Wayne L. Gold
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View article: 52 Bimodal Advanced Care Planning Education for Emergency Medicine Residents
52 Bimodal Advanced Care Planning Education for Emergency Medicine Residents Open
View article: Acidocétose diabétique causée par un inhibiteur du cotransporteur sodium-glucose de type 2 chez un homme de 28 ans sans antécédents de diabète
Acidocétose diabétique causée par un inhibiteur du cotransporteur sodium-glucose de type 2 chez un homme de 28 ans sans antécédents de diabète Open
View article: Diabetic ketoacidosis induced by a sodium–glucose cotransporter-2 inhibitor in a 28-year-old man without known diabetes
Diabetic ketoacidosis induced by a sodium–glucose cotransporter-2 inhibitor in a 28-year-old man without known diabetes Open
View article: La maladie de Still de l’adulte
La maladie de Still de l’adulte Open
View article: Invasive Group A Streptococcal Infection in Children, 1992-2023
Invasive Group A Streptococcal Infection in Children, 1992-2023 Open
Importance The resurgence of invasive group A streptococcal (iGAS) infections and progress in GAS vaccine development emphasize the importance of understanding current trends in the epidemiology of iGAS. Objective To describe the epidemiol…
View article: Adult-onset Still disease
Adult-onset Still disease Open
View article: Early COVID-19 and protection from Omicron in a highly vaccinated population in Ontario, Canada: a matched prospective cohort study
Early COVID-19 and protection from Omicron in a highly vaccinated population in Ontario, Canada: a matched prospective cohort study Open
View article: P-1290. Invasive group A streptococcal infection in children in Toronto, Canada
P-1290. Invasive group A streptococcal infection in children in Toronto, Canada Open
Background Rising cases of invasive group A streptococcus (iGAS) in children have been reported globally. We assessed the epidemiology of pediatric iGAS over three decades. The annual incidence of invasive GAS infections in children in Tor…
View article: P-643. Incidence and Clinical Characteristics of Invasive Group A Streptococcal Infections in Underhoused Adults in Toronto, Canada
P-643. Incidence and Clinical Characteristics of Invasive Group A Streptococcal Infections in Underhoused Adults in Toronto, Canada Open
Background Post-pandemic increases of invasive group A streptococcal disease (iGAS) have been reported in many areas of the world; increased risk associated with illicit intravenous (IV) drug use has also been identified. Methods Since 199…
View article: P-1906. Early COVID-19 and Severity of Subsequent Omicron Infection in Ontario, Canada
P-1906. Early COVID-19 and Severity of Subsequent Omicron Infection in Ontario, Canada Open
Background As SARS-CoV-2 evolves, assessing changes in COVID-19 severity over time, and the impact of prior infection on repeat infection, is important. We determined whether developing COVID-19 early in the pandemic was associated with re…
View article: Early COVID-19 and protection from Omicron in a highly vaccinated population in Ontario, Canada: a matched prospective cohort study
Early COVID-19 and protection from Omicron in a highly vaccinated population in Ontario, Canada: a matched prospective cohort study Open
Objectives: Predictions regarding the on-going burden of SARS-CoV-2, and vaccine recommendations, require an understanding of infection-associated immune protection. We assessed whether early COVID-19 provided protection against Omicron in…
View article: Infections liées aux dispositifs cardiaques électroniques implantables
Infections liées aux dispositifs cardiaques électroniques implantables Open
[Voir la version anglaise de l'article ici: www.cmaj.ca/lookup/doi/10.1503/cmaj.231121][1] Le taux de mortalité dans l'année suivant une infection est de 15 %–30 %[3][2]. En 2021, 120 000 personnes au Canada portaient un DCEI, ce qui compr…
View article: New Presentation of Takayasu Arteritis in a Patient With Preexisting Ulcerative Colitis
New Presentation of Takayasu Arteritis in a Patient With Preexisting Ulcerative Colitis Open
Takayasu arteritis (TA) is a rare, large-vessel vasculitis involving the aorta and its primary branches. Associations between TA and ulcerative colitis (UC) have been reported; however, the exact pathophysiologic mechanisms behind this ass…
View article: Infections of cardiac implantable electrical devices
Infections of cardiac implantable electrical devices Open
One year mortality after infection is 15–30%[3][1] In 2021, 120 000 people in Canada were living with CIEDs, including permanent pacemakers and defibrillators.[4][2] Pocket infections commonly present with pain, swelling, discharge, or ero…
View article: 2606. Epidemiology of invasive pneumococcal disease in adults with and without underlying lung disease in Ontario, Canada
2606. Epidemiology of invasive pneumococcal disease in adults with and without underlying lung disease in Ontario, Canada Open
Background The advent of enhanced conjugate pneumococcal vaccines for adults has created a need to assess the burden of pneumococcal disease in different populations to support recommendations for vaccination. We assessed the epidemiology …
View article: The impact of the COVID-19 pandemic on blood culture practices and bloodstream infections
The impact of the COVID-19 pandemic on blood culture practices and bloodstream infections Open
The COVID-19 pandemic has likely influenced the epidemiology of bacterial infections through wide-ranging changes to clinical practices and infection control and prevention interventions. We sought to determine how the detection and incide…
View article: Infection hypertrophique par le virus de l’herpès simplex de type 2 résistante à l’acyclovir chez un patient immunodéprimé
Infection hypertrophique par le virus de l’herpès simplex de type 2 résistante à l’acyclovir chez un patient immunodéprimé Open
[Voir la version anglaise de l’article ici: www.cmaj.ca/lookup/doi/10.1503/cmaj.221481][1] Points clés Un homme de 80 ans traité par ruxolitinib pour myélofibrose a été orienté vers la clinique d’infectiologie pour une masse évolutive suba…
View article: Hypertrophic herpes simplex virus 2 infection resistant to acyclovir in an immunosuppressed patient
Hypertrophic herpes simplex virus 2 infection resistant to acyclovir in an immunosuppressed patient Open
KEY POINTS An 80-year-old man on ruxolitinib for myelofibrosis was referred to the infectious diseases clinic with a subacute, progressive mass over his left forehead. He also had type 2 diabetes mellitus and dyslipidemia, and was taking r…
View article: Burden of Severe Illness Associated With Laboratory-Confirmed Influenza in Adults Aged 50–64 Years, 2010–2011 to 2016–2017
Burden of Severe Illness Associated With Laboratory-Confirmed Influenza in Adults Aged 50–64 Years, 2010–2011 to 2016–2017 Open
Background Understanding the burden of influenza is necessary to optimize recommendations for influenza vaccination. We describe the epidemiology of severe influenza in 50- to 64-year-old residents of metropolitan Toronto and Peel region, …
View article: Table of Contents
Table of Contents Open
View article: Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic
Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic Open
Introduction This study explores the relationship between emotional support, perceived risk and mental health outcomes among health care workers, who faced high rates of burnout and mental distress since the beginning of the COVID19 pand…
View article: Soutien aux travailleurs de la santé et détresse psychologique : réflexion sur la situation actuelle et la période suivant la pandémie de COVID-19
Soutien aux travailleurs de la santé et détresse psychologique : réflexion sur la situation actuelle et la période suivant la pandémie de COVID-19 Open
Introduction Cette étude explore la relation entre le soutien émotionnel, le risque perçu et les résultats en matière de santé mentale chez les travailleurs de la santé, qui font face à des taux élevés d’épuisement professionnel et de dét…
View article: Signe de Hertoghe
Signe de Hertoghe Open
[Voir la version anglaise de l’article ici : www.cmaj.ca/lookup/doi/10.1503/cmaj.211051][1] Un homme de 72 ans a consulté aux urgences pour fatigue progressive et intolérance au froid. Il avait des antécédents d’hypothyroïdie et avait choi…
View article: Percutaneous Drainage for Aortic Graft Infection Post-aneurysm Repair: A Viable Option?
Percutaneous Drainage for Aortic Graft Infection Post-aneurysm Repair: A Viable Option? Open
Purpose Non-operative management of aortic graft infection is usually only considered in a palliative context. We describe the safety, efficacy, and clinical outcomes of percutaneous drainage of aortic graft infections (AGI) following eith…
View article: Queen Anne sign
Queen Anne sign Open
A 72-year-old man presented to the emergency department with progressive fatigue and intolerance to cold. He had a history of hypothyroidism and had chosen to discontinue his levothyroxine supplementation 6 months earlier. On examination, …
View article: Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping Open
Objective Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. Methods A cro…
View article: 1309. Incidence and Epidemiology of Invasive Pneumococcal Disease due to Serotype 3 in South-Central Ontario
1309. Incidence and Epidemiology of Invasive Pneumococcal Disease due to Serotype 3 in South-Central Ontario Open
Background In our population, the most common serotype (ST) of S. pneumoniae causing invasive pneumococcal disease (IPD) is now ST 3. We undertook an analysis of population based surveillance for IPD to examine the incidence and epidemiolo…
View article: Observation d’une toxicité chronique au lithium chez une femme de 54 ans
Observation d’une toxicité chronique au lithium chez une femme de 54 ans Open
Points clés Une femme de 54 ans s’est présentée au service des urgences après avoir vécu 2 jours avec un état mental altéré, de la faiblesse et des mouvements involontaires. Ses antécédents médicaux indiquaient un trouble bipolaire de type…
View article: A 54-year-old woman with chronic lithium toxicity
A 54-year-old woman with chronic lithium toxicity Open
KEY POINTS A 54-year-old woman presented to the emergency department with a 2-day history of altered mental status, weakness and involuntary movements. Her medical history included bipolar I disorder, which had been diagnosed 32 years prev…
View article: Traitement à l’ivermectine pour l’infection à Strongyloides chez les patients atteints de COVID-19
Traitement à l’ivermectine pour l’infection à Strongyloides chez les patients atteints de COVID-19 Open
L’ivermectine, un agent antiparasitaire, n’est pas recommandé pour la prophylaxie ou le traitement de la maladie à coronavirus 2019 (COVID-19). L’utilisation inappropriée de l’ivermectine pour le traitement de la COVID-19 peut en diminuer …