Category: ID

Clinical Correlations


Are Latino Cultural Beliefs Increasing Antibiotic Resistance in the US?

By Daniela Rebollo Salazar

Peer Reviewed

In the past ten years, the number of bacterial pathogens resistant to multiple antibiotics has dramatically increased. The emergence of resistant microorganisms is a direct product of the excessive use of antibiotics, as exposure to multiple antibacterial agents provides the selective pressure for the rise and spread of these pathogens.…

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Spotlight: Subacute Endocarditis: The Great Masquerader

By  Helen Ma, MD

Peer Reviewed

Our new Spotlight series uses case vignettes to explore diagnosis, pathophysiology, and management of a wide variety of diseases seen in the outpatient and inpatient settings.  Articles in the Spotlight section contain clinical pearls that will be highlighted in the case discussion. …

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Sex or Drugs: Why Do We See An Increased Incidence of Oropharyngeal Cancer?

Tonsils&Throat_Anatomy2By Tyler Litton, MD

Peer Reviewed

Oropharyngeal squamous cell carcinoma (OPSCC) is relatively rare but incidence has increased in the US over the past 40 years. [1] Tonsillar cancer is the most common type of OPSCC followed by base of tongue cancer, which together account for 90% of all OPSCCs.[2] The incidence of both tonsillar and base of tongue cancers individually have also increased in the US.[3] OPSCC is more common in men than women and smoking and alcohol are well known risk factors for it.[1,4] However, the increased incidence in the US has not seen a parallel rise in smoking and alcohol consumption.[5] This implies some other factor may be responsible for epidemiologic changes in OPSCC rates.…

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Don’t Tie Me Down! Do Neckties Spread Infection?

necktieBy Gabriel Campion

Peer Reviewed

For over a century, neckties have been a staple accessory in the wardrobe of the American professional man. Although white-collar dress codes have trended toward a more casual style, the quintessential physician still wears the white coat, a stethoscope draped around the neck, and, if male, a necktie.…

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The Persistent HIV Crisis: HIV Prevalence Among Black Men Who Have Sex With Men (MSM)

ID

HivaidsBy Ofole Mgbako, MD

Peer Reviewed

In July 2010, the much-anticipated “National HIV/AIDS Strategy for the United States” was released to the public. In its introduction, the president declared, “Our Nation is at a crossroads…unless we take bold actions, we face a new era of rising infections, greater challenges in serving people living with HIV, and higher health care costs” [1].…

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Diagnostic Challenges in Latent Tuberculosis Infection: A Brief Review of Available Tests and their Appropriate Use

Tuberculosis_symptomsBy: Miguel A. Saldivar, MD

Peer Reviewed 

“Indeterminate.” Many clinicians have expressed frustration when reading this word on a Quantiferon-TB Gold test result. The obligate follow-up question is: what is the next best step? Repeat the Quantiferon? Ignore it altogether and perform a Tuberculin Skin Test (TST) instead?…

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