Articles Tagged With:
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Acute Clinical Worsening Without MRI Changes in Multiple Sclerosis
Patients with multiple sclerosis (MS) can have an acute clinical event suggestive of a relapse, but their magnetic resonance imaging (MRI) shows no corresponding changes (labeled by the authors as an acute clinical event with stable MRI [ACES]). These events have not been systematically analyzed. The authors reported that this number is significant, and a quarter of the relapses reported by patients fall under this category. Patients with ACES had higher relapse rates and a greater risk of transition to secondary progressive MS.
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Are New-Onset Seizures Associated with SARS-CoV-2 Vaccines?
In this meta-analysis, there was no statistically significant difference in the risk of new-onset seizure incidence between vaccinated individuals and placebo recipients in the 28-day post-injection period. Similarly, in the post-injection entire blinded phase (median follow-up 148, 121, and 43 days in three trials), no significant difference was observed between the vaccine and placebo recipients regarding the incidence of new developing seizures.
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Is Autologous Bone Marrow Cell Therapy a Potential Treatment for Traumatic Brain Injury?
This study proposes that autologous bone marrow mononuclear intravenous infusion for severe traumatic brain injury in children appears safe and potentially may be efficacious.
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Enlargement of Choroid Plexus in Subacute COVID-19 Patients
The authors of this study hypothesized that there likely is enlargement of the choroid plexus in patients with COVID-19 infections.
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Insights into Restless Legs Syndrome from Genome-Wide Meta-Analyses
This genome-wide association study’s meta-analysis, performed in a large European-ancestry cohort, identified 164 risk gene loci for restless legs syndrome. Some of the loci point to potential new drug therapies, but there also was strong evidence of currently unknown environmental factors that influence the expression of various genes.
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Infectious Disease Alert Updates
Pushing for STI Testing in Those at Risk; TB Screening Dismayingly Low in Those at Risk
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Varicella Zoster Meningitis — What Is the Optimal Therapy?
The authors concluded that their results indicate a need for controlled trials comparing intravenous acyclovir to valacyclovir or to no antivirals in the management of varicella zoster meningitis without neurological complications in immunocompetent patients.
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Dengue Is Surging, Including in the Americas
Dengue is surging, and cases have been acquired in the United States, including in Puerto Rico and Florida.
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Beta-Lactam Antibiotics Administered via Prolonged Infusions Lead to Lower Mortality Risk Compared to Intermittent Infusions
In a systematic review and meta-analysis, the administration of beta-lactam antibiotics by prolonged infusions was associated with a significantly reduced risk of mortality at 90 days for critically ill patients with sepsis or septic shock as compared with intermittent infusions.
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Doxycycline for Onchocerciasis-Related Epilepsy?
Nodding syndrome is a form of pediatric encephalopathy with epilepsy that is associated with Onchocerca volvulus infection in children in Africa. While the pathogenesis is not known, doxycycline helps reduce severe seizures and death in children with nodding syndrome.