Neurobrucellosis associated with feral swine hunting in the southern United States

2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez
Keyword(s):  
United States ◽  
At Risk ◽  
High Index ◽  
Southern United States ◽  
Endemic Country ◽  
Feral Swine ◽  
Neurological Sequelae ◽  
Initial Symptoms ◽  
The Usa ◽  
High Index Of Suspicion

Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

Disseminated blastomycosis presenting as a neck mass

2000 ◽  
Vol 122 (2) ◽  
pp. 270-271 ◽  
Author(s):  
Kenneth R. Bergman ◽  
Peter Sorensen ◽  
Christopher Sinha
Keyword(s):  
United States ◽  
Clinical Presentation ◽  
Neck Mass ◽  
High Index ◽  
Blastomyces Dermatitidis ◽  
Dimorphic Fungus ◽  
Central United States ◽  
Uncommon Disease ◽  
High Index Of Suspicion

Blastomycosis is an uncommon disease caused by the dimorphic fungus Blastomyces dermatitidis. It is endemic to the central United States, especially the watersheds of the Mississippi, Missouri, and Ohio rivers. The clinical presentation of this disease often mimics that of malignancy, so a high index of suspicion must be present to avoid misdiagnosis. 1

scholarly journals Brain tuberculoma in a non-endemic area

2013 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Robert M. Lober ◽  
Anand Veeravagu ◽  
Harminder Singh
Keyword(s):  
United States ◽  
At Risk ◽  
Pulmonary Involvement ◽  
The United States ◽  
Neurological Sequelae ◽  
Western Countries ◽  
Antituberculosis Therapy ◽  
Risk Patients ◽  
Intracranial Lesions ◽  
Mass Lesions

Brain tuberculoma has previously accounted for up to a third of new intracranial lesions in areas endemic with tuberculosis, but is unexpected in the United States and other Western countries with improved disease control. Here we show the importance of considering this diagnosis in at-risk patients, even with no definitive pulmonary involvement. We describe a young man who presented with partial seizures and underwent craniotomy for resection of a frontoparietal tuberculoma. He subsequently completed six months of antituberculosis therapy and was doing well without neurological sequelae or evidence of recurrence five months after completion of therapy. With resurgence of tuberculosis cases in the United States and other Western countries, intracerebral tuberculoma should remain a diagnostic consideration in at-risk patients with new space occupying lesions. Mass lesions causing neurological sequelae can be safely addressed surgically and followed with antituberculosis therapy.

Impact of HIV-1 infection on the clinical presentation of syphilis in men who have sex with men

Sexual Health ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 110 ◽  
Author(s):  
Craig Tipple
Keyword(s):  
At Risk ◽  
Clinical Features ◽  
Clinical Presentation ◽  
High Index ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
High Index Of Suspicion ◽  
Hiv 1

Men who have sex with men (MSM), especially those with HIV-1 infection, are disproportionately affected by syphilis in higher income countries. The course, and some of the clinical features of the disease, especially the development of neurosyphilis, can be affected by HIV-1 co-infection. This review documents potential differences in the clinical features of syphilis in HIV-1 infected and uninfected MSM and highlights the importance of a thorough examination and high index of suspicion when seeing and treating MSM at risk of sexually transmissible infections.

Evaluation of a Faith-Based Culturally Relevant Program for African American Substance Users at Risk for HIV in the Southern United States

2007 ◽  
Vol 17 (2) ◽  
pp. 229-238 ◽  
Author(s):  
Samuel A. MacMaster ◽  
Jenny L. Jones ◽  
Randolph F. R. Rasch ◽  
Sharon L. Crawford ◽  
Stephanie Thompson ◽  
...  
Keyword(s):  
United States ◽  
At Risk ◽  
African American ◽  
Culturally Relevant ◽  
Southern United States ◽  
Substance Users ◽  
Faith Based

Social networks and substance use among at-risk emerging adults living in disadvantaged urban areas in the southern United States: a cross-sectional naturalistic study

Addiction ◽  
2015 ◽  
Vol 110 (9) ◽  
pp. 1524-1532 ◽  
Author(s):  
Jalie A. Tucker ◽  
JeeWon Cheong ◽  
Susan D. Chandler ◽  
Scott M. Crawford ◽  
Cathy A. Simpson
Keyword(s):  
United States ◽  
At Risk ◽  
Social Networks ◽  
Substance Use ◽  
Emerging Adults ◽  
Urban Areas ◽  
Southern United States ◽  
Naturalistic Study ◽  
Cross Sectional

scholarly journals Financial, Food, and Housing Insecurity Due to Coronavirus Disease 2019 Among At-Risk People With Human Immunodeficiency Virus in a Nonurban Ryan White HIV/AIDS Program Clinic

2020 ◽  
Vol 7 (10) ◽  
Author(s):  
Jacqueline E Sherbuk ◽  
Brooke Williams ◽  
Kathleen A McManus ◽  
Rebecca Dillingham
Keyword(s):  
United States ◽  
At Risk ◽  
Human Immunodeficiency Virus ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Southern United States ◽  
Immunodeficiency Virus ◽  
Ryan White ◽  
Aids Program ◽  
Hiv Aids

Abstract Coronavirus disease 2019 negatively impacts social determinants of health that contribute to disparities for people with human immunodeficiency virus (HIV). Insecurity of food, housing, and employment increased significantly in April 2020 among patients with lower incomes at a Ryan White HIV/AIDS program clinic in the Southern United States.

Emigrant Psychoanalysts in the USA and the FBI Archives

2004 ◽  
Vol 6 (1) ◽  
pp. 75-92 ◽  
Author(s):  
James E. Goggin
Keyword(s):  
United States ◽  
Civil Rights ◽  
National Socialism ◽  
Cultural Context ◽  
Due Process ◽  
The United States ◽  
External Threats ◽  
The Usa ◽  
The Rich ◽  
New Nation

Interest in the fate of the German psychoanalysts who had to flee Hitler's Germany and find refuge in a new nation, such as the United States, has increased. The ‘émigré research’ shows that several themes recur: (1) the theme of ‘loss’ of one's culture, homeland, language, and family; and (2) the ambiva-lent welcome these émigrés received in their new country. We describe the political-social-cultural context that existed in the United States during the 1930s, 1940s and 1950s. Documentary evidence found in the FBI files of three émigré psychoanalysts, Clara Happel, Martin Grotjahn, and Otto Fenichel, are then presented in combination with other source material. This provides a provisional impression of how each of these three individuals experienced their emigration. As such, it gives us elements of a history. The FBI documents suggest that the American atmosphere of political insecurity and fear-based ethnocentric nationalism may have reinforced their old fears of National Socialism, and contributed to their inclination to inhibit or seal off parts of them-selves and their personal histories in order to adapt to their new home and become Americanized. They abandoned the rich social, cultural, political tradition that was part of European psychoanalysis. Finally, we look at these elements of a history in order to ask a larger question about the appropriate balance between a liberal democratic government's right to protect itself from internal and external threats on the one hand, or crossover into the blatant invasion of civil rights and due process on the other.

Sandra Ramos Revisited

2020 ◽  
Vol 2 (4) ◽  
pp. 32-54
Author(s):  
Silvia Spitta
Keyword(s):  
United States ◽  
The United States ◽  
Ancient Greek ◽  
Graphic Arts ◽  
Left Behind ◽  
The World ◽  
The Usa ◽  
Political Choices ◽  
The Rich

Sandra Ramos (b. 1969) is one of the few artists to reflect critically on both sides of the Cuban di-lemma, fully embodying the etymological origins of the word in ancient Greek: di-, meaning twice, and lemma, denoting a form of argument involving a choice between equally unfavorable alternatives. Throughout her works she shines a light on the dilemmas faced by Cubans whether in Cuba or the United States, underlining the bad personal and political choices people face in both countries. During the hard 1990s, while still in Havana, the artist focused on the traumatic one-way journey into exile by thousands, as well as the experience of profound abandonment experienced by those who were left behind on the island. Today she lives in Miami and operates a studio there as well as one in Havana. Her initial disorientation in the USA has morphed into an acerbic representation and critique of the current administration and a deep concern with the environmental collapse we face. A buffoonlike Trumpito has joined el Bobo de Abela and Liborio in her gallery of comic characters derived from the rich Cuban graphic arts tradition where she was formed. While Cuba is now represented as a rotten cake with menacing flies hovering over it ready to pounce, a bombastic Trumpito marches across the world stage, trampling everything underfoot, a dollar sign for a face.

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