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Time trends of acute hepatitis C incidence by age groups: 2003-2016.

Hepatitis C Infection Screening and Management in Opioid Use Epidemics in the United States

Acute hepatitis C infection is on the rise in the United States, with a more than twofold increase in incidence rate from 2003 to 2016 overall and a threefold increase among young adults1, 2 (Figure). In 2016, a total of 2967 cases were reported from 42 states, and the Centers for Disease Control and Prevention estimates the […]

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Transient Loss of HIV-1 DNA in an HIV-1 Positive Patient After Kidney Transplantation: A Case Report

Solid organ transplantation is increasingly used in human immunodeficiency virus (HIV) patients and is accumulating favorable outcomes from kidney and liver transplants in HIV-1 positive patients.1, 2 Antithymocyte globulin (ATG) is used for prevention and treatment of acute rejection following renal transplantation.3 It promotes T-cell depletion as well as modulation of cell surface antigens.4 It is possible that […]

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Prostate Abscesses and Staphylococcus aureus Bacteremia

A 55-year-old man with poorly controlled type 2 diabetes was admitted with 8 days of lower urinary tract symptoms, including burning micturition and frequency, and 2 days of fever and rigors. Examination was normal, except for fever (38.5°C) and tachycardia. No loin tenderness or penile discharge was found, and digital rectal examination showed +1 elastic, nontender […]

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Strongyloides stercoralis larvae on bronchoalveolar lavage.

Strongyloides Hyperinfection

A 37-year-old male from Honduras with a history of brainstem glioblastoma treated with radiation, bevacizumab, temozolomide, and dexamethasone presented with sudden onset of dyspnea, pleuritic chest pain, and hoarseness. He also complained of a pruritic abdominal rash and painful swallowing. Physical examination revealed a temperature of 36.9°C; expiratory wheezing; and maculopapular rash on the chest, […]

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Magnetic resonance imaging brain scan with contrast. (A) Axial view showing (arrow) transverse and sigmoid sinus venous thrombosis. (B) Axial view showing (arrow) left ophthalmic vein thrombosis. (C) Sagittal view showing (arrow) left ophthalmic vein thrombosis. (D) Axial view showing (arrow) focal perichiasmatic enhancement of the left optic nerve.

Lesson Learned Through a Case of Pneumococcal Meningitis: Sometimes Doing Less Is More Harmful

Pneumococcal meningitis is commonly associated with intracranial complications. We present a case of pneumococcal meningitis leading to partial loss of vision in the left eye secondary to vascular complications. A 62-year-old African American female with a past medical history of breast cancer and hypothyroidism presented with complaints of altered mental status, neck pain, headache, and […]

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(A) Esophagogastroduodenoscopy demonstrated multiple ulcers in the prepyloric area of the patient's stomach. (B) This is a close-up of a prepyloric ulcer.

A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis

When patients present with gastrointestinal symptoms, sexually transmitted infection is unlikely to be at the top of the differential diagnosis. A 47-year-old homosexual man underwent evaluation for persistent fatigue, abdominal pain, and anemia with a positive fecal occult stool test, all of which raised concern for an acute gastrointestinal bleed. Approximately 6 months earlier, the […]

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