Norwalk virus is the most frequent cause of epidemic non-bacterial gastroenteritis worldwide (CDC link). It is highly pathogenic and extremely contagious, but symptoms usually only last for about a day. However, in this study, researchers found the fecal shedding of norwalk (in experimentally infected healthy adults) lasted for a median of 1 month, and as long as 2 months in some (abstract). It is important for us to realize the potential prolonged infectivity (even after resolution of diarrhea) of patients with recent Norwalk gastroenteritis.
This large systematic review found rectal NSAIDs significantly reduced the risk of post-ERCP pancreatitis compared to pancreatic duct stents (abstract).
This large population-based cohort found the most common causes of drug induced liver injury to be augmentin and diclofenac, followed by herbal and nutritional supplements (abstract).
This large trial of patients with a relative contraindication for enteral feeds were randomized to early TPN or usual care. There were no differences in the groups in 60 day mortality or LOS, but those on TPN did have a shorter time ventilated and less muscle/fat loss. It is unclear based on this trial if […]