, studies exploring the clinical interface of physical and psychiatric disorder, and studies illuminating barriers to adequate health care for this population. Its purpose is to increase our understanding of the unique health problems facing the chronically mentally ill so that appropriate interventions can be developed. The review suggests that greater attention to this area should result in improved physical health as well as improved psychiatric intervention. The implications for policy, practice, and research are discussed.
