Infectious Disease General
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Novel Oral Amphotericin B Formulation Shows Promise for Cryptococcal Meningitis
A randomized, controlled trial by Boulware and colleagues demonstrated that a new oral lipid nanocrystal formulation of amphotericin had similar antifungal activity and survival rates but significantly less toxicity compared to intravenous amphotericin when used as induction therapy for human immunodeficiency virus-associated cryptococcal meningitis.
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Infectious Disease Alert Updates
Cardiac Effects of Bedaquiline and Delamanid in Combination; Is Leprosy ‘Endemic’ in Florida?; Linezolid Dosing in Cardiac Surgery
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Malaria Vaccination: Dangerous, Dubious, or Ready for Prime Time?
Malaria vaccination with the RTS,S/AS01 vaccine is safe and effective. Implementation of the four-dose vaccination regimen for young children in areas of moderate- and high-intensity malaria transmission is in progress — with the expectation that hundreds of thousands of lives could be saved each year.
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Oral Penicillin Challenge Found to Be Noninferior to Skin Testing Followed by Oral Challenge in Low-Risk Patients with Reported Penicillin Allergy
A multicenter, randomized clinical trial that compared direct oral penicillin challenge in low-risk patients to skin testing followed by oral challenge found no significant differences. Direct oral penicillin challenge appears to be a safe and effective way to delabel a penicillin allergy.
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Oral Antibiotics in Endocarditis: Hitting the Target
Pharmacodynamic/pharmacokinetic analysis of patients in the POET study provides understanding of the efficacy of intravenous-to-oral stepdown antibiotic therapy in patients with endocarditis.
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Increasing Reports of Severe Group A Streptococcal Infection
Around the world, rates of severe illness due to group A Streptococcus are increasing. Possible explanations for the increase include immunity-altering, post-pandemic changes in exposure to respiratory pathogens, as well as the emergence of new pathogenic M strains of Streptococcus.
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Fatal Flea-Borne Typhus in California
Three fatal cases of flea-borne typhus, which is endemic in Southern California as well as in Texas and Hawaii, occurred in Los Angeles County in 2022 — the first such fatalities in two decades.
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Post-Exposure Rabies Prophylaxis — Shorter, Simpler, and Less Costly
After bites by animals potentially infected with rabies, three-visit (over one week) intradermal rabies vaccination was compared to standard four-visit (over two weeks) intramuscular rabies vaccination. Both vaccine regimens prompted similarly protective neutralizing antibody and T-cell responses. While still off-label, the shorter, simpler regimen could protect patients at lower cost than the current standard regimen.
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Locally Acquired Malaria Cases in the United States
Seven cases of locally acquired malaria have occurred in Florida and Texas.
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Long-Term Successful Virological Suppression with Dolutegravir Monotherapy in the EARL-SIMPLIFIED Trial
Dolutegravir monotherapy was demonstrated to be non-inferior as compared with combination antiretroviral therapy in EARLY-SIMPLIFIED, a randomized, controlled trial with long-term follow-up that included a highly selected group of people with HIV-1 infection.