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Article A: eggerthella lenta bacteremia
1A): When was Eggerthella lenta first described (Jiang, 1)?
A) 1985 B) 1935 C) 1996 D) 1920
2A): What is E. lenta resistant to (Jiang, 2)?
A) metronidazole B) fluoxetine C) gabapentin D) ceftriaxone
Article B: Managing Spontaneous Pneumothorax
1A): What is the 1-year recurrence rate of pneumothrorax (Gottlieb, 568)?
A) 29% B) 90% C) 45% D) 1%
Citations:
Article A:
Jiang, S., E, J., Wang, D., Zou, Y., Liu, X., Xiao, H., Wen, Y., & Chen, Z. (2021). Eggerthella lenta bacteremia successfully treated with CEFTIZOXIME: Case report and review of the literature. European Journal of Medical Research, 26(1). https://doi.org/10.1186/s40001-021-00582-y
Article B:
Gottlieb, M., & Long, B. (2023). Managing spontaneous pneumothorax. Annals of Emergency Medicine, 81(5), 568–576. https://doi.org/10.1016/j.annemergmed.2022.08.447
For article A, I have not heard of Eggerthella lenta before this however, we do receive a lot of patients with diabetes and appendicitis. For article B, I knew that having another Pneumothorax after having one was common but I did not know that the incidence was 29%. We commonly have patients with a Pneumothorax on our unit being either spontaneous or traumatic. I did not know though, that patient can be discharged even 3 hours after having one.
A): When was Eggerthella lenta first described (Jiang, 1)?
B) 1935
2A): What is E. lenta resistant to (Jiang, 2)?
D) ceftriaxone
1A): What is the 1-year recurrence rate of pneumothrorax (Gottlieb, 568)?
A) 29%
I also have not heard of Eggerthella lenta before and find it interesting that it is rather difficult to study and identify since it is strictly anaerobic.
Article A-
1A) A
2A)D
Article B
1A)A
Article A- This article was definitely interesting. The increased incidence of eggerthella lenta bacteremia in some cancers, diabetes, and appendicitis pertains to our patient population because we see all of these often. There seems to be quite a bit of available information on treatment options for this bacteremia which is a plus.
Article B- Managing a spontaneous pneumothorax can be done in several ways. It was interesting to see how high the incidence and reoccurrence rates are. I was mostly aware of the different treatment options. We see pneumothorax patients on our unit, so this pertains to my practice.
Article A
1A: B
2A: D
Article B
1A: A
Article A–I had never heard of Eggerthella lenta prior to reading this article. I think it is interesting that it is a normal human microflora, yet it could also be responsible for causing severe infections under the right conditions. This is seen a lot in patients with certain cancers, diabetes and appendicitis and we do take care of patients with these diagnoses quite often on the prison unit. More studies could be helpful, but it seems to be difficult to culture and test.
Article B–We have had a number of patients who have dealt with spontaneous pneumo’s under our care, but I did not realize that there was a chance of recurrence within the first year. It’s a good thing that there are so many treatment options. We generally see chest tubes on our floor. I learned that pigtail catheters have similar efficacy compared to chest tubes, but there seems to be fewer complications and shorter hospital stays.
I had never heard of Eggerthella lenta either, until reading this article.
1A: B
2A: D
1A: A
Article A
I personally had never heard of Eggerthella lenta until reading this article. I found it interesting that it is difficult to isolate this particular bacteria, but seems to be worth pursuing since more studies would be helpful. I always think it is interesting when normal microflora bacteria can cause so many problems under certain conditions.
Article B
I found it interesting that a spontaneous pneumothorax and traumatic pneumothorax were treated differently. We do see chest tubes and pigtails from time to time on our unit, so it was helpful to gain a better understanding of the best way to treat spontaneous pneumothorax.