Infectious Disease
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Newly Recognized Rickettsial Infection in Eastern Central China
Fifty-six of 733 patients in China who were evaluated for suspected Severe Fever with Thrombocytopenia Syndrome (SFTS) were shown by polymerase chain reaction (PCR) to be infected with Candidatus Rickettsia tarasevichiae (CRT). Fever, myalgia, cough, gastrointestinal symptoms, and hemorrhagic manifestations were common. Rash was rarely seen, and eschar was observed in 16% of cases. Thrombocytopenia, leukopenia, and abnormal LFTs were commonly observed. Co-infection with SFTS virus was seen 66% of patients, and eight patients died.
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Screening for Clostridium difficile Carriers at Hospital Admission Reduces Subsequent C. difficile Infections
Patients admitted to a single hospital were screened for C. difficile carriage and those found to be positive were placed in contact isolation. This led to a significant decrease in hospital-acquired C. difficile infections.
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Evaluation of Amoxicillin Allergy in Children
The majority of children in this study were nonallergic. Provocative challenges should be conducted in an appropriate medical setting.
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Skin Infections in Student Athletes
Among high school and college athletes, skin infections are most common in wrestlers and football players. Bacterial infections predominate. Up to 22% of wrestlers are colonized with methicillin-resistant Staphylococcus aureus sometime during the season.
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Is This ECG Normal for Age?
The seemingly tall lateral chest lead R waves are not outside the normal range for a child this age.
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Clinical Briefs
In this section: effects of testosterone treatment in older men; liraglutide safety and efficacy in patients with non-alcoholic steatohepatitis; and long-acting anticholinergics and beta agonists for COPD.
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Daclizumab Injection (Zinbryta)
Another option for the treatment of the relapsing form of multiple sclerosis.
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The Current Outlook for Cardiac Tamponade
In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.
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Nature Nurturing Health
A national prospective cohort study of nurses found that higher levels of green vegetation were associated with decreased mortality.
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The Relationship Between Inactivity and Mortality in Heart Failure Patients
Physical inactivity in heart failure patients was associated with an increased risk of all-cause death and cardiac death but not with an increased risk of heart failure hospitalization.