Penicillin allergy and carbapenems

This subject has again resurfaced after a post last year on this subject. In this systematic review published in Clinical Infectious Diseases, the authors looked at 10 studies and 12 case reports (n=838). The incidence of any type of suspected hypersentivity was 4.3%, with the rates of proven, suspected or possible reactions totalling 2.4%. 295/838 had a positive penicillin skin test, with 1/838 having a hypersensitivity reaction to a carbapenem.

Website Update

I am currently in the process of updating the website. The Amazon bookstore has been refreshed as will the book images on the sidebar.

There has been some problems with new blog posts being released, these will be addressed shortly.


Fever in the returning traveller

Fever in the returning traveller is always a diagnostic challenge in terms of what samples to send. For those that have travelled to high prevalance areas, always consider dengue as 40% of the worlds population live in areas where there is a risk of transmission. An excellent review can be found here.