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The Great Masquerader Strikes Again!

To the Editor: A 42-year-old man presented with symptoms of severe low-back pain that was aggravated by activity and bending. He also reported sharp pains radiating down the back of the right thigh. In addition, he had an occasional mild cough with yellowish-gray sputum production. He denied any weight loss, night sweats, fevers, or chills. […]

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False and Misleading Information About Lyme Disease

  Recently, there has been considerable interest in the topic of fake news. For infectious diseases physicians, false and misleading information about the diagnosis and treatment of Lyme disease is not new. It is increasing in frequency and prominence, creating much confusion among primary care physicians and their patients. Persistent, unexplained subjective symptoms such as […]

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view of surgery from above with blood bag in view

Seronegative West Nile Virus Infection in a Patient Treated with Rituximab for Rheumatoid Arthritis

Seronegative West Nile virus infection has been described in organ transplant recipients and patients with cancer receiving rituximab in combination with other immunosuppressive therapies. We describe the first reported case of seronegative West Nile virus meningoencephalitis in a patient receiving rituximab for rheumatoid arthritis. A 49-year-old woman from Colorado with a history of rheumatoid arthritis […]

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elder woman in eye exam

Eyes Are Useless When the Mind Is Blind: Anton-Babinski Syndrome

Anton-Babinski syndrome is a condition in which patients deny vision loss despite objective evidence. They further confabulate to support their stance. Cortical blindness is the loss of vision caused by a unilateral or bilateral lesion in the occipital cortex in the presence of normal anterior visual pathway. Anton syndrome is most commonly due to bilateral […]

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female doctor talking with patient on laptop

Telemedicine Specialty Support Promotes Hepatitis C Treatment by PCPs

The Department of Veterans Affairs is the largest US provider of hepatitis C treatment. Although antiviral regimens are becoming simpler, hepatitis C antivirals are not typically prescribed by primary care providers. The Veterans Affairs Extension for Community Health Outcomes (VA-ECHO) program was launched to promote primary care–based hepatitis C treatment using videoconferencing-based specialist support. We […]

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