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Brought Down by a Mosquito? West Nile Virus Encephalitis

  Neurologic symptoms in a previously healthy man spurred a battery of tests to determine the cause. The 51-year-old patient lived alone and was transferred to our intensive care unit from another facility. Emergency medical services personnel first brought him to his local emergency department, where he stated that he had not been feeling well […]

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Effective Immunization of Older Adults Against Seasonal Influenza

The 2017-2018 influenza season reminds us that it is important for health care professionals to be prepared for the annual onslaught of this contagious respiratory disease associated with potentially serious complications. Vaccination is by far the best method to prevent and control influenza, reducing illness, hospitalizations, and mortality. The highest rates of influenza-associated morbidity and […]

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Koplik’s Spots and Measles

To the Editor: Measles, one of the most transmissible diseases, is most contagious before rash manifestation. Search for the pathognomonic Koplik’s spots could be critical for the early diagnosis in this prodromal period. Case Description A 47-year-old man had high-grade fever with a peak temperature of 39.7°C, photophobia, rhinitis, and dry cough. On the fifth […]

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First Portrait of a Syphilitic Patient: Ulrich von Hutten

In current times syphilis can be considered a re-emergent sexually transmitted infection and a crucial public health problem, with a worldwide overall rate increase. In particular, in the United States a total of 27,814 cases were reported in 2016, with a rate of 8.7 cases per 100,000 population, which represents a 74.0% increase compared with […]

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A Plethora of Pustules: Acute Generalized Exanthematous Pustulosis

The patient’s presentation suggested a number of serious dermatologic or infectious diseases, but in fact, a drug reaction was to blame for her symptoms. A 69-year-old woman with a history of chronic obstructive pulmonary disease was admitted to our hospital with a worsening rash. Four days earlier she presented to a different facility with a […]

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