Internal Medicine
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Infectious Disease Alert Updates
Put a Lid on It; ESBL Is Blasé Compared with this Superbug; Cleaner Data on Cleaning Needed; All Those Fake Knees and Hips
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Dengue in Paradise
Dengue virus has infected more than 250 individuals on the island of Hawaii since September 2015.
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Some Professions Are More Dangerous Than Others: HIV Transmission in the Adult Film Industry
Routine HIV testing failed to prevent HIV transmission, with an attack rate of 29% in male adult film performers.
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Leprosy (Hansen’s Disease) in the United States — The Role of Armadillos and the Increasing Incidence in Florida
The evidence linking armadillos to human Hansen’s disease is increasing and the range of infected armadillos and potentially related human cases has expanded into Florida where the incidence of this infection is increasing.
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Oral Fluconazole During Pregnancy Increases Risk for Spontaneous Abortion
A nationwide cohort study from Denmark found a significantly increased risk of spontaneous abortion associated with oral fluconazole usage. Caution with this medication during pregnancy is advised.
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Human Paraechovirus Encephalitis in Children
Human paraechovirus (HPeV) causes encephalitis and is more common in very young or premature female infants. Affected children commonly present with seizures. Diffusion restriction on MRI in the absence of CSF pleocytosis is seen. Neurodevelopmental sequelae are common after long-term follow up.
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Zika!
Zika virus infection has prompted international emergency responses due to its rapid spread in the Americas and its potential to alter brain development in pre-born children. Even as research progresses, prevention of infection depends on avoiding bites from Aedes mosquitoes.
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Gender Equality in Primary Prevention ICD Benefit
In a propensity-matched study, women who received a primary prevention implantable cardioverter defibrillator had a significant survival advantage, which was similar to that observed among men.
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Permanent Pacemaker After TAVR: A Modifiable Risk?
A study of the latest-generation balloon-expandable valves demonstrates a higher rate of new conduction abnormalities and pacemaker implants than previous models.
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One Procedure or Two? Study Examines Staging for Multi-vessel PCI in NSTEMI
In patients with non-ST elevation myocardial infarction and multi-vessel disease, single-stage percutaneous coronary intervention during the initial procedure is superior to multiple procedures in terms of major adverse cardiovascular and cerebrovascular events and minor bleeding at 1 year.