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In this issue: Side effects of finasteride; new ruling on pharmaceutical companies paying generic manufacturers; and FDA actions.
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Atypical Hand, foot and mouth disease (HFMD), California Update for clinicians, July 24, 2012; San Mateo County Public Health Advisory (1); MMWR Notes from the field: Severe hand, foot, and mouth disease associated with Coxsackievirus A6 Alabama, Connecticut, California, and Nevada, November 2011- February 2012. March 30, 2012; 61(12); 213-214 (2); ProMEDmail alert, August 14, 2012 (3).
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A birth cohort of 397 infants born from 2002 to 2005 in rural and suburban environments in Finland was followed through the first 44 weeks of life.
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The classic teaching is that if a human carries Staphylococcus aureus, it is most likely residing in the anterior nares.
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Murine typhus is an acute zoonotic infection caused by Rickettsia typhi, an obligate-intracellular Gram-negative bacterium belonging to the typhus group of rickettsiae. R. typhi infections occur worldwide, particularly in warm, humid coastal environments of the tropics; in the U.S., autochthonous transmission also occasionally occurs in Hawaii, Texas, and California.
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A new topical preparation for the treatment of head lice has been approved by the FDA. Ivermectin is a macrocyclic lactone antibiotic that has been used orally both on and off label for head lice since 2001.
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Infants in an area with high malaria exposure were infected with EBV at a significantly younger age in infancy, with a much higher incidence of primary EBV infection before 6 months of age.
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A total of 153 nasopharyngeal swabs were collected as part of a nationwide study in Switzerland from children <2 years of age treated for acute otitis media from 2004-2009.
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Case Summary: A 27-year-old physical education teacher presented with two separate episodes of ill-defined dizziness and mild confusion over a period of one week.