Infectious Disease Features News
A 44-year-old man presents to the hospital with generalized abdominal pain, malaise, subjective low-grade fever, and a bruise on his left shin. He has an extensive medical history including HIV, hypertension, diabetes, and GERD, but he denies vomiting or diarrhea.
A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.
A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.
The first step for managing a patient with diarrhea is to determine the severity of dehydration according to the estimated volume loss and the symptoms and signs noted on physical examination.
NIH's National Institute of Allergy and Infectious Diseases is researching ways to develop a universal influenza vaccine against multiple strains.
In 1918, between 50 and 100 million people are thought to have died from the great influenza pandemic, representing as much as 5% of the world's population.
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.
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.
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?
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.
Human papillomavirus vaccination not linked to increase in sexually transmitted infections in adolescent females
The HPV vaccination is not associated with an increase in sexually transmitted infections in adolescent females, study results suggest. The vaccine is recommended for all children 11 to 12 years old.
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.
Health tutor David Manana heads the Clinical Officer training program at the Maridi Health Sciences Institute.
Deborah Winters, NP, used skills she learned in the United States to help create the Ethiopia HIV/ART Nurse Specialist (HANS) Training Program Evaluation.
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.
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.
What is the best way to handle ear fungus that is resistant to ketoconazole?
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.
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?
Were antibiotics the right decision in this clinical scenario?
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?
In response to a federal initiative, a school clinician immunizes a child—but without parental consent.
Societal changes and pharmaceutical advances have led to a rise in sexual activity in this population, and clinicians must adapt to a new reality.
How can I avoid unnecessary antibiotic use while still satisfying my patients?
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?
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.
What is an effective alternative to oral medications or topical ciclopirox (Penlac) for onychomycosis?
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 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?
What are the most effective therapies available to treat lymphedema?
An understanding of the liver and its functions will provide the tools to perform a basic workup of patients suspected of having hepatic disease.
Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?
The number of hospital-acquired MRSA infections is down; however, community-acquired MRSA infections continue to rise.
Nonalcoholic fatty liver disease (NAFLD) is rapidly emerging as one of the most common "incidental findings" identified with radiographic testing. One in four adults is found to have the condition when undergoing abdominal ultrasound.
Could a liver infarct be the cause of a patient's dull, intermittent pain in the right-upper-quadrant? Or is something else to blame?
A quick review of influenza A and influenza B viruses in children, providing information on the infections' epidemiology and associated complciations, as well as tips for diagnosis, treatment and prevention.
A patient taking terbinafine for onychogryphosis developed a fine pruritic rash over sun exposed body areas while on vacation. Could the drug be to blame?
Considered "magic bullets" when they first arrived on the scene, antibiotics must be used appropriately to protect their effectiveness.
Is there a connection between celiac disease (CD) and inflammation?
A patient is suspected of having hepatic encephalopathy (HE) attributable to liver failure from alcoholism.
Is there any evidence that changing a patient's cephalexin dose from 500 q.i.d. to 1,000 b.i.d. has decreased efficacy in terms of infection control?
Parents today are more likely than ever to have questions or concerns about the safety of immunizations, and clinicians must be prepared to have effective discussions about the benefits and risks of vaccination.
Which type of human papillomavirus (HPV) is associated with nonmucosal, condyloma acuminatum-appearing warts found under the pannus in intertriginous areas?
What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?
In adolescents aged 11 to 14 years, must the human papillomavirus; meningococcal (MCV4); tetanus, diphtheria, and pertussis (Tdap); and, if needed, varicella vaccines be given simultaneously?
Obese adults are at risk for many serious health conditions, including diabetes, coronary heart disease, hypertension, stroke, obstructive sleep apnea (OSA), depression and liver disease.
Resistance has compromised the effectiveness of all ophthalmic antibiotics, but new topical treatment options are available.
Brewer's yeast: Medical uses in cancer, therapy for premenstrual syndrome and antibiotic-associated diarrhea
Brewer's yeast, or Saccharomyces cerevisiae, is specifically grown as a nutritional substance rich in chromium, selenium, proteins and B-complex vitamins.
A Fite stain leads to the correct diagnosis of these lesions in a man originally from Micronesia.
Current FDA indications for tetanus, diptheria and pertussis vaccine call for only one dose between ages 11 and 64 years. What strategies or processes have been employed to communicate to the patient whether he or she has received the one-time-only tetanus shot?
Travel medicine clinicians may consider advising patients to pack a medical kit with antibiotics to self-treat traveler's diarrhea.
Is there a role for suppressive antibiotic therapy in geriatric patients with recurrent urinary tract infections?
What vaccines and vaccination schedule are recommended for splenectomy patients?
Is it reasonable to extend interferon and ribavirin therapy to 72 weeks to increase a patient's chance of achieving sustained viral response to hepatitis C?
Clinicians asks advice for appropriate vaccine procedure for health care workers who received childhood vaccines, but cannot supply documentation and no longer have immunity to measles, mumps or rubella.
With ongoing changes in the healthcare field, certification demonstrates an advanced level of knowledge and skills in a specialty practice area.
What are bacterial biofilms, and is there a link between these communities and chronic infections? What treatment strategies are recommended?
Medically, licorice traditionally has been used as a general anti-inflammatory, antitussive, GI soothant, and for respiratory support. The potential for antiviral activity and hepatocellular protection in cases of hepatitis C has also been discussed.
Primarily working in clinics that serve low-income and homeless demographics, as well as the underinsured and uninsured, community health nurses (CHNs) play integral roles in caring for vulnerable populations.
Amoxicillin-clavulanate studied in children who met strict criteria for AOM diagnose.
How can I determine if HSV-1 in a 2-year-old girl is the result of abuse or exposure from a vaginal birth of an HSV-positive mother?
The Infectious Diseases Society of America's first treatment guidelines on this topic focus on the management of community-acquired infections.
What treatment and/or confirmatory testing are required before a health-care professional who has been diagnosed with MRSA infection can resume working with patients?
What is the most effective way to deal with teenagers with repeated sexually transmitted diseases?
Many people think seeing a midwife means forgoing to the comfort and convenience of modern health care. Find out here why it's not.
Has anyone had success with the QuickVue influenza test kits? Should patients with flulike symptoms be treated with antibiotics regardless of test results?
Some of my patients with abnormal Pap smears attributable to the high-risk HPV virus claim to have "healed" their cervixes with herbal vaginal suppositories. Are these products safe and/or effective?
Commonly found in the oral cavity, HPV lesions may persist or relapse spontaneously and occasionally require surgical excision.
My patient's onychomycosis is responding poorly despite treatment with terbinafine and itraconazole. What do you suggest I do next?
Was the staff at fault for not warning that the patient was HIV-positive and had hepatitis C?
The CDC Advisory Committee on Immunization Practices has released its 2010 recommendations for the prevention and control of influenza.
Evidence from a new randomized trial suggests that HPV DNA-based testing may reduce the rate of invasive cervical cancer compared with cytology.
Much has changed since the first case of AIDS was identified. Updated guidelines discuss transmission, diagnosis, risk screening, and adherence.