Assays for Invasive Fungal Disease
SUMMARY AND COMMENT
November 18, 2009
Neil M. Ampel, MD
Two new antigen-based tests show promise and could prove useful for immunocompromised patients.
Reviewing:
Maertens J et al., Clin Infect Dis 2009 Dec 1; 49:1688
Koo S et al., Clin Infect Dis 2009 Dec 1; 49:1650
L-AmB vs. D-AmB for Cryptococcal Meningitis in Solid-Organ Transplant Recipients
SUMMARY AND COMMENT
November 18, 2009
Neil M. Ampel, MD
Ninety-day mortality was significantly better with lipid formulations of amphotericin B than with the deoxycholate formulation.
Reviewing:
Sun H-Y et al., Clin Infect Dis 2009 Dec 1; 49:1721
Bait and Switch — Vaccinia Infection from Animal Rabies Vaccine
SUMMARY AND COMMENT
Contact with liquid vaccinia-rabies glycoprotein recombinant virus vaccine, used to prevent rabies spread among animals, caused vaccinia infection in an immunocompromised woman.
Reviewing:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Wkly Rep 2009 Nov 6; 58:1204
Lipid-Lowering Therapy in HIV-Infected Patients
SUMMARY AND COMMENT
Gemfibrozil levels are reduced by lopinavir/ritonavir coadministration, which may explain the difficulty in lowering triglycerides in HIV-infected patients.
Reviewing:
Busse KH et al., J Acquir Immune Defic Syndr 2009 Oct 1; 52:235
Pneumococcal DNA Load in CAP
SUMMARY AND COMMENT
The Streptococcus pneumoniae DNA load in blood may have both diagnostic and therapeutic implications.
Reviewing:
Peters RPH et al., J Clin Microbiol 2009 Oct; 47:3308
Background Events and Mass Vaccination
SUMMARY AND COMMENT
November 10, 2009
Mary E. Wilson, MD
Knowledge about background rates of disease events is needed to assess events temporally related to vaccination.
Reviewing:
Black S et al., Lancet 2009 Oct 31
DeStefano F and Tokars J., Lancet 2009 Oct 31
Nontuberculous Mycobacterial Infections of the Cheek
SUMMARY AND COMMENT
Researchers describe a series of seven children with such infections. Recovery took many months, and clarithromycin did not seem to hasten resolution.
Reviewing:
Haimi-Cohen Y et al., J Pediatr 2009 Nov; 155:746
Hepatitis E Outbreak Among Cruise Ship Passengers
SUMMARY AND COMMENT
Overall, 4% of passengers returning from a 3-month world cruise tested positive for recent HEV infection; one third of these individuals had symptomatic hepatitis.
Reviewing:
Said B et al., Emerg Infect Dis 2009 Nov; 15:1738
Acetaminophen After Vaccination Reduces Antibody Response
SUMMARY AND COMMENT
Prophylactic doses of acetaminophen given after vaccination reduce fever but blunt antibody response to multiple antigens.
Reviewing:
Prymula R et al., Lancet 2009 Oct 17; 374:1339
Chen RT et al., Lancet 2009 Oct 17; 374:1305
Peramivir for Treatment of 2009 H1N1 Influenza
DRUG WATCH
Responding to a CDC request, the FDA authorized the emergency use of this investigational agent in critically ill patients.
Reviewing:
Food and Drug Administration (FDA)., 2009 Oct 24
Centers for Disease Control and Prevention (CDC)., 2009 Oct 23
Birnkrant D and Cox E., N Engl J Med 2009 Nov 2