Interaction Between Fungus & Bacteria A Case of Scedosporium apiospermum by Dr. Andrew Pugliese A 64 year old otherwise healthy woman underwent a nasal septoplasty in April of this year and soon afterward developed a hematoma that progressed to an abscess.
DNA Sequencing Can Change Medicine DNA sequencing, in my opinion, will revolutionize how medicine approaches the challenges of chronic infections. Since the beginning of the 21st Century, many of us have become aware that there is a correlation between
Three years ago, a 65-year-old morbidly obese woman came to the practice with a 30-40 year history of recurrent respiratory infections of both the lungs and sinuses. The infections had worsened over the last several years requiring several sinus surgeries
The Use of Casting to Improve Outcomes of Diabetic Foot Ulcers by Dr. Andrew Pulgiese In January of this year, a gentleman came to the Emory University Wound Care and Hyperbaric Center at Johns Creek for treatment of a diabetic
The Role of Sleep Apnea in Chronic Sinusitis One condition that may be associated with chronic sinusitis, which is often missed, is sleep apnea. Sometimes patients may have a syndrome know as CORE (Chronic Cough/Asthma, Obstructive Sleep Apnea, Rhinosinusitis and Esophageal Reflux)
Loud snoring is annoying and at times seems comical, but there is more to a snore. Obstructive Sleep Apnea affects more than 40 Million people and leads to many very serious medical issues. A clear case sign is snoring, which
Why Work-Ups are so Critical for Proper Diagnosis by Dr. Andrew Pugliese Several months back a college senior came to see me because of excessive fatigue and sleepiness. It appeared that, as she got older, her symptoms worsened to the point
Time to Bridge the Gap - A Look at Post Infectious Syndrome by Dr. Andrew Pugliese For the past several decades it has been well documented that certain infections can lead to prolonged debilitating syndrome with fatigue and pain being