World Health Organization Advisory: Plague in Madagascar: October 2017 As of October 4th, the Ministry of Public Health of Madagascar reports 194 cases of plague, including pneumonic, bubonic and once case of septicemia, with 30 deaths in 20 districts and cities across the country. Implications for travelers: The risk of infection with Yersinia pestis for international travelers to Madagascar is …
Do you or a loved one have the Female Athlete Triad?
How often does a doctor say “you need to gain weight?” We’re all used to medical professionals (and the media) focusing on weight loss and other ways to prevent diabetes and cardiovascular disease. What’s often overlooked is that a surprising number of otherwise healthy people actually suffer from being underweight, sometimes with devastating consequences. One group of such people is …
Did you get a pustule at your blood draw site? Consider Behcet’s Syndrome.
The original description of Behçet’s syndrome included recurring genital and oral ulcerations and relapsing uveitis. This disease is also associated with cutaneous hypersensitivity; 60%–70% of patients will develop a sterile pustule with an erythematous margin within 48 hours of an aseptic needle prick. It is more common in Japan, Korea, and the Eastern Mediterranean area, and affects primarily young adults. The …
New Avian Influenza A H7N9 Virus in China: The Next Pandemic?
It’s not time to panic. The latest April 14, 2013 update on the H7N9 Avian Influenza A outbreak from the Chinese Center for Disease Control and Prevention reports 11 additional cases of human infection have been laboratory confirmed. Three cases are from Shanghai, two from Jiangsu, four from Zhejiang and the other two from Henan. There are two more deaths, and …
Updated: Novel respiratory coronavirus identified in travelers to Middle Eastern countries #travelmedicine
Public Health Agency of Canada: February 15, 2013 US Centers for Disease Control: March 7, 2013 Update: A total of 14 confirmed cases of novel coronavirus infection have been identified, with 8 deaths. There seems to be an association with recent travel to the Arabian Peninsula (Saudi Arabia, Qatar, Jordan) and influenza A (H1N1) co-infection. Patients presented with lower respiratory infections. …