International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Int. J. Infect. Dis. · Jul 2011
Candidemic complications in patients with intravascular catheters colonized with Candida species: an indication for preemptive antifungal therapy?
The impact of Candida-colonized catheter tips in patients without candidemia is unclear. ⋯ Intravascular catheter tip colonization in patients without preceding blood cultures with Candida is associated with candidemia in from 4% of patients (definite candidemia) up to 12% of patients (definite and possible candidemia combined). Considering the adverse prognosis associated with delayed treatment of candidemia, preemptive treatment based on catheter tip cultures might outweigh the disadvantages of costs and side effects of antifungal therapy.
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Int. J. Infect. Dis. · Jul 2011
Epidemiological survey of Crimean-Congo hemorrhagic fever virus in Yunnan, China, 2008.
We aimed to determine the seroprevalence of Crimean-Congo hemorrhagic fever virus (CCHFV) infection in Yunnan Province, China. ⋯ The five counties (Menglian, Menghai, Lancang, Mengla, and Ximeng) in Yunnan are areas with the potential for CCHF outbreaks. Residents should protect themselves against tick bites and the surveillance of CCHFV in this region should be improved.
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Int. J. Infect. Dis. · Jul 2011
Risk factors for community-acquired pneumonia with influenza A/H1N1 in southern Israel.
To determine the risk factors for community-acquired pneumonia (CAP) with influenza A/H1N1 flu in our region. ⋯ In our region CAP with influenza A/H1N1 occurred in younger females of Bedouin Arab origin with less co-morbidity. No difference in mortality was found. We believe that inequalities in socioeconomic conditions could explain our findings.
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Int. J. Infect. Dis. · Jul 2011
Crimean-Congo hemorrhagic fever disease due to tick bite with very long incubation periods.
Crimean-Congo hemorrhagic fever (CCHF) is a zoonotic viral disease with a high mortality rate, and is one of the viral hemorrhagic fever syndromes. The average mortality rate of CCHF is 3-30%. Research indicates that the longest incubation period after a tick bite is 12 days in CCHF disease. However, in clinical practice, we encounter patients with CCHF as a result of tick bites with much longer incubation periods (max. 53 days) than those reported in the literature. We present herein CCHF cases presumably infected through tick bites and having incubation periods longer than the upper limit reported in the literature. ⋯ Physicians serving in endemic regions should be aware of these longer incubation periods after a tick bite. It is suggested that they perform more follow-ups on clinically and serologically highly suspected patients than they currently do.