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NEW FEATURES THIS WEEK

MEDSCAPE ORIGINAL ARTICLES
TREATMENT STRATEGIES FOR THE ANTIRETROVIRAL-EXPERIENCED PATIENT
Joel E. Gallant, MD, discusses the management of virologic failure, including regimen selection for drug-resistant HIV.
HIV/AIDS Update 2002 2002


IHA ANTIBODY TITERS AMONG HOSPITALIZED PATIENTS IN THAILAND WITH AMEBIC LIVER ABSCESSES
One of the most common causes of liver abscess in Thailand has a good prognosis when diagnosed and treated early.
Medscape General Medicine 4(3) 2002


PEDIATRICS JOURNAL SCAN, AUGUST 2002
Featured this month: erythromycin and pyloric stenosis; tonsillectomy for recurrent throat infection; and epilepsy.
Medscape Pediatrics 4(2) 2002


VANCOMYCIN-INDUCED NEUTROPENIA IN A PATIENT POSITIVE FOR AN ANTINEUTROPHIL ANTIBODY
The mechanism of neutropenia is unknown; however, new evidence suggests that the reaction may have an immunologic basis.
Medscape Pharmacotherapy 22(6) 2002


NURSING JOURNAL SCAN, AUGUST 2002
Highlights include the infectious risks of pet therapy and the psychological sequelae of STDs in abused women.
Medscape Nurses 4(2) 2002


MMWR
UNRECOGNIZED HIV INFECTION, RISK BEHAVIORS, AND PERCEPTIONS OF RISK AMONG YOUNG BLACK MEN WHO HAVE SEX WITH MEN - 6 US CITIES, 1994-1998
Many engaged in behaviors that transmit HIV because they perceived themselves or their partners to be at low risk.
MMWR 51(33) 2002


WEST NILE VIRUS ACTIVITY - US, AUG 15-21, 2002
During this period, 114 laboratory-positive human cases of WNV-associated illness were reported.
MMWR 51(33) 2002


INFECTIONS IN MEDICINE
INFLUENZA: PREVENTION AND DETECTION IN ACUTE CARE SETTINGS
Hospitals appear ill-prepared to either recognize or control nosocomial influenza.
Infect Med 19(7) 2002


AN AIDS PATIENT WITH ANOREXIA AND PROGRESSIVE WEAKNESS
Read about a 45-year-old HIV-positive man who had an episode of emesis without bile or blood.
Infect Med 19(7) 2002


EMERGING INFECTIOUS DISEASES
HOT-TUB-ASSOCIATED MYCOBACTERIAL INFECTIONS IN IMMUNOSUPPRESSED PERSONS
These experiences indicate the absolute need for careful cleaning of hot tubs.
Emerg Infect Dis 8(7) 2002


ROLE OF ELECTRONIC DATA EXCHANGE IN AN INTERNATIONAL OUTBREAK CAUSED BY S ENTERICA SEROTYPE TYPHIMURIUM DT204B
A key aspect of this investigation was the rapid exchange of molecular fingerprints between laboratories.
Emerg Infect Dis 8(7) 2002


NOVEL MEASLES VIRUS GENOTYPE, EAST TIMOR AND AUSTRALIA
Vaccination of support staff is likely to decrease transmission of measles in industrialized countries.
Emerg Infect Dis 8(7) 2002


ENTOMOLOGIC AND SEROLOGIC EVIDENCE OF ZOONOTIC TRANSMISSION OF BABESIA MICROTI, EASTERN SWITZERLAND
Serum from 1.5% of the 396 residents of the region reacted to B. microti antigen.
Emerg Infect Dis 8(7) 2002


LETTER: COST-EFFECTIVE SCREENING FOR TRICHOMONAS
Delaying the second test until the results of the first test are known should be considered.
Emerg Infect Dis 8(7) 2002


LETTER: COST-EFFECTIVE SCREENING FOR TRICHOMONIASIS - REPLY
This approach can reduce costs substantially without compromising the accuracy of the tests.
Emerg Infect Dis 8(7) 2002


SOUTHERN MEDICAL JOURNAL
HYPERINFECTIVE STRONGYLOIDIASIS IN THE MEDICAL WARD: REVIEW OF 27 CASES IN 5 YEARS
Early diagnosis and treatment with thiabendazole may reduce mortality in hyperinfective strongyloidiasis.
South Med J 95(7) 2002


TUBERCULOSIS EMPYEMA NECESSITATIS IN A MAN INFECTED WITH THE HUMAN IMMUNODEFICIENCY VIRUS
Read how this 22-year-old man presented with HIV and tuberculosis empyema necessitatis was successfully treated.
South Med J 95(7) 2002


OTHER JOURNALS
CHILDHOOD VACCINATIONS AND RISK OF ASTHMA
There is no association between DTP, OPV or MMR vaccine and the risk of asthma.
Pediatr Infect Dis J 21(6) 2002


ANTIMICROBIAL-ASSOCIATED ACUTE HEPATITIS
Is this study a solidly documented case of hepatitis attributable to gatifloxacin?
Medscape Pharmacotherapy 22(6) 2002


LEVOFLOXACIN-INDUCED TOXIC EPIDERMAL NECROLYSIS IN AN ELDERLY PATIENT
Read the first published report of exfoliative disease after treatment with levofloxacin.
Pharmacotherapy 22(6) 2002


ROLE OF POISON CONTROL CENTERS IN DISASTER RESPONSE PLANNING
Read a description of the role that regional poison control centers play in disaster response planning.
Am J Health-Syst Pharm 59(12) 2002


WHAT I HAVE LEARNED ABOUT INFECTIOUS DISEASES WITH MY SLEEVES ROLLED UP
How do you interpret CSF WBC count and PCR results when the lumbar puncture has been traumatic?
Semin Neurol 22(1) 2002


 

NEWS

WEST NILE VIRUS
OFFICIALS REPORT FOUR MORE WEST NILE DEATHS IN US
Authorities in Illinois, New York, Michigan and Ohio reported four more deaths suspected to be from the mosquito-borne West Nile virus, possibly adding to the list of 16 confirmed deaths nationally from the virus.
Reuters Health Information 2002


MICHIGAN MAN BELIEVED LATEST WEST NILE VICTIM
A 90-year-old man from the Detroit suburb of Berkley is thought to be the latest victim of West Nile disease in the US and the 17th fatality this year, health officials said on Tuesday.
Reuters Health Information 2002


FOUR MORE WEST NILE DEATHS REPORTED IN US
Four additional deaths believed to have been caused by the mosquito-borne West Nile virus were reported on Tuesday in Illinois, Michigan and Ohio.
Reuters Health Information 2002


CDC EARMARKS $6 MILLION TO CITIES, STATES HIT BY WEST NILE
Fourteen states and two major cities affected by the spread of West Nile virus will receive $6 million in aid from the US Centers for Disease Control and Prevention (CDC), agency officials announced Wednesday.
Reuters Health Information 2002


WEST NILE VIRUS CLAIMS FIRST VICTIM IN MEXICO
The mosquito-borne West Nile virus has claimed its first victim in Mexico with the death of a 72-year-old man from Coahuila, a state that borders the United States, authorities said on Wednesday.
Reuters Health Information 2002


ANTHRAX & SMALLPOX
STANDARD SMALLPOX VACCINE MAY OFFER LONG-TERM IMMUNITY
Little loss of reactivity for 35 years suggests that a limited vaccine supply might best target unvaccinated people.
Medscape Medical News 2002


FBI RESUMES PROBE OF FLORIDA ANTHRAX-TAINTED BUILDING
Investigators will re-enter an anthrax-contaminated Florida building owned by tabloid publisher American Media Inc. and use new techniques to search for a letter or package that may have carried the disease and fatally infected a man last autumn, FBI officials said on Monday.
Reuters Health Information 2002


ANTHRAX ATTACKS HAVE IMPROVED US RESPONSE ABILITY
Because of the post-September 11 efforts to improve the handling of terrorist attacks, the US Centers for Disease Control and Prevention (CDC) said Tuesday they are now better prepared to cope with subsequent attacks and other novel situations, including the recent US outbreak of West Nile virus.
Reuters Health Information 2002


ANTHRAX 'LETHAL FACTOR' IDENTIFIED
The mechanism by which Bacillus anthracis interacts with macrophages to evade the host innate immune system has been identified by a California research team.
Reuters Health Information 2002


LEGIONNAIRE'S DISEASE
THREE TREATED IN NEW LEGIONNAIRES' OUTBREAK IN UK
Three people were being treated for Legionnaires' disease in Sandwell in the English West Midlands on Friday.
Reuters Health Information 2002


BRITISH LEGIONNAIRES' OUTBREAK CLAIMS FIFTH LIFE
A man in his 50s has died in the latest outbreak of Legionnaires' disease in Britain, hospital officials said on Sunday.
Reuters Health Information 2002


PHYSICIANS FEAR FIFTH DEATH IN UK LEGIONNAIRE'S OUTBREAK
A northern British woman who contracted Legionnaire's disease, but apparently recovered from the infection, died at her home over the weekend, hospital officials said on Wednesday.
Reuters Health Information 2002


OTHER OUTBREAKS
MENINGITIS OUTBREAK HAS KILLED 65 IN RWANDA, ONE MILLION AT RISK
A meningitis outbreak has killed at least 65 people in Rwanda.
Reuters Health Information 2002


CHOLERA KILLS 1,000 MALAWIANS IN 9 MONTHS
Cholera killed at least 1,000 people in Malawi during the nine months to June this year.
Reuters Health Information 2002


INFLUENZA
DEATH TOLL JUMPS IN MADAGASCAR FLU EPIDEMIC
The death toll in Madagascar's flu epidemic has surged in the past 2 weeks to 671, with reported cases nearly doubling to 22,646, the World Health Organization said on Tuesday.
Reuters Health Information 2002


NS GENE OF HONG KONG FLU VIRUS LINKED TO CYTOKINE RESISTANCE
The highly lethal H5N1 avian influenza virus, which spread to humans in Hong Kong in 1997, carries a point mutation on its nonstructural (NS) gene.
Reuters Health Information 2002


HEPATITIS
FATIGUE IS COMMON IN PATIENTS, ESPECIALLY WOMEN, WITH CHRONIC HEPATITIS C
Fatigue is common in patients with chronic hepatitis C, according to a report in the September issue of Gut.
Reuters Health Information 2002


IDENTIFICATION OF HEPATITIS A VIRULENCE GENES MAY FOSTER VACCINE DEVELOPMENT
Researchers have identified the genes responsible for virulence of hepatitis A virus (HAV), a discovery they hope will lead to the development of a live, attenuated vaccine against HAV.
Reuters Health Information 2002


PSYCHIATRIC DISORDERS COMMON AMONG HCV-INFECTED VETERANS
Psychiatric disorders and problems with drug or alcohol use are more common among military veterans who are infected with hepatitis C virus (HCV) than among veterans who are not, according to a report published in the August issue of Gastroenterology.
Reuters Health Information 2002


PEDIATRIC ID
ANTIBIOTIC THERAPY FOR E. COLI ENTERITIS MAY NOT BE LINKED TO HEMOLYTIC UREMIC SYNDROME
Results from a recent review article indicate that using antibiotics for the treatment of Escherichia coli O157:H7 enteritis does not increase the risk of hemolytic uremic syndrome (HUS).
Reuters Health Information 2002


ROTAVIRUS INFECTION IN INFANTS PROTECTS SUBSTANTIALLY AGAINST REINFECTION
Natural rotavirus infection appears to confer considerable protection against subsequent rotavirus reinfection and diarrhea, according to a report in the September 1st issue of The Journal of Infectious Diseases.
Reuters Health Information 2002


HIV/AIDS
HIV EPIDEMIC IN FORMER SOVIET UNION STARTED IN SOUTHERN UKRAINE
An examination of HIV virus strains among HIV patients in the former Soviet Union confirms that the epidemic started in the southern Ukraine where the first outbreaks were registered.
Reuters Health Information 2002


SCHOOL-BASED HIV PREVENTION TRIALS FEASIBLE IN SUB-SAHARAN AFRICA
There are methodological and ethical challenges to conducting trials to determine the effectiveness of adolescent sexual health interventions in preventing HIV transmission.
Reuters Health Information 2002


OTHER ID NEWS
PENTAGON TO PROBE POSSIBLE LINK OF MALARIA DRUG TO FORT BRAGG KILLINGS
The Pentagon plans to send a team of experts to Fort Bragg, North Carolina, to investigate whether the recent killings of four women there, allegedly by their Army husbands, are connected, defense officials said on Thursday.
Reuters Health Information 2002



 

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