Health
Rare, sexually transmitted ringworm reported in NYC
Health officials are warning about a new case of ringworm likely spread through sex that has been reported in New York City, the first such case in the U.S.
The infection, a rare fungus called trichophyton mentagrophytes type VII (TMVII), was detected in a man in his 30s who reported having sex with multiple men during a trip to England, Greece and California, according to a study published Wednesday at JAMA Dermatology by doctors at NYU Langone Health in New York City.
When the man returned from his trip, he developed a red, itchy rash on his penis, legs, and across his groin and buttocks. The rash looks similar to eczema, a common condition that causes dry, itchy and inflamed skin, as opposed to the typical ringworm fungal skin infection that forms in circles.
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Tests revealed he had the fungus and doctors prescribed him standard antifungal oral medications – but it took his body four and a half months to clear it.
The man took fluconazole for four weeks without improvement before moving on to terbinafine for six weeks and then itraconazole for eight weeks.
Doctors say he did not have any other infections that could have made the problem worse.
Dr. Avrom Caplan, an assistant professor of dermatology at the NYU Grossman School of Medicine and author of the new report, told NBC that there is no need for the public to be alarmed.
“There’s no evidence that this is widespread, or that this is something that people really need to be worried about,” Caplan told the outlet. “But if people are having itchy eruptions in areas like the groin, and it’s not getting better, see a doctor.”
John Zampella, who also co-authored the study, called on physicians to help identify the fungus.
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“Since patients are often reluctant to discuss genital problems, physicians need to directly ask about rashes around the groin and buttocks, especially for those who are sexually active, have recently traveled abroad, and report itchy areas elsewhere on the body,” Zampella said in the statement.
The man’s case is the first recorded in the U.S. and comes as doctors in France reported 13 such cases last year, according to a statement announcing the study. Twelve of those patients were men who had sex with men. The man said he had sex with multiple male partners during his travels, none of whom reported similar skin issues.
Caplan said the infection was most likely transmitted through sexual contact but he couldn’t rule out the possibility that he picked the fungus up at a sauna he had visited two months prior to his symptoms erupting, NBC reports.
According to the study, male genital fungi have been increasing in India, consistent with the emergence of a slightly different form of ringworm called trichophyton indotineae.
Climate, hygiene and bathing practices likely contribute to the spread of that fungus as well as sexual contact.
Caplan previously identified the first two cases of trichophyton indotineae and since then his team at NYU Langone Health has identified a further nine cases of the ringworm in both men and women in New York City.
The infection causes similar itchy and contagious rashes as TMVII and poses a greater challenge for dermatologists since it often resists terbinafine treatment, Caplan said.
“These findings offer new insight into how some of the fungal skin infections spreading from South Asia can evade our go-to therapies,” Caplan said. “Beyond learning to recognize their misleading signs, physicians will need to ensure their treatment addresses each patient’s quality-of-life needs.”
Caplan said that he plans to work with leading fungi experts around the U.S. and internationally over the next few months to expand research efforts and track emerging cases.
Health
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
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The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
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“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
For more Health articles, visit www.foxnews.com/health
In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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