A 34-Year-Old Man With Cough, Lung Nodules, Fever, and Eosinophilia
(Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Patron, R. L. Tags: ANSWER TO THE PHOTO QUIZ Source Type: research

Asymptomatic CMV Replication During Early Human Immunodeficiency Virus (HIV) Infection Is Associated With Lower CD4/CD8 Ratio During HIV Treatment
Conclusions. Subclinical CMV replication in blood cells during early HIV infection and younger age were associated with lower CD4/CD8 ratios during suppressive ART. These findings suggest that active CMV infection in the setting of treated HIV may represent an attractive potential target for therapeutic intervention. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Smith, D. M., Nakazawa, M., Freeman, M. L., Anderson, C. M., Oliveira, M. F., Little, S. J., Gianella, S. Tags: HIV/AIDS Source Type: research

Cardiovascular Disease Risk Prediction in the HIV Outpatient Study
Conclusions. Only the FRS accurately estimated risk of CVD events, while PCE and D:A:D underestimated risk. Although these models could potentially be used to rank US HIV-infected individuals at higher or lower risk for CVD, the models may fail to identify substantial numbers of HIV-infected persons with elevated CVD risk who could potentially benefit from additional medical treatment. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Thompson-Paul, A. M., Lichtenstein, K. A., Armon, C., Palella, F. J., Skarbinski, J., Chmiel, J. S., Hart, R., Wei, S. C., Loustalot, F., Brooks, J. T., Buchacz, K. Tags: HIV/AIDS Source Type: research

Editorial Commentary: Can We Afford to Control the HIV Epidemic With Antiretrovirals? Can We Afford Not to Do So?
(Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Mayer, K. H., Krakower, D. S. Tags: HIV/AIDS Source Type: research

A Cost-effectiveness Analysis of Preexposure Prophylaxis for the Prevention of HIV Among Los Angeles County Men Who Have Sex With Men
Conclusions. PrEP and test-and-treat offer cost-effective alternatives to the status quo. The success of these strategies depends on ART and PrEP adherence and initiation rates. The lack of evidence on adherence behaviors toward PrEP, therefore, warrants further studies. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Drabo, E. F., Hay, J. W., Vardavas, R., Wagner, Z. R., Sood, N. Tags: HIV/AIDS Source Type: research

A 34-Year-Old Man With Cough, Lung Nodules, Fever, and Eosinophilia
(Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Tags: PHOTO QUIZ Source Type: research

The Spectrum of Serious Infections Among Patients Receiving Immune Checkpoint Blockade for the Treatment of Melanoma
The risk of infection among patients receiving immune checkpoint blockade is unknown. We retrospectively reviewed medical records of 740 patients with melanoma who received immune checkpoint blockers. Serious infection occurred in 54 patients (7.3%). The main risk factors were receipt of corticosteroids and/or infliximab. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Del Castillo, M., Romero, F. A., Argüello, E., Kyi, C., Postow, M. A., Redelman-Sidi, G. Tags: BRIEF REPORTS Source Type: research

Assessment of the Incubation Period for Invasive Listeriosis
We characterized incubation periods among outbreak-associated listeriosis cases, using a simulation model to account for patients with multiple exposure dates. The median was 11 days; 90% of cases occurred within 28 days, and incubation periods varied by clinical manifestation. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Angelo, K. M., Jackson, K. A., Wong, K. K., Hoekstra, R. M., Jackson, B. R. Tags: BRIEF REPORTS Source Type: research

Editorial Commentary: Drug-Resistance in Leprosy: Moving Toward Understanding the Scope of the Problem and How to Tackle It
(Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Moraes, M. O. Tags: BRIEF REPORTS Source Type: research

Transmission of Drug-Resistant Leprosy in Guinea-Conakry Detected Using Molecular Epidemiological Approaches
Molecular drug susceptibility testing was performed on skin biopsies from 24 leprosy patients from Guinea-Conakry for the first time. We identified primary drug resistance in 4 cases and a dapsone-resistant cluster caused by the same strain. Primary transmission of drug-resistant Mycobacterium leprae, including a rifampicin-resistant strain, is reported. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Avanzi, C., Busso, P., Benjak, A., Loiseau, C., Fomba, A., Doumbia, G., Camara, I., Lamou, A., Sock, G., Drame, T., Kodio, M., Sakho, F., Sow, S. O., Cole, S. T., Johnson, R. C. Tags: BRIEF REPORTS Source Type: research

Efficacy and Safety of Sofosbuvir/Velpatasvir in Patients With Chronic Hepatitis C Virus Infection Receiving Opioid Substitution Therapy: Analysis of Phase 3 ASTRAL Trials
In this analysis of the ASTRAL trials (non-opioid substitution therapy [OST], n = 984; OST, n = 51) evaluating the once-daily, pan-genotypic regimen of sofosbuvir/velpatasvir for hepatitis C virus infection, OST did not impact completion, adherence, sustained virologic response (SVR12), or safety. SVR12 was 96% (95% confidence interval, 87%, >99%) in those receiving OST. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Grebely, J., Dore, G. J., Zeuzem, S., Aspinall, R. J., Fox, R., Han, L., McNally, J., Osinusi, A., Brainard, D. M., Subramanian, G. M., Natha, M., Foster, G. R., Mangia, A., Sulkowski, M., Feld, J. J. Tags: BRIEF REPORTS Source Type: research

Angiostrongylus cantonensis Infection: A Cause of Fever of Unknown Origin in Pediatric Patients
We present 2 pediatric cases of FUO caused by Angiostrongylus cantonensis acquired in Houston, Texas, outside its usual geographic distribution. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Foster, C. E., Nicholson, E. G., Chun, A. C., Gharfeh, M., Anvari, S., Seeborg, F. O., Lopez, M. A., Campbell, J. R., Marquez, L., Starke, J. R., Palazzi, D. L. Tags: BRIEF REPORTS Source Type: research

Economic Incentives for Antibacterial Drug Development: Literature Review and Considerations From the Transatlantic Task Force on Antimicrobial Resistance
The Trans-Atlantic Task Force on Antimicrobial Resistance (TATFAR) in 2015 was tasked with exploring economic incentives for antibacterial drug development and providing recommendations for potential global implementation. Due to the continual decline of pharmaceutical companies investing in new antibiotic development and the rise in antimicrobial resistance, there is an urgent need to examine market mechanisms that are appropriate to encourage small, medium, and large companies to reinvest in this space. This review provides a summary of the various models that have been proposed and highlights positions posed by several ...
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Sciarretta, K., Rottingen, J.-A., Opalska, A., Van Hengel, A. J., Larsen, J. Tags: VIEWPOINTS Source Type: research

Problematic Dichotomization of Risk for Intensive Care Unit (ICU)-Acquired Invasive Candidiasis: Results Using a Risk-Predictive Model to Categorize 3 Levels of Risk From a Multicenter Prospective Cohort of Australian ICU Patients
Conclusions. Dichotomization of ICU patients into high- and low-risk groups for IC risk is problematic. Categorizing patients into high-, intermediate-, and low-risk groups may more efficiently target early antifungal strategies and utilization of newer diagnostic tests. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Playford, E. G., Lipman, J., Jones, M., Lau, A. F., Kabir, M., Chen, S. C.- A., Marriott, D. J., Seppelt, I., Gottlieb, T., Cheung, W., Iredell, J. R., McBryde, E. S., Sorrell, T. C. Tags: ARTICLES AND COMMENTARIES Source Type: research

Acute Demyelinating Events Following Vaccines: A Case-Centered Analysis
Conclusions. We found no association between TM and prior immunization. There was a possible association of ADEM with Tdap vaccine, but the excess risk is not likely to be more than 1.16 cases of ADEM per million vaccines administered. (Source: Clinical Infectious Diseases)
Source: Clinical Infectious Diseases - November 11, 2016 Category: Infectious Diseases Authors: Baxter, R., Lewis, E., Goddard, K., Fireman, B., Bakshi, N., DeStefano, F., Gee, J., Tseng, H. F., Naleway, A. L., Klein, N. P. Tags: ARTICLES AND COMMENTARIES Source Type: research