Recurrent Plasmodium falciparum Malaria in U.S. Travelers Treated with Artemether-Lumefantrine.

We report two cases of recurrent malaria in U.S. travelers returning from Africa (Ghana and Central African Republic) despite a full course of artemether-lumefantrine (AL).

Near-infrared spectroscopy in the diagnosis and management of acute internal carotid artery occlusion.

Acute internal carotid artery occlusion is a neurological emergency that can result in cerebral infarction. Superficial temporal artery to middle cerebral artery bypass is one option to treat a subset of such patients. Near-infrared spectroscopy (NIRS) is an emerging non-invasive technique that holds promise to facilitate the management of carotid occlusion patients by monitoring the oxygen saturation of specific brain areas at risk for hypoperfusion and infarction.

Central Nervous System Infection-Pathogenesis, Clinical Manifestations, Diagnosis, and Treatment.

Purpose Of Review: Chagas disease (CD) is a neglected tropical disease from the American continent that commonly causes cardiovascular disease. Some patients develop neurological manifestations. We discuss and summarize the pathogenesis, clinical characteristics, diagnosis, and treatment of the central nervous system manifestations of CD.