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Twice in the past 2 years I've encountered pulmonary histoplasmosis in travelers returning from Central America (Mexico and Costa Rica), and both times the diagnosis proved challenging. One case, in particular, was a 60-year-old man who had traveled to Costa Rica for 1 week and then presented with fever, persistent dry cough, malaise, and complaints of memory loss.
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In this issue: Apixaban and rivaroxaban near approval for nonvalvular atrial fibrillation; fidaxomicin for C. difficile infections; guideline for intensive insulin therapy; and FDA Actions.
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At the 59th annual meeting of the american society of Tropical Medicine and Hygiene held in Atlanta, GA, Nov. 3-7, 2011, Dr. Paul Arguin, head of the Domestic Malaria Unit, presented Malaria Updates from the Centers for Disease Control and Prevention (CDC).
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Routine lead screening of a 1-year-old u.s.-born son of Cambodian immigrants living in New York revealed an elevated blood lead level (10 mcg/dL).
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Although undeniably useful, gram stains have become less accessible to physicians in an era when clinicians go to the laboratory infrequently to view specimens and hospital laboratories move off-site. This brief report describes a Honolulu hospital's approach to this problem.
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On Oct. 27, 2010, the Advisory Committee on Immunization Practices (ACIP) approved updated recommendations for the use of quadrivalent (serogroup A, C, Y, and W-135) meningococcal conjugated vaccines (Menveo®, Novartis; and Menactra®, Sanofi Pasteur) for adolescents and persons with high risk for meningococcal disease.
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In this issue: Escitalopram for menopausal hot flashes, rifaximin for IBS without constipation, herpes zoster vaccination, antiepileptics drugs and fracture risk, and FDA Actions.
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To investigate the natural history of alcohol intake in women after age 50, two randomly sampled, nationally representative large cohorts of older women initially between the ages of 50 and 65 were followed with biannual questionnaires for concurrent 8-10 year periods.
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Two cases were reported in this paper. the first case was a 52-year-old wildlife biologist who went deer hunting in Virginia in November 2008.
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In this study, 2,499 hiv-seronegative men or transgender females who have sex with men (MSM) were randomized to daily TDF/FTC vs. placebo in a multicenter, controlled trial with clinical sites in North America, Latin America, Thailand, and Africa.