An 85-year-old man presented to his family physician with complaints of generalized weakness, fatigue, loss of appetite, excessive sleeping, and mild laryngitis. He reported that his temperature taken orally at home that morning was 102.6 °F. These symptoms arose during the previous week, before which he had been healthy, exercising vigorously every day. His past medical history included type 2...

Human parechoviruses (HPeV), previously designated as echovirus 22 and 23, belong to the Parechovirus genus within the Picornaviridae family and has been designated HPeV 1 and 2 respectively.1 The HPeV genome organization and disease spectrum are similar to other viruses in the Picornaviridae family. HPeV have been frequently associated with respiratory and gastrointestinal diseases in children...

BACKGROUND The disease burden of influenza-like illnesses (ILIs) on the working population has been documented in the literature, but statistical evidence of ILI-related work absenteeism in the USA is limited due to data availability. AIMS To assess work absenteeism due to ILIs among privately insured employees in the USA in 2007-8 and 2008-9. METHODS We used the 2007-9 MarketScan® research...

In the 1990s, Norwalk-like viruses (NLVs) were identified in patient specimens as the primary pathogen associated with shellfish-borne gastroenteritis in the United States. Identification of these viruses from implicated shellfish has been difficult due to inefficient recovery of viruses, natural polymerase chain reaction (PCR) inhibitors in shellfish, and low virus contamination. Recent improv...