Delay in the diagnosis of measles complicated by pneumonitis and appendicitis in a returning traveller.

A 40-year-old British man presented to the emergency department for the second time in 10 days following a 2-week holiday in Thailand with malaise, bilateral conjunctivitis and a morbilliform rash. He had previously seen his general practitioner and ophthalmology and was diagnosed with conjunctivitis. We confirmed measles following RNA detection on a mouth swab.

Optimizing antiretroviral therapy for women living with HIV.

Purpose Of Review: This review considers the evidence available to guide clinicians in their choice of optimal antiretroviral therapy (ART) for women with HIV.

Recent Findings: Cohort and clinical trial data indicate that ART is as efficacious in women as men, although women are more likely to discontinue therapy, which compromises effectiveness. For many drugs, women have higher plasma levels than men, although whether this is secondary to differing metabolism in women or because on average women have a lower body mass than men is not clear.

Screening African HIV positive patients for imported parasitic infections.

Objectives: To assess the results of screening for tropical parasitic infections in HIV patients from Africa, presenting to an infectious diseases unit in the UK.

Methods: A retrospective case note review of patients from Sub-Saharan Africa, newly diagnosed with HIV infection, between March 2001 and November 2007. Data on patient demographics, clinical presentation and laboratory results, including tropical screening tests, were collected.