HIV and AIDS (A section taken from Infectious Diseases)

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9780723423287: HIV and AIDS (A section taken from Infectious Diseases)

From the world's leading experts in infectious disease - a comprehensive, clinically-oriented textbook lavishly illustrated with over 2,200 color photographs, artwork, tables and maps. INFECTIOUS DISEASES features two volumes organized into eight sections: Introduction to Infectious Diseases, Syndromes by Body System, Special Problems in Infectious Disease Practice, Infections in the Immunocompromised Host, HIV and AIDS, Geographic and Travel Medicine, Anti-Infective Therapy and Clinical Microbiology.

* Emphasis on clinical practice gives physicians the information they need to diagnose and manage patients effectively. * Includes full color illustration throughout, which shows the clinical appearance of disorders as they present in real life, and through the use of specially drawn diagrams, helps simplify complex concepts and processes. * Includes Practice Points, a feature unique to this book, which are short, mini-chapters that give practical advice on the management of everyday clinical problems that are particularly difficult to diagnose or treat. * Provides physicians with clear-cut, no-nonsense advice on clinical problems typically overlooked in textbooks, because they 'cross-over' into other specialties, such as eye infection in the ICU setting. * Includes separate section on Geographic and Travel Medicine which provides descriptions of all diseases acquired through travelling outside the developed world, as well as giving pre-travel advice and treatment strategies for the returning traveller. * Gives practical advice on the special considerations necessary for the treatment of immunodeficient patients who are highly susceptible to infections, such as transplant or cancer patients. * Contains section devoted to HIV and AIDS, providing a single resource for HIV-related and other infections. * Features international editors, authors and contributors so readers benefit from the first-hand experience of physicians treating illnesses all around the world. * Features attractive design and layout, including color coded pages, which allows the reader to access the section or chapter she or he needs quickly and easily.

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About the Author:

Donald Armstrong is an immensely experienced and well-respected clinician and teacher, now sem
-retired but still working part-time in the busy setting of Memorial Sloan-Kettering in New York City, wher he is Chief of the ID service. Known especially for his work on AIDS and the immunocompromised host, he is Past President of the Infectious Disease Society of America.

Jonathan Cohen is one of the few Professors of ID in the UK. Extremely dynamic, he is the founder member and Chairman of the Clinical Infection Society and is internationally respected for his work on sepsis.

Both Lead Editors have worked extensively outside their native countries, Donald Armstrong in China and Thailand, Jonathan Cohen in the USA.

From The New England Journal of Medicine:

Do we really need another textbook on infectious diseases? This was my first thought as I began to review Infectious Diseases, edited by a team of experts in the field.

This book differs in several aspects from other major textbooks of infectious diseases. The first difference is the liberal use of color. Not only are there many excellent clinical photographs in color, but also the tables, figures, and the last centimeter of each page are color-coded so that specific sections of the book can be identified. In addition, the color photographs illustrate many of the rashes and other cutaneous signs of a variety of diseases that must be recognized by the clinician.

Another unique feature of this book is the section entitled "Practice Points." There are 53 of these scattered throughout the book. These practice points deal with common, but often troublesome areas in infectious diseases. The authors have carefully chosen these topics and picked an expert to answer what is usually a vexing clinical question. The discussant not only gives advice based on the literature, but also uses personal expertise to solve the particular clinical problem. Some of the perplexing questions that are covered are whether intravascular catheters should be removed, when to perform lumbar puncture and what tests to order in conjunction with the procedure, when to use antibiotics for pharyngitis and otitis media, when to use corticosteroids for tuberculosis outside the central nervous system, how to manage persistent postinfectious diarrhea, how long osteomyelitis should be treated, how to manage chronic infection in prosthetic joints, and what treatment should be given to a pregnant woman with a positive test for toxoplasma.

The book contains eight sections that cover all the major areas of infectious diseases. To assess the value of the textbook to an infectious-disease consultant, I looked up problems that I encountered during three recent weeks on the infectious-disease consultation service. I obtained all the information that I needed to answer each of the following questions. My first question was how botulinum antitoxin should be given, and the book included a clear description of what to do. My next question dealt with meningoencephalitis after the administration of meningococcal vaccine. There was an excellent discussion of the problem of vaccine-associated adverse events. Subsequent questions involved the appropriate length of treatment for mucormycosis involving the lung, the optimal management of cytomegalovirus infection after organ transplantation, the appropriate therapy for candiduria in a patient in the intensive care unit, and the management of tetanus. Each of the topics was dealt with extremely well.

The following topics either were not dealt with adequately or were not mentioned: treatment of nocardia infection, nephropathy related to infection with the human immunodeficiency virus, cellulitis in an intravenous drug user, and linezolid as a treatment option for vancomycin-resistant enterococci. The section on blood-culture-negative endocarditis offered no advice on treatment. The discussion of cystic fibrosis was excellent, but there was no discussion of what to do for patients who were infected with microorganisms that were resistant to all available antibiotics. The latter situation is not uncommon in clinical practice, and this would have been a perfect topic for discussion in one of the practice points. There is an excellent chapter on Lyme disease, but essentially nothing on Rocky Mountain spotted fever.

This book would be a useful addition to the library of any infectious-disease consultant, and the practice points sections alone justify the purchase of the book despite its deficiencies. All will find the illustrations helpful, and reading all of the practice points will provide a working knowledge of many of the common infectious-disease problems.

Thomas Marrie, M.D.
Copyright © 2000 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

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