Cutaneous and Lymphadenopathic Kaposi�s Sarcoma in Africa and the USA with Observations on Persistent Lymphadenopathy in Homosexual Men at Risk for the Acquired Immunodeficiency Syndrome1

Author(s):  
Ronald F. Dorfman
2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez

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.


1986 ◽  
Vol 27 (4) ◽  
pp. 385-387 ◽  
Author(s):  
B. Brun ◽  
F. Boesen ◽  
J. Gerstoft ◽  
J. O. Nielsen ◽  
J. Præstholm

Cerebral CT scannings were performed in 19 homosexual men with the acquired immunodeficiency syndrome (AIDS). Nearly half of them (9 patients) had cortical atrophy. Three patients with toxoplasmosis had cerebral pathology, in two of them with ring enhancement while the third had an ill-defined nonspecific lesion with slight heterogeneous enhancement without ring formation. Two patients with multifocal leucoencephalopathy and non-Hodgkin's lymphoma, respectively, presented non-enhancing, low attenuating lesions at CT.


1994 ◽  
Vol 15 (9) ◽  
pp. 366-367
Author(s):  
Lawrence C. Pakula

A variety of children's behaviors are distressing to parents and often very difficult to manage. These can include biting, temper tantrums, breath-holding spells, and hitting. Biting Biting often is the first behavior that provokes major concern and a demand for solutions. The same child who might be excused for hitting may well end up isolated from peers and at risk of being barred from child care for biting. The situation is aggravated by increased parental fears of infection (acquired immunodeficiency syndrome, hepatitis, tetanus, rabies). The initial biting episode often occurs when the child is teething, with parents being the first bitten; they mistakenly may think it is a cute game. A typical scenario is when one child wants the toy of another and bites in frustration. Many parents do not respond until the possibility of penalties that affect them arise. All adults must be encouraged to have a rule that interrupts the behavior with a strong "No, we never bite people because it hurts them," which can be extended to include pets and stuffed animals. With children in this age group, longer, more complex explanations only provide additional attention and reward behavior that you are trying to stop. Interruption and prevention before the biting occurs is important.


1984 ◽  
pp. 367-384
Author(s):  
Joseph A. Sonnabend ◽  
Steven S. Witkin ◽  
Ruth B. Purtilo ◽  
David T. Purtilo

Blood ◽  
1988 ◽  
Vol 71 (6) ◽  
pp. 1752-1754
Author(s):  
JE Groopman ◽  
T Caiazzo ◽  
MA Thomas ◽  
RA Ferriani ◽  
S Saltzman ◽  
...  

Recently, considerable concern has been raised regarding the possibility that antibody-based screening tests for the human immunodeficiency virus (HIV) may fail to detect certain high-risk individuals for prolonged periods of time. It has been proposed that testing for HIV-related antigen may be a necessary procedure to detect such individuals. To address this issue, we longitudinally studied two groups of homosexual men: direct sexual partners of acquired immunodeficiency syndrome (AIDS) or AIDS-related complex (ARC) patients and individuals who ultimately sero-converted. There was no evidence of prolonged infection with HIV in the absence of detectable antibody in these two groups. It appears at this time that, even among subjects at very high risk for HIV infection, currently available antibody-based assays are sufficient to identify infected individuals.


2002 ◽  
Vol 13 (6) ◽  
pp. 425-426 ◽  
Author(s):  
L Dixon ◽  
S Pearson ◽  
D J Clutterbuck

In 1998, when ligase chain reaction testing for chlamydial infection was introduced in our clinic in Edinburgh, routine clinic protocol included the testing of all heterosexual, but not homosexual, men for urethral chlamydial infection. We audited all new homosexual and bisexual male attendees with a diagnosis of chlamydial infection or non-gonococcal urethritis (NGU) in 1999, together with heterosexual men with the same diagnoses attending in alternate months of the same year. Urethral Chlamydia trachomatis infection was detected in 14.6% (350/2402) of heterosexual men and 2.4% (11/465) of homosexual men tested. Fifty percent of chlamydial infections were asymptomatic. In this population 44% (84/190) of NGU in heterosexual men is attributable to C. trachomatis as opposed to only 10% (6/59) of that in homosexual men. These rates of chlamydial infection differ from previous reports in Scotland and recent studies from the USA. Our clinic protocol has been revised to include routine testing for chlamydial infection in all men.


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