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Houston, We Have a Problem: Eosinophilic Meningitis in Children
In addition to causing eosinophilic meningitis in tropical regions, Angiostrongylus cantonensis now has been associated with chronic, otherwise unexplained fever in children in Texas.
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Screening for Latent Tuberculosis: An Update After 20 Years
Detection and treatment of latent tuberculous infection remains a key element of tuberculosis control in the United States.
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Acute Flaccid Myelitis Possibly Associated with Enterovirus D68 Respiratory Infection
During the late summer and fall of 2014, cases of acute flaccid myelitis were reported in pediatric patients in the United States. Of 120 cases of acute flaccid myelitis reported, 47% had enterovirus D68 isolated from respiratory secretions when virus isolation was attempted seven days or less after onset of respiratory symptoms.
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The Growing Threat of Pyelonephritis Caused by Antibiotic-resistant Escherichia Coli
In patients with acute pyelonephritis due to Escherichia coli presenting to one of 10 emergency departments, fluoroquinolone resistance ranged from 6.3% to 19.9%.
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Zika Virus Infection and Guillain-Barré Syndrome
Guillain-Barré syndrome is a defined complication of Zika virus infection and presents in a typical manner, similar to other post-viral GBS syndromes.
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Headaches in the Elderly: A Non-specific Marker for Stroke Risk
Non-migrainous headaches, for which there are many causes, appear to be a risk factor for stroke in an elderly population, but the mechanism is uncertain.
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Disease Rebound After Stopping Fingolimod in Patients with Relapsing-Remitting Multiple Sclerosis
A review of patients with relapsing-remitting multiple sclerosis who discontinued fingolimod therapy showed that five out of 46 (10.9 %) of these patients developed a rebound phenomenon between 4 to 16 weeks, where disease activity returns and often exceeds pre-treatment levels.
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Functional Outcomes in Acute Ischemic Stroke Patients Receiving Prehospital Thrombolysis in Mobile Stroke Units
Deployment of a mobile stroke treatment unit in the field results in a higher percentage of patients treated with intravenous tPA, at a shorter interval from onset of symptoms, and results in better outcomes.
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Cancer in Autoimmune Necrotizing Myositis
Immune-mediated necrotizing myopathy is a distinct syndrome that can be differentiated from polymyositis and dermatomyositis, and is commonly associated with underlying malignancy.
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Leading Causes of CAM Nondisclosure
More than 40% of patients report nondisclosure of complementary and alternative medicine (CAM; also known as integrative medicine treatments) to their primary care physicians. They cite failure of physicians to initiate conversation on CAM, coupled with a belief that physicians do not need to know about CAM usage, as key factors in nondisclosure, according to patient survey.