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Geographic Trends, Patient Characteristics, and Outcomes of Infective Endocarditis Associated With Drug Abuse in the United States From 2002 to 2016
https://www.ahajournals.org/doi/10.1161/JAHA.119.012969 Comment; It's good to "know the enemy" and identify those at risk, this paper identifies those at greatest risk from heart infections from IV drug abuse. Amer N. Kadri, Bryan Wilner, Adrian V....
Prevalence of Screening for Food Insecurity, Housing Instability, Utility Needs, Transportation Needs, and Interpersonal Violence by US Physician Practices and Hospitals
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2751390 Comment; It's not surprising that so many of these social wellness metrics are not routinely screened for in all practices--physicians have so many other functions competing for their limited time,...
Should You Stop Drinking Green Juice?
https://www.jillcarnahan.com/2019/09/25/are-there-heavy-metals-in-your-green-juice/?utm_source=Flatiron+Functional+Medicine+Newsletter&utm_campaign=9c921e0ed9-EMAIL_CAMPAIGN_2017_10_06_COPY_01&utm_medium=email&utm_term=0_a07715eedd-9c921e0ed9-137869313&mc_cid=9c921e0ed9...
Randomized clinical trial to evaluate the efficacy and safety of valganciclovir in a subset of patients with chronic fatigue syndrome.
https://www.ncbi.nlm.nih.gov/m/pubmed/23959519/?i=1&from=montoya%20valganciclovir Comment; 9 monghs of Valganciclovir at $6,700/month=$60,300 but it does provide results with those suffering from Human Herpes Virus-6 (HHV6). When one considers that this fatigue leaves...
The Controversies, Challenges and Complexities of Lyme Disease: A Narrative Review
https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/30254 Comment; Color me cynical; from a pharmacy perspective, the problem is that we don't have enough investment by the pharmaceutical industry into new medications to treat this elusive disease....
Knowledge and prevention of tickborne diseases among Hispanic and non‐Hispanic residents of Maryland and Virginia
https://onlinelibrary.wiley.com/doi/abs/10.1111/zph.12627 Comment; Primary language (English vs. Spanish) was a significant predictor of whether an individual had knowledge of LD symptoms, correctly identified ticks as vectors for LD and performed daily tick checks....
Lyme Disease Risk of Exposure to Blacklegged Ticks (Acari: Ixodidae) Infected with Borrelia burgdorferi (Spirochaetales: Spirochaetaceae) in Pittsburgh Regional Parks
https://academic.oup.com/jme/advance-article-abstract/doi/10.1093/jme/tjz140/5566654?redirectedFrom=fulltext Comment; This shows that exposure to ticks found in parks within metropolitan Pittsburgh PA is equivalent to being in rural areas of the NE USA in terms of...
A Survey of Tick-Borne Bacterial Pathogens in Florida
https://www.mdpi.com/2075-4450/10/9/297 Comment; A huge variety of illnesses from a large variety of tick species--but Florida has pretty diverse ecosystems which may explain the variety. Thankfully, there's more risk than actual documented illness-so far!...
More Than Lyme: Study in Long Island Finds Multiple Agents of Tick-Borne Diseases
https://www.mailman.columbia.edu/public-health-now/news/more-lyme-study-long-island-finds-multiple-agents-tick-borne-diseases Comment; The polymicrobial nature-numerous infections from one tick bite concept is under-appreciated. So many illnesses from such nasty...
Repeat exchange transfusion for treatment of severe babesiosis
https://www.trasci.com/article/S1473-0502(19)30189-2/fulltext Comment; Unlucky then lucky lady, exchange transfusion is not a common event--to say nothing of a "double-header"! The risks are significant as well--blood transfusion is a form of organ...
Empirical validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for suspected Lyme disease
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5590688/ Comment; Lyme is so difficult to diagnose, having a list of symptoms and screening instrument that has been validated provides another layer of confidence in the diagnosis. Dr. Horowitz has done us all a great...
Splenic infarction in babesiosis: A rare presentation
https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.2301 Comment; Fascinating case report that demonstrates the value of a thorough medical history which lead to suspicion of Babesia exposure. Lucky patient that received truly excellent care! Ashish GuptaPoras...
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