Infectious Disease

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CME Content


The association between asthma and pneumococcal disease has been suspected by many clinicians; however, formal investigations confirming an increased risk of pneumococcal disease in patients with asthma are rare.

During a routine checkup, a middle-aged woman asks you whether she should stop wearing moisturizers and makeup that contain sunscreen. She has read that increased sunlight exposure enhances vitamin D production, which may prevent certain types of cancer. What would you tell her?

ROCHESTER, N.Y. -- The cyclooxygenase inhibitors -- including aspirin as well as Celebrex (celecoxib) -- may reduce the antibody-producing effect of vaccines, making them less useful in preventing disease, according to researchers here.

RENNES, France -- HIV can infect immune cells in the testis and produce infectious viral particles that, in turn, can re-infect cells in the blood, according to French researchers.

ATLANTA -- The seasonal flu season is here, but tell that to the viruses. The quixotic little pathogens haven't yet flexed their muscles in earnest, according to the CDC.

ATHENS, Greece -- For critical care patients, ultrasound-guided catheterization of the internal jugular vein proved quicker, easier, and safer than the traditional landmark-guided method, researchers here reported.

ST. LOUIS -- High-risk kidney transplant recipients had a lower rate of acute rejection and severe rejection episodes when they received induction therapy with Thymoglobulin (rabbit antithymocyte globulin) compared with Simulect (basiliximab).

NEW YORK -- Uncomplicated diabetes does not affect 10-year heart transplant survival, but patients with diabetes-related renal disease or stroke do not do as well, reported surgeons here.

Drug-Induced Formication

The false sensation of bugs crawling on or within the skin is a sensory hallucination commonly associated with psychostimulant drugs. It was first reported in chronic cocaine users in 1889. Patients with this disorder often have self-induced dermatosis caused by intense picking and scratching of the skin.