While ATIV currently is licensed only
for older adults (except in Mexico, where the vaccine also is registered for use in children as of 6 months of age), plans are underway to extend the registration of the vaccine to children and other groups at risk in Europe and elsewhere, to address gaps of reduced immunogenicity and selleck kinase inhibitor efficacy of TIV in those respective groups. Physician and public education are needed to increase awareness of the burden of influenza in tropical and subtropical regions and the potential clinical utility of ATIV for travelers to those regions. T. F. T. and R. C. are full-time employees of Novartis Vaccines. The other authors state that they have no conflicts of interest to declare. “
“Spinal cysticercosis is an uncommon manifestation of neurocysticercosis (NCC). We present a case of isolated lumbar intradural-extramedullary NCC. The patient was treated successfully with the surgical removal of the cyst. Spinal NCC should be considered in the differential diagnosis in high-risk populations with new symptoms suggestive of a spinal mass lesion. A 59-year-old
Asian American female presented in January 2009 with a 1-month history of progressive bilateral leg pain, numbness, and weakness. The patient also developed urinary retention 2 days prior to presentation. The patient had immigrated from Laos to the United States in 1987 and used to return periodically to Laos, every 1 to selleck 2 years. She had traveled to Pakse, Laos, and then crossed the border to Ubon much Ratchathani, Thailand, in late 2008. Altogether she was in Laos, September to December 2008, she spent her time there in villages and cities, visiting family and friends. She used bottled water for drinking but ate the traditional fare, which included rare/uncooked beef and pork purchased at local outdoor markets. In the United States, she also sometimes ate uncooked beef and pork. She has a history of adult-onset diabetes mellitus, controlled with
oral medication, and is otherwise healthy. Before her recent trip, she had back pain progressing over several months, with some increased weakness and decreased sensation in the lower extremities. The symptoms became suddenly worse, however, the day after returning from her trip to Laos and progressed over the month before her admission to our hospital. Neurological examination revealed normal higher mental functions, optic fundi, cranial nerves, and deep tendon reflexes. She had mild weakness of both legs and the motor power was 4/5 in both hip and knee flexions. There was hypoesthesia in the left lower extremity in L1 to S3 distribution. The sensation of the right lower extremity was intact. The upper extremity examination was normal.