Clinical

You probably recall reading in JUCM News that a case of paralytic polio occurred in Rockland County, NY recently. It was such an anomaly that the case also garnered widespread attention among national media. As noted in an article just published by JAMA Network it’s likely, based on analysis of the unvaccinated patient’s genomic sequencing, that the virus had “been circulating under the radar for up to a year,” however. Not long after that highly …

For months now the Centers for Disease Control and Prevention has been reminding clinicians of the telltale signs of monkeypox: flu-like symptoms, large pustules on the skin…. However, The New York Times reports public health officials have found that while those symptoms do occur commonly in patients ultimately diagnosed with the virus, some patients have smaller lesions that resemble mosquito bites or ingrown hairs. Others never develop a rash at all. And some experience confusion, …

Thinking in the abstract about which complaints occur most frequently in your practice, it’s unlikely that tinnitus would come to mind as readily as, say, migraine or pain. New research published by JAMA Network suggests maybe it should, though. After a systemic review of published research around the world, the authors report an overall global prevalence of 14.4%, with the likelihood of experiencing tinnitus increasing with age. They propose that their findings may be surprising …

JUCM News told you recently about a confirmed case of polio in Rockland County, New York. Given that it’s a suburban/rural area roughly an hour from New York City, it’s causing some alarm that just days ago the virus was identified in wastewater samples in the Big Apple. According to a story published by The New York Times, only around 86% of children 5 years of age and younger are fully vaccinated against polio; less …

Cases of monkeypox continue to grow worldwide, with 32,000 cases reported (11,000 of which have occurred in the United States), according to the World Health Organization. One aspect of the WHO’s response has nothing to do with facilitating vaccination or treatment, though. With a nod to what it calls “current best practices” for naming diseases, the WHO is looking for new names for monkeypox variants that steer clear of associating them with geographic regions. This …

Per the latest recommendations from the Centers for Disease Control and Prevention, people who’ve experienced symptomatic SARS-CoV-2 infection can stop isolating after 5 days, provided that they’ve been fever-free for 24 hours without taking fever-reducing medication and their symptoms have improved. People who’ve tested positive but experienced no symptoms can stop isolating after day 5 without conditions. New data just published by JAMA Network Open lean in the other direction, however. In a small (N=40) …

One of the knocks against using nirmatrelvir-ritonavir (Paxlovid) to treat patients with SARS-CoV-2 has been that it could send patients running to the emergency room, and possibly face hospitalization, for rebound COVID-19. It’s enough to discourage some people from taking it, even if they’re high risk for poor outcomes with COVID. According to a report from the Centers for Disease Control and Prevention, however, those patients should be more concerned about the consequences of not …

Some metropolitan public health officials across the country have complained about poor distribution of tests for monkeypox since the slow and steady uptick of cases in the United States began in May. Most recently, New York City declared a state of emergency in order to expand access to resources to fight outbreaks there. And with nearly 3,500 U.S. cases confirmed according to the Centers for Disease Control and Prevention, the Department of Health and Human …

JUCM News first alerted readers to rising cases of monkeypox in May. At the time, the news from around the world was more of an oddity than a cause for concern. The novelty has now worn off, however, as the World Health Organization just upgraded the status of monkeypox to an official global health emergency. As noted in The New York Times, the global caseload now exceeds 16,000 in 75 countries. This is a rare …

For the first time in almost a decade, someone has been diagnosed with polio in the United States. Per a report from CNN, it’s suspected that the virus identified in the Rockland County, New York man originated in another country. While he himself had not traveled internationally recently, it’s believed that he was infected by an individual who was vaccinated with the oral vaccine still used in some areas of the world. (The U.S. stopped …