Infectious Disease, Viral

May 1, 2008 Issue
Scalded Mouth with Headache [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Nov 1, 2007 Issue
ACIP Recommendations for the Prevention of Varicella [Practice Guidelines]

The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) released recommendations on the prevention of varicella. Varicella is a highly infectious disease caused by infection with varicella zoster virus (VZV).

Aug 15, 2007 Issue
Quadrivalent HPV Recombinant Vaccine (Gardasil) for the Prevention of Cervical Cancer [STEPS]

The HPV vaccine is safe and effective in preventing genital warts and cervical changes that may lead to cervical cancer, and it is recommended as part of the vaccination series in females 11 to 12 years of age. It can be given to females as young as 9 or 10 years of age, and catch-up vaccination is ...

Feb 1, 2007 Issue
Clinical Presentations of Parvovirus B19 Infection [Article]

Although most persons with parvovirus B19 infection are asymptomatic or have mild, nonspecific, cold-like symptoms, several clinical conditions have been linked to the virus. Parvovirus B19 usually infects children and causes the classic "slapped-cheek" rash of erythema infectiosum (fifth disease). ...

Sep 15, 2005 Issue
Herpes Zoster and Postherpetic Neuralgia: Prevention and Management [Article]

The recognizable appearance and the dermatomal distribution of herpes zoster lesions usually enable a clinical diagnosis to be made easily. Herpes zoster and postherpetic neuralgia occur mainly in older patients. The role of the varicella vaccine in preventing herpes zoster is uncertain, but is bein...

Feb 15, 2005 Issue
Treatment of Postherpetic Neuralgia [Practice Guidelines]

Feb 1, 2005 Issue
Delaying Antibiotics for Respiratory Infections [Cochrane for Clinicians]

Delayed prescribing appears to be a reasonable and safe option in patients with cough and in those who do not appear very ill, but it cannot be recommended for children with sore throat unless streptococcal pharyngitis has been ruled out. Delayed prescribing of antibiotics results in a small increas...

Oct 1, 2004 Issue
Epstein-Barr Virus Infectious Mononucleosis [Article]

Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. An atypical lymphocytosis of at least 20 percent or atypical ...

Sep 15, 2004 Issue
Telithromycin (Ketek) for Respiratory Tract Infections [STEPS]

Telithromycin is similar to azithromycin and clarithromycin in side effects, dosing, and cost, but with enhanced activity against S. pneumoniae. Although 30 to 40 percent of S. pneumoniae cases are thought to be resistant to penicillin and/or macrolides, additional clinical trials are needed to dete...

Aug 1, 2004 Issue
Antihistamines for the Common Cold [Cochrane for Clinicians]

Antihistamines are of minimal to no benefit as mono-therapy for the common cold, and first-generation antihistamines may increase sedation in patients with a cold. Antihistamine-decongestant combinations reduce nasal symptoms and improve the recovery rate in older children and adults, but these combinations are not effective in younger children.

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