Browse Infectious Disease General
- PerspectiveAug 31, 2022
Intradermal Vaccination for Monkeypox — Benefits for Individual and Public Health
10.1056/NEJMp2211311Intradermal JYNNEOS may safely provide populations that have been disproportionately affected by monkeypox with rapid access to a limited resource without sacrificing the level of immune response achieved.
- EditorialVOL. 387 No. 8, Aug 25, 2022
Monkeypox — Past as Prologue
N Engl J Med 2022; 387:749-750In this issue of the Journal, Thornhill et al. report on 528 persons with monkeypox in a cohort spanning 16 countries on five continents.1 The authors provide important demographic, epidemiologic, and clinical details on the largest reported cohort of patients in the latest emerging infectious disease...
Case 26-2022: A 48-Year-Old Woman with Cystic Lung Disease
N Engl J Med 2022; 387:738-747A 48-year-old woman was evaluated for abdominal pain. CT showed numerous liver lesions and lung cysts and nodules; liver biopsy revealed an eosinophilic inflammatory infiltrate. A diagnosis was made.
- Original ArticleVOL. 387 No. 8, Aug 25, 2022
Monkeypox Virus Infection in Humans across 16 Countries — April–June 2022
N Engl J Med 2022; 387:679-691In this report, 528 cases of monkeypox across 16 countries are described. Rash, mucosal lesions, fever, lethargy, and lymphadenopathy were common clinical findings. Few patients were hospitalized.
- CorrespondenceVOL. 387 No. 7, Aug 18, 2022
Japanese Encephalitis in Australia — A Sentinel Case
N Engl J Med 2022; 387:661-662A patient in whom Japanese encephalitis was diagnosed in February 2021 has been identified as a likely sentinel human case of the 2022 outbreak of the disease in Australia.
- PerspectiveVOL. 387 No. 7, Aug 18, 2022
Tecovirimat and the Treatment of Monkeypox — Past, Present, and Future Considerations
N Engl J Med 2022; 387:579-581Tecovirimat might speed resolution of monkeypox illness and improve outcomes, but how can we manage compassionate access to a drug whose safety and efficacy in humans have not been established?
Case 25-2022: A 25-Year-Old Woman with Headache and Blurred Vision
N Engl J Med 2022; 387:641-650A 25-year-old woman was evaluated for worsening headaches, photophobia, nausea, vomiting, and blurred vision. MRI revealed hydrocephalus and leptomeningeal enhancement. CSF analysis revealed neutrophilic pleocytosis.
- Original ArticleVOL. 387 No. 7, Aug 18, 2022
Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19
N Engl J Med 2022; 387:599-610In this trial involving overweight or obese outpatients with Covid-19, investigators found that none of three repurposed drugs (metformin, ivermectin, and fluvoxamine) reduced the risk of serious disease.
- EditorialVOL. 387 No. 7, Aug 18, 2022
Time to Stop Using Ineffective Covid-19 Drugs
N Engl J Med 2022; 387:654-655In practicing evidence-based medicine, physicians use the best evidence currently available on safety and efficacy in making decisions on treatment choices for their patients. During the Covid-19 pandemic, some of the early treatment trials were rushed, leading to studies that were badly conducted1 or had too few patients.
- Review ArticleVOL. 387 No. 6, Aug 11, 2022
Bronchiectasis — A Clinical Review
N Engl J Med 2022; 387:533-545This article reviews the presentation, diagnosis, and treatment of bronchiectasis, a syndrome of abnormal airways that results in chronic cough, sputum production, and respiratory impairment.
- CorrespondenceVOL. 387 No. 6, Aug 11, 2022
Protection Associated with Previous SARS-CoV-2 Infection in Nicaragua
N Engl J Med 2022; 387:568-570In this ongoing household cohort study in Nicaragua, previous SARS-CoV-2 infection during a second Covid-19 wave provided some protection against symptomatic Covid-19, with greater protection against severe illness.
Case 24-2022: A 31-Year-Old Man with Perianal and Penile Ulcers, Rectal Pain, and Rash
N Engl J Med 2022; 387:547-556A 31-year-old man was admitted with perianal and penile ulcers, rectal pain, and vesiculopustular rash. He had first noticed itchy white “bumps” around the anus 9 days earlier. A diagnostic test was performed.
- Images in Clinical MedicineVOL. 387 No. 5, Aug 04, 2022
Japanese Spotted Fever
N Engl J Med 2022; 387:451-451A 68-year-old woman living in Japan presented with a 5-day history of rash and fevers. She had been bitten by a tick 1 week earlier. Examination revealed a petechial rash and eschar on the ankle.
- EditorialVOL. 387 No. 5, Aug 04, 2022
Monoclonal Antibodies — A Different Approach to Combat Malaria
N Engl J Med 2022; 387:460-461In 2020, a total of 241 million cases of malaria and 627,000 malaria-related deaths were reported.1 In this issue of the Journal, Wu and colleagues2 present a new approach to provide immune protection with a next-generation monoclonal antibody against Plasmodium falciparum malaria...
- Original ArticleVOL. 387 No. 5, Aug 04, 2022
Low-Dose Subcutaneous or Intravenous Monoclonal Antibody to Prevent Malaria
N Engl J Med 2022; 387:397-407This phase 1 trial examined an engineered monoclonal antibody, L9LS, targeting the sporozoite. L9LS protected against malaria infection in a human challenge model.
- EditorialVOL. 387 No. 5, Aug 04, 2022
Monoclonal Antibodies for Malaria
N Engl J Med 2022; 387:462-465Monoclonal antibodies are commonly used in the treatment of diseases, including cancer. A next-generation antibody for the prevention of malaria exploits different vulnerabilities of Plasmodium falciparum, the major cause of malaria.
- CorrespondenceVOL. 387 No. 5, Aug 04, 2022
A Zoonotic Henipavirus in Febrile Patients in China
N Engl J Med 2022; 387:470-472In this report, investigators in China identified a new henipavirus associated with a febrile human illness. This virus was also found in shrews.
- PerspectiveVOL. 387 No. 5, Aug 04, 2022
Building a National Public Health System in the United States
N Engl J Med 2022; 387:385-388In light of the shortcomings of the haphazard U.S. approach to public health, laid bare by the Covid pandemic, a Commonwealth Fund commission is proposing urgent, necessary, and realistic reforms.
- Images in Clinical MedicineVOL. 387 No. 3, Jul 21, 2022
Retropharyngeal Abscess
N Engl J Med 2022; 387:260-260A 26-year-old woman presented with sore throat, pain while swallowing, shortness of breath, and fever. Marked swelling of the posterior oropharynx was observed on physical examination, and CT of the neck was performed.
- Images in Clinical MedicineVOL. 387 No. 2, Jul 14, 2022
Drug Reaction with Eosinophilia and Systemic Symptoms
N Engl J Med 2022; 387:167-167A 30-year-old man presented with a morbilliform rash and fever after taking an antimicrobial agent. Facial edema, eosinophilia, and elevated liver-enzyme levels developed later.