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Although Japanese encephalitis rarely occurs in travelers, certain groups and subsets of individuals have a risk of infection that can reach 1 in 5000 travelers per week. It is crucial to recognize those with increased risk, and to seriously consider immunizing them in order to prevent the potentially devastating sequelae of Japanese encephalitis.
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Careful evaluation of epidemiologic data from recent African outbreaks of meningococcal disease suggests that significant risks now extend beyond the sub-Saharan belt through the Rift Valley and Great Lakes regions into Mozambique, then into Namibia and Angola.
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The association between H pylori and acute cerebrovascular disease seems to be due to a higher prevalence of more virulent H pylori strains in patients with atherosclerotic stroke.
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Polio-Like Paralysis: What Next from West Nile Virus?; Cat Scratch Disease: Not Just for Kids
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The bacterium Bacillus anthracis causes the death of macrophages, which may allow it to avoid detection by the innate immune system.
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Maintaining a high index of clinical suspicion, completing a focused historical and physical assessment, rapidly completing diagnostic modalities, and timely institution of definitive therapy can reduce the mortality rate and rate of significant disability from pediatric meningitis.
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An index of articles from Volume 7, Numbers 1-12, Pages 1-140, organized by topic.
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Pediatric Emergency Medicine Reports thanks the following physicians
for their contributions to the newsletter as authors and peer reviewers in 2002.
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The following represents the 2002 financial disclosures of Pediatric Emergency Medicine Reports editorial advisory board, in accordance with the Accreditation Council for Continuing Medical Education Policy on disclosure requirements for CME activities. Those board members not listed did not report any commercial affiliations.
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The final part of this three-part series focuses on diagnosis and management of hand infections and deep tissue injuries. Guidelines for patient evaluation, surgical consultation, and initial antibiotic therapy, when indicated, are provided.
