The Exchange

Commentary and Observations from
the Medical Front Lines

Infectious Diseases

<a href='/the-exchange/lyme-arthritis-from-high-index-of-suspicion-to-diagnosis-and-treatment'>Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment</a>

Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment

An effusion of the knee(s) is the most common manifestation of Lyme arthritis, a late stage of infection with Borrelia burgdorferi, the tick involved in transmission. Geographically found in the East, Midwest, and now spreading into new areas, Lyme arthritis is often misdiagnosed as a nonspecific inflammatory arthritis of unknown cause. more >

Found in: Infectious Diseases, Rheumatology

<a href='/the-exchange/procalcitonin-levels-in-the-management-of-copd-exacerbations'>Procalcitonin Levels in the Management of COPD Exacerbations</a>

Procalcitonin Levels in the Management of COPD Exacerbations

The use of procalcitonin-based protocols to guide the decision to administer antibiotics has been evaluated in infections of different origins and settings. A more >

<a href='/the-exchange/using-policy-to-impact-hpv-vaccine-rates'>Using Policy to Impact HPV Vaccine Rates</a>

Using Policy to Impact HPV Vaccine Rates

For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine when more >

<a href='/the-exchange/measles-outbreak--a-public-health-concern'>Measles Outbreak – A Public Health Concern</a>

Measles Outbreak – A Public Health Concern

The modern world was turned upside down in 1997 when researcher Andrew Wakefield suggested there was a direct correlation between the MMR more >

<a href='/the-exchange/fluoroquinolone-use-and-the-potential-risk-for-aortic-aneurysm-or-dissection'>Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection</a>

Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection

Fluoroquinolones have long been a popular class of antibiotics for use in a myriad of infections. There are even newer fluoroquinolones that have been more >

<a href='/the-exchange/who-should-be-responsible-social-media-and-accurate-vaccine-information'>Who Should Be Responsible? Social Media and Accurate Vaccine Information</a>

Who Should Be Responsible? Social Media and Accurate Vaccine Information

The World Health Organization recently listed what they call “vaccine hesitancy”—the reluctance or refusal to be vaccinated despite the availability of more >

<a href='/the-exchange/here-we-go-again-measles-in-seattle-this-time'>Here We Go Again: Measles in Seattle This Time</a>

Here We Go Again: Measles in Seattle This Time

As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the more >

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