ITEMS IN AFP WITH KEYWORD:
The incidence of tickborne disease is increasing in the United States. Patients presenting with flulike symptoms during the spring and summer months should be evaluated for a tickborne disease. Treatment based on experience and observation is recommended for tickborne diseases that fit the clinical presentation and geographic distribution of the disease. Early treatment with doxycycline has been shown to improve morbidity and mortality. Prophylactic treatment after tick exposure in patients without symptoms is generally not recommended.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.
Pets can be a source of infection in patients, but there are misconceptions about the risks they pose and whether rehoming an animal is required if zoonotic disease is present. Asking about exposure to animals can help narrow a diagnosis and avoid future illness.
The underlying principle of the One Health initiative is that physicians and veterinarians should work collaboratively for optimal global human and animal health. Such collaboration crosses medical, scientific, and sociopolitical subdisciplines, and thus creates more efficient and productive outcomes.
Most animal bites are from a dog, usually one known to the victim. Cat bites are less common but are more likely to cause infection Learn about proper treatment and prophylaxis for animal bites.
There is limited patient-oriented evidence upon which to base recommendations for treatment of jellyfish envenomation. Patients should be removed from the water, and an attempt should be made to prevent the discharge of adherent nematocysts (i.e., microscopic stinging cells), remove tentacles from the affected area, and treat pain.
The phylum Arthropoda includes arachnids and insects. Although their bites typically cause only local reactions, some species are venomous or transmit disease. The two medically important spiders in the United States are widow spiders (Latrodectus), the bite of which causes intense muscle spasms, an...
The significant resurgence of bedbugs in the past decade has been attributed to pesticide resistance, more frequent travel, lack of public awareness, and inadequate pest control programs. Bedbugs are obligate blood parasites (insect family Cimicidae). They can withstand a large range of temperatures...
Cat-scratch disease is a common infection that usually presents as tender lymphadenopathy. It should be included in the differential diagnosis of fever of unknown origin and any lymphadenopathy syndrome. Asymptomatic, bactere- mic cats with Bartonella henselae in their saliva serve as vectors by bit...