scholarly journals Severe Malaria: A Case of a Significant Rapid Rise in the Parasite Level

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Muhammed Atere ◽  
Lloyd Muzangwa ◽  
Foma Munoh Kenne ◽  
Cherry Hanna ◽  
Jessie Saverimuttu ◽  
...  
Keyword(s):  
United States ◽  
Severe Malaria ◽  
The United States ◽  
Diagnosis And Treatment ◽  
Rapid Rise ◽  
Endemic Areas ◽  
Prompt Diagnosis

Malaria is transmitted by the Plasmodium parasite, and most of the cases reported in the United States are often as a result of patients with recent return from endemic areas. Prompt diagnosis and treatment, particularly if there is severe parasitemia and drug failure, is essential in preventing mortality. Our patient had an unusual rapid rise in parasite but susceptible to intravenous artesunate.

Clinical Characteristics of Patients Diagnosed with Strongyloidiasis in a United States Urban Outpatient Dermatology Department: A Case Series

2017 ◽  
Vol 1 (3) ◽  
pp. 156-160
Author(s):  
Jacqueline Watchmaker ◽  
Sean Legler ◽  
Dianne De Leon ◽  
Vanessa Pascoe ◽  
Robert Stavert
Keyword(s):  
United States ◽  
Case Series ◽  
The United States ◽  
Screening Tools ◽  
Dermatology Department ◽  
Cutaneous Manifestations ◽  
Serologic Testing ◽  
Patient Reported ◽  
History Of ◽  
Endemic Areas

Background: Although considered a tropical disease, strongyloidiasis may be encountered in non-endemic regions, primarily amongst immigrants and travelers from endemic areas.  Chronic strongyloides infection may be under-detected owing to its non-specific cutaneous presentation and the low sensitivity of commonly used screening tools. Methods: 18 consecutive patients with serologic evidence of strongyloides infestation who presented to a single urban, academic dermatology clinic between September 2013 and October 2016 were retrospectively included.  Patient age, sex, country of origin, strongyloides serology titer, absolute eosinophil count, presenting cutaneous manifestations, and patient reported subjective outcome of pruritus after treatment were obtained via chart review.  Results: Of the 18 patients, all had non-specific pruritic dermatoses, 36% had documented eosinophila and none were originally from the United States. A majority reported subjective improvement in their symptoms after treatment. Conclusion:  Strongyloides infection and serologic testing should be considered in patients living in non-endemic regions presenting with pruritic dermatoses and with a history of exposure to an endemic area.Key Points:Chronic strongyloidiasis can be encountered in non-endemic areas and clinical manifestations are variableEosinophilia was not a reliable indicator of chronic infection in this case series Dermatologists should consider serologic testing for strongyloidiasis in patients with a history of exposure and unexplained pruritus

Early Psychosis: Diagnosis and Treatment

2020 ◽  
Vol 09 ◽  
Author(s):  
Nataly S. Beck ◽  
Melanie L. Lean ◽  
Kate V. Hardy ◽  
Jacob S. Ballon
Keyword(s):  
United States ◽  
Early Identification ◽  
Mental Health Problems ◽  
The United States ◽  
Early Psychosis ◽  
Screening Tools ◽  
Diagnosis And Treatment ◽  
First Episode ◽  
Psychotic Episode ◽  
First Onset

Background: The typical age of onset for psychotic disorders is concurrent with the typical age of enrollment in higher education. College and graduate students often experience new academic and social demands that may leave them vulnerable to substance use and mental health problems, including the initial onset of a psychotic episode. Objective: To provide a current overview of the guidelines and literature for the diagnosis and treatment of first-onset psychosis with special consideration for the college and graduate student population in the United States. To highlight areas of need and provide recommendations for clinicians who work at educational institutions and their health services, along with general psychiatrists and psychologists who work with post-secondary education populations, to help close the treatment gap. Method: A review of interventions and best practice for the treatment of early psychosis in college students was conducted, informed by the authors’ current experience as clinicians with this population at a United States university. Results: Thorough psychiatric interviews and screening tools can help in the early identification of individuals at clinical high risk for and at first onset of psychosis. Coordinated specialty care services are the gold standard for early psychosis services, including psychotherapy (such as cognitive behavioral therapy and individual resiliency training), as well as support for a student to return to school or work. Individuals experiencing a first episode of psychosis in general respond better to lower doses of antipsychotics and may also experience more adverse effects. Conclusion: Return to a high level of functioning is possible in many cases of first onset of psychosis, and early identification and treatment is essential.

Neurocysticercosis: Report of Unusual Pediatric Cases

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 974-977
Author(s):  
Julie Kim Stamos ◽  
Anne H. Rowley ◽  
Yoon S. Hahn ◽  
Ellen Gould Chadwick ◽  
Peter M. Schsntz ◽  
...  
Keyword(s):  
United States ◽  
Latin America ◽  
Young Children ◽  
Incubation Period ◽  
Endemic Area ◽  
Close Contact ◽  
The United States ◽  
Prolonged Incubation ◽  
Endemic Areas ◽  
Infants And Young Children

Cysticercosis is widely endemic in Latin America, Asia, and Africa. The incidence of cysticercosis has been increasing in the United States during the last decade.1 Although an infection still seen primarily in immigrants, it has been reported in increasing numbers in individuals who have close contact with persons who have resided in endemic areas.2 Only 6 cases of cysticercosis in children born in the United States have been reported; in 3 of these cases, the parents were from or had traveled to an endemic area and Taenia ova were recovered from the stools of the parent(s).1,3-6 Because of the prolonged incubation period, cases are rarely seen in infants and young children.4

scholarly journals Drugs, Violence, and Capitalism: The Expansion of Opioid Use in the Americas

2020 ◽  
pp. 0094582X2097500 ◽  
Author(s):  
Paulo José dos Reis Pereira
Keyword(s):  
United States ◽  
Latin American ◽  
International Security ◽  
Control Policy ◽  
The United States ◽  
Rapid Rise ◽  
Opioid Use ◽  
The Past ◽  
Emergency Measures ◽  
The U.S

In the past two decades, the United States has experienced a rapid rise in the use of opioids by its population, a context that has come to be assessed by the U.S. government as a threat to national and international security that requires emergency measures. The strategies of the U.S. government and transnational pharmaceutical corporations for resolving the insecurity generated by capitalist accumulation constitute what a certain literature calls “pacification.” In addition, these corporations export to the “foreign” the contradictions inherent in the opioid control policy that underlies the capitalist logic of drugs. Thus Latin American populations have been instrumentalized in the “solution” of this crisis either as a focus of violence by the state or as a focus of consumption by the market. Nas últimas duas décadas, os Estados Unidos vivenciaram uma rápida ascensão do uso de opioides pela sua população, contexto que passou a ser avaliado pelo governo estadunidense como uma ameaça à segurança nacional e internacional que demanda medidas emergenciais. As estratégias do Estado estadunidense e das corporações farmacêuticas transnacionais para solucionar a insegurança gerada pela acumulação capitalista configuram o que certa literatura chama “pacificação” Ademais, elas exportam para o “estrangeiro” as contradições próprias da política de controle de opioides que fundamenta a lógica capitalista das drogas. Assim, populações latino-americanas têm sido instrumentalizadas para a “solução” dessa crise, seja como foco da violência pelo Estado, seja como foco do consumo pelo mercado.

scholarly journals Positive 2-Tiered Lyme Disease Serology is Uncommon in Asymptomatic Children Living in Endemic Areas of the United States

2019 ◽  
Vol 38 (5) ◽  
pp. e105-e107 ◽  
Author(s):  
Aris Garro ◽  
Jonathan Bennett ◽  
Fran Balamuth ◽  
Michael N. Levas ◽  
Desiree Neville ◽  
...  
Keyword(s):  
United States ◽  
Lyme Disease ◽  
The United States ◽  
Asymptomatic Children ◽  
Endemic Areas

Race in the Biomedical Sciences

2017 ◽  
Author(s):  
Michael Root
Keyword(s):  
United States ◽  
Population Level ◽  
The United States ◽  
Morbidity And Mortality ◽  
Diagnosis And Treatment ◽  
Biomedical Sciences ◽  
Racial Categories ◽  
Individual Level ◽  
The Individual

Racial categories are used in the biomedical sciences both at the population and individual level. At the population level, race is used in fields like epidemiology, to describe and explain variations in the rate or risk of morbidity and mortality within the United States, and at the individual level, race is used in the hospital and clinic, in the diagnosis and treatment of disease. Both uses are controversial and raise questions about the nature and importance of racial categories, such as which uses benefit individuals and which benefit groups.

scholarly journals Whole-Brain Radiotherapy for Brain Metastases: Evolution or Revolution?

2018 ◽  
Vol 36 (5) ◽  
pp. 483-491 ◽  
Author(s):  
Paul D. Brown ◽  
Manmeet S. Ahluwalia ◽  
Osaama H. Khan ◽  
Anthony L. Asher ◽  
Jeffrey S. Wefel ◽  
...  
Keyword(s):  
United States ◽  
Clinical Trials ◽  
Brain Metastases ◽  
Whole Brain Radiotherapy ◽  
The United States ◽  
Alternative Therapies ◽  
Diagnosis And Treatment ◽  
Whole Brain ◽  
Patients With Cancer ◽  
Brain Radiotherapy

An estimated 20% of patients with cancer will develop brain metastases. Approximately 200,000 individuals in the United States alone receive whole-brain radiotherapy (WBRT) each year to treat brain metastases. Historically, the prognosis of patients with brain metastases has been poor; however, with new therapies, this is changing. Because patients are living longer following the diagnosis and treatment of brain metastases, there has been rising concern about treatment-related toxicities associated with WBRT, including neurocognitive toxicity. In addition, recent clinical trials have raised questions about the use of WBRT. To better understand this rapidly changing landscape, this review outlines the treatment roles and toxicities of WBRT and alternative therapies for the management of brain metastases.

Klebsiella Rhinoscleromatis: A Clinical and Pathogenic Enigma

1979 ◽  
Vol 87 (2) ◽  
pp. 212-221 ◽  
Author(s):  
Robert H. Miller ◽  
Joel B. Shulman ◽  
Rinaldo F. Canalis ◽  
Paul H. Ward
Keyword(s):  
Infectious Disease ◽  
United States ◽  
Respiratory Tract ◽  
The United States ◽  
Comprehensive Review ◽  
Endemic Areas ◽  
Clinical Experiment

Rhinoscleroma is a chronic, slowly progressive, infectious disease of the respiratory tract that can produce disability and death, if untreated. Once considered an anomaly in the United States, the disease is now seen more frequently in this country, owing to increased travel from endemic areas. This report presents a comprehensive review of the several types of therapy that have been published in the literature. The results of a clinical experiment are also presented.

Sign in / Sign up

Export Citation Format

Share Document