Tag Archives: infections

MANAGEMENT OF RHINOSINUSITIS: AN EVIDENCE BASED APPROACH

FCAAIA Notes: So if it looks like a sinus infection, smells like a sinus infection, and eels like a sinus infection, it must be a sinus infection, right?  Well, not necessarily. Every summary of chronic nasal and sinus disease will … Continue reading

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IMMUNODEFICIENCY MAY BE COMPLICATED BY ASTHMA, ALLERGIES

FCAAIA Notes: It often takes a while before common variable immunodeficiency (CVID) is diagnosed after the onset of symptoms.  Early on, its presentation can mimic asthma and allergic rhinitis with complications of recurrent infections.  It can evolve insidiously, so seeing … Continue reading

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HOW MANY OF THE ANTIBIOTICS PRESCRIBED IN THE U.S. ARE ACTUALLY NECESSARY?

FCAAIA Notes: I think EVERY doctor (myself included) is guilty from time to time of prescribing antibiotics when they are not necessary. This study shows that about 1/3 of those prescriptions are unnecessary. Frequently, it is best to let new-onset … Continue reading

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IN RECURRENT UPPER RESPIRATORY INFECTIONS, DON’T ORDER THAT IMMUNE TEST JUST YET

FCAAIA Notes: Patients with immune deficiency disease do get any more viral upper respiratory tract infections than anyone else.  What they do get, is more frequent complications of those infections (ear and sinus infections and pneumonia). Most patients with recurrent … Continue reading

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RECIPE FOR KIDS’ ASTHMA FLARES: SCHOOL PLUS COLD VIRUSES

FCAAIA Notes: No matter where one lives in the country, there is a spike in viral respiratory infections about one month after school starts. Furthermore, when school starts, children spend more time inside with great exposure to indoor allergens and … Continue reading

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THE AUTOIMMUNE CONUNDRUM IN COMMON VARIABLE IMMUNODEFICIENCY DISORDERS

FCAAIA Notes: Common variable immunodeficiency (CVID) is a relatively rare disorder, but it is the most common primary immunodeficiency presenting in adults. It got its name because it can present with recurrent infections in a variety of ways with a … Continue reading

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EARLY RESPIRATORY INFECTIONS AND THE DEVELOPMENT OF ASTHMA IN THE FIRST 27 YEARS OF LIFE

FCAAIA Notes: One has to be careful when reading epidemiologic studies like this one.  It is not news that upper respiratory tract infections (URIs) early in life are associated with asthma (as the only trigger) in childhood and a risk … Continue reading

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ASTHMA RISK UP WITH EARLY ANTIBIOTIC USE

FCAAIA Notes: This article highlights the significant association between use of oral antibiotics in infancy and the risk for having asthma by 7 years old. Importantly, the authors remind us that it is not the antibiotics themselves that lead to … Continue reading

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IMMUNOTHERAPY FOR ALLERGIES HALTS INFECTION

FCAAIA Notes: Another benefit of allergy shots! Bacterial infections of the upper airway (including sinus infections and ear infections) are a common co-morbidity, or complication of nasal allergies. In addition, people with poorly controlled allergies get more frequent, prolonged, and … Continue reading

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