Infectious Disease Features News
The disease may often go undiagnosed in adults because clinicians may be relatively inexperienced in identifying childhood illnesses in adults.
A 66-year-old woman with a history of sarcoidosis and hypertension presents to the emergency department for 4 days with right-sided abdominal pain, vomiting, fever, and mild diarrhea without blood.
Bacteria in contact with living tissues form layers that resist penetration by the immune system or antibiotics, but promising treatments abound.
A patient's positive hepatitis B results were overlooked for 7 years.
Patients with G6PD should avoid triggers of oxidative stress.
It is well-accepted that healthcare practitioners have a duty to their patients, but do patients have a duty as well?
A greater understanding of the healthcare issues specific to the lesbian, gay, bisexual, and transgender community may improve the quality of care.
The Lyme disease spirochete, Borrelia burgdorferi, is an obligate parasite and the most common tick-borne infection in North America and Europe.
Between 75% and 80% of Zika virus infections are asymptomatic.
Patients with COP generally have positive outcomes following a definitive diagnosis and the initiation of appropriate treatment.
A clinician questions wonders if there is a connection between cardiac arrhythmia and the flu vaccine.
Education of high risk populations and regular testing are crucial steps clinicians can take to stem the spread of hepatitis C infection.
Physician assistants in Liberia have played a key role in their country's health care during times of crisis, but they still face professional challenges.
A clinician expresses concerns about potentially misleading flu vaccination information for pregnant women.
Norovirus is the leading cause of both sporadic and epidemic gastroenteritis worldwide.
By presenting research on the safety and efficacy of the flu vaccine, clinicians can successfully promote vaccination to patients in their care.
Recommendations for initiation of antiretroviral therapy (ART) in asymptomatic adults with HIV are generally based on CD4 T-cell counts.
What is the mechanism of action for laser treatment for onychomycosis of the toenails?
Safe and effective over-the-counter and herbal treatments are available for patients with viral upper respiratory infections.
Learn how to diagnose and treat influenza in children.
Clinicians debate the fact or hype present in the CDC's most recently released statistics on influenza death rate.
Learn how to diagnose and treat influenza in adults.
Providers should educate their patients on the prevalence of influenza, its potential complications, and the available prevention options.
A 29-year-old woman, 12 years post-liver transplant, presents with fever and tachycardia and had recently reported fatigue, weakness, and abdominal pain.
Learn how to diagnosis and treat acute bronchitis.
Understanding the nontraditional terminology used by men who have sex with men will help form a successful patient-provider relationship.
Recognizing red flag symptoms, such as anxiety, depression, and increased substance use, is important in helping victims who are reluctant to report the assault.
Whole cell pertussis vaccines are more effective than newer, acellular versions.
A young woman presented with symptoms consistent with aseptic meningitis after taking a dose of trimethoprim/sulfamethoxazole.
A 12-year-old child complains of having a slight sore throat and fatigue, but his mother becomes concerned when the child's symptoms worsen three days later.
Review the basics on measles, including risk factors, symptoms, treatment, and prevention.
Health tutor David Manana heads the Clinical Officer training program at the Maridi Health Sciences Institute.
Each year clusters of meningitis cases break out in the U.S. in the fall and winter months, particularly among adolescents and young adults.
Despite a less-than-robust efficacy profile, lysine supplementation is a safe and inexpensive remedy to try in patients with recurrent HSV outbreaks.
Congenital cytomegalovirus is a very common cause of birth defects, yet many primary-care providers are not well-informed about this infection.
Reviewing precautions for blood and body fluids will help protect both healthcare workers and the public.
Deborah Winters, NP, used skills she learned in the United States to help create the Ethiopia HIV/ART Nurse Specialist (HANS) Training Program Evaluation.
The current infectious-disease focus is on ebola and enterovirus D68, but an old foe, rubella, is once again demanding attention.
An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.
A key element of the collaborative practice agreement is communication.
The Clinical Advisor asked infectious-diseases specialist Michael E. Klepser, PharmD, about the role over-the-counter agents play in seasonal influenza.
Sometimes patients just need to hear their own stories out loud to help make better choices.
A new program that focused on education both male and female patients about contraception decreased pregnancy rates in an inner-city school.
Study authors found that a throat culture may be useful after a negative RADT finding.
Of the patients, 42.6% treated with normal saline required hospital admission, compared with 28.9% of the hypertonic saline group.
Patients at risk for HBV infection include HIV-positive individuals, injection-drug users, and household contacts of those with HBV.
Providing patients with a copy of their lab reports emphasizes the seriousness of STDs.
A simple trick to get ticks to let go.
What is the best way to handle ear fungus that is resistant to ketoconazole?
A quick review of medical treatment for upper-respiratory infections, using the best global evidence.
Frequent infections in obese patients lead to more frequent use of antibacterial medications in this population than in those who are not obese.
Several dermatologic manifestations of hepatitis C infection have been described.
A short review of the human herpesvirus mononucleosis, testing options and recurrence.
How do you explain to a patient when a positive test results is likely, but inconclusive due to insufficient specimen quality?
How can clinicians determine which patients will benefit most from specialist referral in resource-limited settings?
I tried to keep my voice steady, as I described what looked like an inch-long piece of cooked linguine attached to the patient's buttock.
Were antibiotics the right decision in this clinical scenario?
What is the likelihood of HPV-caused cervical cancer recurrence after loop electrosurgical excision procedure?
A three-part solution with OTC-ingredients can help prevent future urinary tract infections.
A patient with an unidentifiable, nonspecific viral illness is hospitalized and deteriorates rapidly.
'You don't have to remember it all, just enough to know you need to find out the rest.'
Up-to-date CDC recommendations for vaccines for adults with specific medical conditions.
Up-to-date CDC recommendations for patients aged 4 months through 18 years who start late or are more than one month behind on immunizations.
Up-to-date information from the CDC on contraindications and precautions for adult vaccines.
Current CDC immunization schedule and footnotes for vaccinating adults.
Current CDC immunization schedule and footnotes for vaccinating children aged 0 through 18 years.
What is the best treatment option for an elderly man with a two-year history of onychomycosis?
What is the standard of care for a patient with elevated liver function tests?
Most often caused by use of nonsteroidal anti-inflammatory drugs or bacterial infection, peptic ulcer disease usually presents as epigastric pain.
This infection manifests as a collection of pus and is often a complication of tonsillitis that may require referral to a specialist or hospitalization.
What constitutes a reasonable workup for neutropenia in an otherwise healthy young person?
In response to a federal initiative, a school clinician immunizes a child—but without parental consent.
Often at increased risk for disease transmission, many teens and preteens do not receive the recommended immunizations in a timely manner.
A simple technique can help stifle patients' gag reflex.
Societal changes and pharmaceutical advances have led to a rise in sexual activity in this population, and clinicians must adapt to a new reality.
Are there any guidelines for alternatives to cephalosporins in patients allergic to penicillin?
A patient returns after acyclovir fails to resolve a fever blister on the lip. What's the next step?
Consider unusual causes of chronic or recurrent ear pain.
How can I avoid unnecessary antibiotic use while still satisfying my patients?
A nurse practitioner shares a homemade gargling solution for patients with pharyngitis.
A who takes acetaminophen for chronic neck and back pain awakens to a bloody nose and blood-soaked pillow. Could liver disease be to blame?
Urinalysis and physical exam determine if the infection is complicated or uncomplicated, primary or recurrent and guide treatment strategy.
Clinicians need to be prepared for the unique challenges presented by the growing number of older patients with HIV.
What is the most sensitive test to use when trying to diagnose toenail fungus?
The symptoms of this common lung infection usually dissipate after a week, but some cases can become severe and require hospitalization.
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
What treatment regimen would have the least adverse effect on the fetus?
If the treatment goal of viral eradicatication cannot be met, strive to slow disease progression, lower risk of liver cancer, and improve quality of life.
Medicinal properties of marigold-derived compounds include antiviral, anti-inflammatory and antitumor effects.
What is an effective alternative to oral medications or topical ciclopirox (Penlac) for onychomycosis?
Is it common to see renal failure triggered by high doses of topical acyclovir?
A steadfast clinician gets into trouble when she examines a minor without express verbal consent.
Oral manifestations are often an early signal of systemic disease, so recognizing them can point the way to a prompt diagnosis.
Hepatitis C virus (HCV) antibody remains active even in an individuals treated successfully or those who clear the virus. Learn how to avoid unnecessary referrals.
Patients infected with HIV are living longer, which means they have more age-related comorbidities that require other medications as well.
A simple tip to improve antibiotic eye drop adherence among women, who sometimes miss applications because they wear clothes without pockets.
A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?
A corrections officer came into the primary care office for a routine physical and left with an unexpected diagnosis.
When choosing among the available treatment options, consideration must be given to local prevalence and antibiotic resistance.
Two patients present to the dermatology clinic with scaly pruritic lesions on the forearm. Can you differentiate between the two?