Infectious Disease Alert – January 1, 2014

January 1, 2014

• Sudden Unexpected Cardiac Death from Lyme Disease

  Many more cases of Lyme carditis may go unrecognized

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• Great Expectations Dashed: Results of another HIV Vaccine Study Disappoint

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• Schistosomiasis in Returned Travelers

  Ten of 19 members of an Israeli tour group chose to swim in the high-altitude fresh water of a crater lake in western Uganda. All 10 (and none of the 9 non-swimmers in the group) developed acute schistosomiasis with headache (10 of 10), fever (9 of 10), eosinophilia (9 of 10), and cough (8 of 10) three to seven weeks after the exposure.

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• Efficacy of Higher-dose Oseltamivir in Adults with Influenza A and B

  In a prospective, open-label, intervention study conducted over four influenza seasons, higher dose oseltamivir compared to standard dose produced no additional benefits in patients with influenza A infection.

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• Chikungunya Closer to Home

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• CDC issues Health Advisory Alert on Chikungunya Virus Infections

  As this issue went to press, the Centers for Disease Control and Prevention issued a health advisory notice to public health officials and clinicians on recognizing, managing, and reporting chikungunya virus infections in travelers returning from the Caribbean.

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• Stanford offers WEB Course in Antibiotic Stewardship

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• Updates by Carol A. Kemper, MD, FACP

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