The purpose of this article is to familiarize physicians with the risks of prescribing trimethoprim/sulfamethoxazole (TMP/SMX) for patients who have kidney or cardiac pathology, have hyperkalemia, or take other interacting medications. Although TMP/SMX is a drug that is frequently used to treat skin and soft-tissue infections of the leg and foot, particularly if methicillin-resistant Staphylococcus aureus is identified, it is not an innocuous antibiotic. Literature documenting the many adverse effects of TMP/SMX is reviewed. A case history is presented illustrating the association of TMP/SMX with the development of a life-threatening situation. Ways of avoiding these adverse events are discussed, and the use of safer antibiotics is recommended.
Tibial sesamoidectomy is frequently the treatment of choice for different tibial sesamoid pathologies when non-surgical treatment fails. However, surgery is not without postoperative complications, such as hallux abducto valgus (HAV) deformity. Currently, there is a paucity of research regarding isolated tibial sesamoidectomy and its complications. The purpose of this paper is to present two cases of isolated tibial sesamoidectomy, a brief description of surgical technique, an anatomic and functional description of hallux sesamoids, and an updated literature review on isolated tibial sesamoidectomy.
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