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With the unprecedented shortage of influenza vaccine this flu season, hospitals are scrambling to prepare for what may be a record number of flu patients presenting to their already overcrowded emergency departments (EDs) and for staff shortages due to record absenteeism.
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Hypertensive disorders of pregnancy range from chronic pre-existing disease to life-threatening conditions such as HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) and eclampsia. They often represent a continuum from bad to worse. The emergency department physician is likely to evaluate a pregnant patient for many conditions unrelated to the pregnancy itself, and knowledge of abnormalities that warrant further assessment and follow-up is essential.
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A retrospective review found evidence indicating improved survival when voriconazole was used in combination with caspofungin than when voriconazole was used alone in the treatment of patients with invasive aspergillos failing therapy with amphotericin B.
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Over a 7-year period, there was a dramatic increase in the isolation of community-acquired MRSA in the San Francisco area. Molecular typing showed movement of community-acquired strains into hospitals.
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Flu ShortageWho Cares?; Can Cutaneous Zoster Result in Airborne Transmission?; If It Was a Bear. . . Part II; Breakthrough Fungal Infection With Voriconazole.
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Tropical pulmonary eosinophilia must be considered in patients with asthma-like symptoms and significant eosinophilia, who have resided in areas endemic for lymphatic filariasis.
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S. aureus preferentially utilizes iron of heme origin, whose availability is the consequence of erythrocyte hemolysins produced by the organism.
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Adjunctive dexamethasone therapy of adolescents and adults with tuberculous meningitis was associated with improved survival, but not with reduced severe disability among those who did survive.