Is EBV a Common Cause of Elevated Liver Enzymes?
Discussion Infectious mononucleosis is caused by an Epstein-Barr Virus (EBV) infection causing the triad of fever, sore throat and adenopathy. The differential diagnosis of clinical presentations similar to EBV includes: Viral Cytomegalovirus Herpes simplex Hepatitis A, B, C HIV Varicella Bacterial/Spirochete Brucellosis Leptospirosis Syphilis Q fever Miscellaneous Autoimmune hepatitis Drug side effects Ischemia Wilson Disease Treatment for EBV infections is mainly supportive. Anti-viral medications such as ganciclovir are usually used for severe problems. Liver failure has been treated by transplant. Refraining from activities which could cause abdominal trauma while splenomegaly is apparent is recommended as is medications that are hepatotoxic until liver function tests normalize. Learning Point EBV infections are usually asymptomatic with 90-95% of people by age 18 becoming seropositive. EBV is known have many different clinical presentations which can be reviewed here. A monospot test for EBV can be falsely positive and reasons for this can be reviewed here. Gastrointestinal problems related to EBV include: Mildly elevated transaminase levels (2-3x normal) that are asymptomatic clinically Laboratory test abnormalities Alkaline phosphatase – 60% Bilirubin – 45% Mild abdominal pain – 15% Jaundice –
CONCLUSION: The rule-based HLA genotype extraction method shows reliable accuracy. We believe that there are significant number of patients who takes profit when this under-used genetic information will be return to them. PMID: 32233158 [PubMed - in process]
Authors: Park SH, Lee MS, Kim SR, Kwak YG Abstract BACKGROUND: Healthcare personnel (HCP) are at risk of being exposed to or transmitting infections in hospitals, and vaccination against vaccine-preventable diseases (VPDs) is a well-known preventive strategy. Vaccination against influenza, hepatitis B virus, measles-mumps-rubella, varicella, and pertussis is recommended for HCP. However, there is no information on the current status of hospitals' vaccination policies for HCP in Korea. METHODS: We conducted a nationwide survey on hospital vaccination policies and barriers to implementing recommended vaccination ...
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Yoshihiro Kawaguchi
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Makoto Isono, Kenji Seguchi, Masanori Yamanaka, Kosuke Miyai, Kazuki Okubo, Keiichi Ito
HIGHLIGHTS Adolescents and young adults are particularly susceptible to sexually transmitted infections (STIs), and cases of chlamydia, gonorrhea and syphilis have been rapidly increasing among young people in recent years. Young people face multiple roadblocks to obtaining high-quality sexual health inform ation and STI care that can help them avoid STIs or mitigate the effects of an infection. Advocates and policymakers addressing STIs among young people should support the needs of those most vulnerable to STIs through high-quality sex education programs, access to clinical care, preventive technolo gies and vaccines,...
Publication date: Available online 2 April 2020Source: European Journal of Surgical OncologyAuthor(s): Tousif Kabir, Nicholas L, ZoeZ.X. Tan, Hiang-Jin Tan, Clarence Yen, Ye-Xin Koh, Kam Juinn Huar, Jin-Yao Teo, Ser-Yee Lee, Peng-Chung Cheow, PierceK.H. Chow, AlexanderY.F. Chung, London L. Ooi, Chung-Yip Chan, BrianK.P. Goh
Publication date: Available online 1 April 2020Source: International Journal of Surgery Case ReportsAuthor(s): Ohoud Baajlan, Hotoun Bokhari, Khalid AlGhamdi, Mazen Zidane
Got one of these now. For those of you who have experience with this unit: 1. TIps 2. Tricks 3. Pearls with Venom needle. What temp and lesion time do you suggest? 4. Do you find using the venom needle worth the additional cost and do you feel it creates a larger lesion? Anybody with experience doing pulsed RF treatment on this device? Thanks in advance.
Conclusion: The prevalence of elevated blood mercury level is concerning among the artisans. Advocacy, proper usage of personal protective equipment, awareness on chemical safety, and hazard associated with lead and mercury usage are needed to minimize the exposure. PMID: 32231467 [PubMed - in process]
More News: Autoimmune Disease | Back Pain | Bilirubin | Brucellosis | Cancer & Oncology | Carcinoma | Child Development | Children | Chronic Pain | Cold Sores | Cytomegalovirus | Databases & Libraries | Emergency Medicine | Gastroenterology | Glandular Fever (infectious mononucleosis) | Health | Health Management | Hepatitis | Hepatitis A | Hepatocellular Carcinoma | Herpes | Hospitals | Infectious Diseases | Jaundice | Laboratory Medicine | Learning | Liver | Liver Cancer | Liver Transplant | Pain | Pediatrics | Professional Development | Sore Throat | Statistics | Students | Study | Syphilis | Transplant Surgery | Transplants | Universities & Medical Training | Urology & Nephrology | Wilson's Disease