NEJM Journal Watch - General Medicine

Cardiovascular Safety of Long-Term Macrolide Therapy in Patients with Bronchiectasis

In an observational study, macrolide maintenance therapy was associated with fewer adverse cardiovascular events.

Oral vs. Intramuscular Naltrexone for Patients Hospitalized with Alcohol Use Disorder

Both forms of naltrexone reduce alcohol use equally well.

Does Preoperative Weight Loss Affect Outcomes After Total Hip Arthroplasty?

For patients with obesity, outcomes were similar regardless of whether they lost weight before surgery or not.

Tick Bites Linked to Severe Alpha-Gal Syndrome Across the U.S.

Two different tick species in Maine and Washington caused allergic reactions following red meat consumption.

Is Prenatal Cannabis Use Associated with Adverse Neonatal Outcomes?

Cannabis use during pregnancy was associated with higher odds of preterm birth, low birth weight, small for gestational age, and perinatal mortality.

Acute Cholecystitis Management in Older Patients with Comorbidities

Patients who received operative intervention fared better than patients who received nonoperative treatment, even in a high-risk cohort.

Observations from ID and Beyond: How ID Doctors Get Paid, Part 2: Infection Control and Other Invaluable (but Often Invisible) Work

Dr. Paul Sax continues a three-part series outlining how ID doctors get paid in HIV and ID Observations.

Combining Empagliflozin and Finerenone in Patients with Diabetes and Albuminuria

Combination therapy lowered albuminuria more than did either drug alone.

Rise in Euglycemic DKA Might Be Associated with SGLT-2 Inhibitor Use

Diabetic ketoacidosis diagnosis was delayed and duration of DKA was longer in patients with euglycemic DKA.

Observations from ID and Beyond: Why the Sudden Firing of ACIP Members Should Put Every Clinician on High Alert

Dr. Paul Sax discusses the changes at ACIP in HIV and ID Observations.