RESUMEN
In this report, we detail a 69-year-old female who sustained a comminuted intra-articular left distal radius fracture that failed to heal with bridge plate fixation. Given the patient's poor subchondral bone stock and refusal of bone autograft, we designed a construct using a dorsal spanning plate and an intramedullary fragment-specific plate as a volarly placed strut in combination with viable bone allograft and cancellous bone chips to treat this nonunion. This case demonstrates an option for distal radius non-union treatment and highlights the importance of ingenuity that orthopedic surgeons should demonstrate when trying to accommodate patients' wishes.
RESUMEN
Influenza virus infection is a rare cause of neurological complications, with acute necrotizing encephalopathy (ANE) being among the deadliest. Due to the low incidence of ANE, literature about its association with influenza B infection is limited. We present the case of a 29-year-old previously healthy man with an imaging and clinical diagnosis of influenza B virus infection and sudden decline in mental status. Magnetic resonance imaging showed multifocal areas of abnormal T2 FLAIR signal and restricted diffusion without significant enhancement, with negative mircobiological studies of cerebrospinal fluid. The patient died despite multiple treatments including an antiviral, steroids, and intravenous immunoglobulin. Due to ANE's more common presentation during childhood, this case report represents one of the few available publications in the adult population.