Infectious Disease

This multi-factorial eruption requires topical or systemic antifungal treatment in conjunction with broad-spectrum antibacterial therapy, topical desiccating maneuvers (such as Burrow’s soaks), and discontinuation of OTC interventions that might be worsening the problem.

All patients with IBD should receive aggressive ongoing assessment of their inflammatory state and its response to immunomodulators, anti-TNF drugs, and other agents.

Even the most experienced and skilled gastroenterologists in the country are struggling to make science-based decisions in this area.

These agents remain the mainstay of therapy for the majority of patients with the disease.

Diabetes-related complications include retinopathy, neuropathy, ulcerations.

The confluence of small, scaly, hyperpigmented patches on the chest (and often neck and upper back) is classic for tinea versicolor.

The patient was a traveling salesman and was concerned that the lesions were bedbug bites. The diagnosis of herpes simplex virus infection was confirmed by viral “culture.” What was this patient's condition?

Epstein Barr virus activates potentially immunopathogenic and neuropathogenic proteins in cells deriving from peripheral blood mononuclear cells and astrocytes.

Herpes zoster is a reactivation of an infection with the varicella zoster virus, manifests as painful vesicular rash.

Skills quiz: Rectus abdominus rupture; IBS; Cholecystitis; Smoking and MS

Grouped vesicles filled with straw colored liquid on an inflamed base that are accompanied by complaints of a tingling sensation and then pain are classic signs and symptoms of a herpes outbreak.

Skills quiz: Chondrodermatitis nodularis helices; Keratoses; OSA; Parotid swelling and HIV; Limbal flush

The authors present a case of rupture of the rectus abdominis muscle with subsequent rectus sheath hematoma-an uncommon and often misdiagnosed cause of acute abdominal pain.

Emphysematous cholecystitis is a rare condition that is the result of infection with Clostridium perfringens and other gas-producing organisms including Escherichia coli, Bacteroides fragilis, and Klebsiella species.

Conjunctivitis, iritis, ocular vaccinia, herpes zoster ophthalmicus-a few of the conditions for which patients seek treatment every day.

Emphysematous cholecystitis is a rare condition that is the result of infection with C perfringens and other gas-producing organisms including Escherichia coli, Bacteroides fragilis, and Klebsiella species.

Lymphoepithelial cysts of the parotid gland may be diagnostic of HIV infection; they are typically bilateral, benign, and associated with lymphadenopathy.

Patients with ulcerative colitis and Crohn’s disease typically don’t receive preventive services at the same rate as general medical patients. Vaccination is a key area of confusion.

(AUDIO) There are disparities in the sensitivities and specificities of glucose and lactose hydrogen breath tests used to diagnose small intestine bacterial overgrowth and to distinguish patients with irritable bowel syndrome from healthy individuals. Just how useful are these tests? Insights from an expert here.

If you are worried about whether you may have injected a patient with a tainted vial of methylprednisolone from New England Compounding Center’s (NECC) Framingham, Massachussets facility, you can now obtain detailed information from the FDA that may assuage your concerns.

Here: an update on the challenges of detection, diagnosis, and management of celiac disease and non–celiac disease and the importance of gluten sensitivity.

Despite warnings and concerns, the evidence points to this bottom line: PPIs are relatively safe over the long term.

Always check the toenails for fungal infection after diagnosing tinea pedis, corporis, or cruris. The toenails may act as the source of infection and a reservoir, which may lead to reinfection after the cutaneous dermatophytosis is cleared.

Age-based screening recommendations for chronic hepatitis C virus infection targeted to Americans born between 1945 and 1965 were announced by the CDC.

It is high season for this potentially deadly viral infection, cases of which have been reported in every state. Will you be prepared? Guidance here from an expert.

A large minority of persons with HIV infection have head and neck symptoms; parotid swellings have been noted in approximately 5% to 10% of patients with HIV-1 infection.

Although genetics risk explains the familial clustering of MS, it cannot fully explain the geographic distribution of MS and the changes in risk that occur with migration. Infections have been suggested as a possible explanation. The most convincing candidate for involvement in MS is the Epstein-Barr virus.

Syphilis is often called the "great imitator." The slides that follow show syphilis in various guises-and various disorders that can mimic the cutaneous manifestations of the sexually transmitted infection.

Intestinal helminthes represent one of the most prevalent types of human parasitic disease and remain a major health problem in developing countries.

These whitish colored lesions were the result of lichen planus. Hepatitis C virus infection should be sought, since this viral infection is often associated with recent-onset lichen planus in younger persons.