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Comment on CME Infectious diseases

Humphrey DL Birley
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DOI: https://doi.org/10.7861/clinmedicine.18-3-269
Clin Med June 2018
Humphrey DL Birley
Royal Gwent Hospital, Newport, UK
Roles: Consultant in sexual health
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Editor – The recommendations for testing for some sexually transmissible infections vary across the scenarios discussed in the CME Infectious diseases section of Clinical Medicine, volume 18, issue 2, April 2018.

HIV testing is recommended in pyrexia of unknown origin1 and in acute meningitis2 but for acute encephalitis, the advice is to establish ‘risk factors for HIV infection’.3 This may be problematic in an encephalopathic patient; even patients with intact sensoria may conceal (or be unaware of) risk factors for HIV. Encephalitis is a recognised complication of HIV seroconversion as well as advanced disease. For some years syphilis has been the fastest increasing sexually transmitted disease in the UK. No advice to test for syphilis is given even though neurological involvement, including meningitis, is a recognised complication in early and late disease. I wonder if recommendations for testing for these entities in these areas should be reconsidered?

  • © Royal College of Physicians 2018. All rights reserved.

References

  1. ↵
    1. Fernandez C
    , Beeching NJ. Pyrexia of unknown origin. Clin Med 2018;18:170–4.
    OpenUrlAbstract/FREE Full Text
  2. ↵
    1. Griffiths MJ
    , McGill F, Solomon T. Management of acute meningitis. Clin Med 2018;18:164–9.
    OpenUrlAbstract/FREE Full Text
  3. ↵
    1. Ellul M
    , Solomon T. Acute encephalitis – diagnosis and management. Clin Med 2018;18:155–9.
    OpenUrlAbstract/FREE Full Text
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Comment on CME Infectious diseases
Humphrey DL Birley
Clinical Medicine Jun 2018, 18 (3) 269; DOI: 10.7861/clinmedicine.18-3-269

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Comment on CME Infectious diseases
Humphrey DL Birley
Clinical Medicine Jun 2018, 18 (3) 269; DOI: 10.7861/clinmedicine.18-3-269
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