Clinical Infectious Diseases




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In the Literature

Stan Deresinski

doi : 10.1093/cid/ciac799

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages i–ii

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Adherence Measured Using Electronic Dose Monitoring is Associated with Emergent Antiretroviral Resistance and Poor Outcomes in People with Human Immunodeficiency Virus/AIDS and Multidrug-Resistant Tuberculosis 

Mark Bateman, Allison Wolf, Benjamin Chimukangara, James C M Brust, Richard Lessells, Rivet Amico, Resha Boodhram, Nalini Singh, Catherine Orrell, Gerald Friedland, Kogieleum Naidoo, Nesri Padayatchi, Max R O’Donnell

doi : 10.1093/cid/ciac232

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1489–1496

Medication adherence is known to challenge treatment of human immunodeficiency virus (HIV)/AIDS and multidrug-resistant tuberculosis (MDR-TB). We hypothesized that adherence using electronic dose monitoring (EDM) would identify an antiretroviral therapy (ART) adherence threshold for emergent ART resistance and predict treatment outcomes in patients with MDR-TB and HIV on ART and bedaquiline-containing TB regimens.

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Low Prior Exposure and Incidence of Hepatitis C in Human Immunodeficiency Virus–Negative Gay and Bisexual Men Taking Preexposure Prophylaxis (PrEP): Findings From the Expanded PrEP Implementation in Communities–New South Wales Prospective Implementation Study 

Janaki Amin, Stefanie Vaccher, David J Templeton, Benjamin Bavinton, Fengyi Jin, Iryna Zablotska, Gail Matthews, Erin Ogilvie, Barbara Yeung, Catriona Ooi, Nila Dharan, David A Baker, Phillip Read, Rebecca Guy, Andrew E Grulich

doi : 10.1093/cid/ciac231

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1497–1502

The use of preexposure prophylaxis (PrEP) for the prevention of human immunodeficiency virus (HIV) has raised concerns of increased sexual risk behaviors. These behaviors may be associated with increased incidence of sexually acquired hepatitis C virus (HCV) among gay and bisexual men.

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Comparison of Mold Active Triazoles as Primary Antifungal Prophylaxis in Patients With Newly Diagnosed Acute Myeloid Leukemia in the Era of Molecularly Targeted Therapies 

Caitlin R Rausch, Adam J DiPippo, Ying Jiang, Courtney D DiNardo, Tapan Kadia, Abhishek Maiti, Guillermo Montalban-Bravo, Farhad Ravandi, Dimitrios P Kontoyiannis

doi : 10.1093/cid/ciac230

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1503–1510

Multiple factors influence the choice of primary antifungal prophylaxis (PAP) in patients with acute myeloid leukemia (AML) undergoing remission induction chemotherapy (RIC) given the recent incorporation of targeted leukemia therapies into these regimens.

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Acute Kidney Injury Interacts With Coma, Acidosis, and Impaired Perfusion to Significantly Increase Risk of Death in Children With Severe Malaria 

Ruth Namazzi, Robert Opoka, Dibyadyuti Datta, Paul Bangirana, Anthony Batte, Zachary Berrens, Michael J Goings, Andrew L Schwaderer, Andrea L Conroy, Chandy C John

doi : 10.1093/cid/ciac229

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1511–1519

Mortality in severe malaria remains high in children treated with intravenous artesunate. Acute kidney injury (AKI) is a common complication of severe malaria, but the interactions between AKI and other complications on the risk of mortality in severe malaria are not well characterized.

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High Intrapulmonary Rifampicin and Isoniazid Concentrations Are Associated With Rapid Sputum Bacillary Clearance in Patients With Pulmonary Tuberculosis 

Andrew D McCallum, Henry E Pertinez, Aaron P Chirambo, Irene Sheha, Madalitso Chasweka, Rose Malamba, Doris Shani, Alex Chitani, Jane E Mallewa, Jamilah Z Meghji, Jehan F Ghany, Elizabeth L Corbett, Stephen B Gordon, Geraint R Davies, Saye H Khoo, Derek J Sloan, Henry C Mwandumba

doi : 10.1093/cid/ciac228

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1520–1528

Intrapulmonary pharmacokinetics may better explain response to tuberculosis (TB) treatment than plasma pharmacokinetics. We explored these relationships by modeling bacillary clearance in sputum in adult patients on first-line treatment in Malawi.

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Hepatitis B Virus-related Care Quality in Patients With Hepatitis B/Human Immunodeficiency Virus Coinfection Versus Hepatitis B Monoinfection: A National Cohort Study 

Tzu-Hao Lee, Christine M Hunt, Marissa M Maier, Elliott Lowy, Lauren A Beste

doi : 10.1093/cid/ciac227

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1529–1536,

Guideline-adherent hepatitis B virus (HBV) care is critical for patients with HBV, particularly patients with HBV-human immunodeficiency virus (HIV) given increased risks of liver-related complications. However, a comprehensive assessment of HBV-related care in patients with HBV-HIV is lacking.

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Cumulative Antibiotic Exposure in the First 5 Years of Life: Estimates for 45 Low- and Middle-Income Countries From Demographic and Health Survey Data 

Gillian A Levine, Julia Bielicki, Günther Fink

doi : 10.1093/cid/ciac225

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1537–1547

Estimates of the total cumulative exposure to antibiotics of children in low-resource settings, and the source of these treatments, are limited.

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Hospitalizations Associated With Strongyloidiasis in the United States, 2003–2018 

Kengo Inagaki, Richard S Bradbury, Charlotte V Hobbs

doi : 10.1093/cid/ciac220

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1548–1555,

Strongyloides stercoralis is considered to be historically endemic in Appalachia and the American South, but recent surveillance data, especially data evaluating strongyloidiasis associated with hospitalization, are lacking in most parts of the United States.

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Evidence of Sexual Transmission of Extended-Spectrum β-Lactamase–Producing Enterobacterales: A Cross-sectional and Prospective Study 

Laure Surgers, Thibault Chiarabini, Guilhem Royer, Hayette Rougier, Mélanie Mercier-Darty, Dominique Decré, Nadia Valin, Paul-Louis Woerther, Jean-Winoc Decousser, Pierre-Marie Girard, Karine Lacombe, Anders Boyd

doi : 10.1093/cid/ciac218

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1556–1564

Extended-spectrum β-lactamase–producing Enterobacterales (ESBL-E) represent a major threat to public health. Little is known on their potential for sexual transmission.

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Automated Evaluation of p16/Ki-67 Dual-Stain Cytology as a Biomarker for Detection of Anal Precancer in Men Who Have Sex With Men and Are Living With Human Immunodeficiency Virus 

Camryn M Cohen, Nicolas Wentzensen, Bernd Lahrmann, Diane Tokugawa, Nancy Poitras, Liam Bartels, Alexandra Krauthoff, Andreas Keil, Felipe Miranda, Philip E Castle, Thomas Lorey, Brad Hare, Teresa M Darragh, Niels Grabe, Megan A Clarke

doi : 10.1093/cid/ciac211

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1565–1572

Human papillomavirus–related biomarkers such as p16/Ki-67 “dual-stain� (DS) cytology have shown promising clinical performance for anal cancer screening. Here, we assessed the performance of automated evaluation of DS cytology (automated DS) to detect anal precancer in men who have sex with men (MSM) and are living with human immunodeficiency virus (HIV).

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Incidence and Prevalence of Coronavirus Disease 2019 Within a Healthcare Worker Cohort During the First Year of the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic 

Sarah B Doernberg, Marisa Holubar, Vivek Jain, Yingjie Weng, Di Lu, Jenna B Bollyky, Hannah Sample, Beatrice Huang, Charles S Craik, Manisha Desai, George W Rutherford, Yvonne Maldonado, CHART Study Consortium

doi : 10.1093/cid/ciac210

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1573–1584

Preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2_ infections in healthcare workers (HCWs) is critical for healthcare delivery. We aimed to estimate and characterize the prevalence and incidence of coronavirus disease 2019 (COVID-19) in a US HCW cohort and to identify risk factors associated with infection.

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Asymptomatic Malaria Infection and the Immune Response to the 2-Dose Ad26.ZEBOV, MVA-BN-Filo Ebola Vaccine Regimen in Adults and Children 

D Ishola, The EBOVAC-Salone Malaria Infection (MALI) Sub-Study Team

doi : 10.1093/cid/ciac209

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1585–1593

Malaria infection affects the immune response to some vaccines. As Ebola virus (EBOV) outbreaks have occurred mainly in malaria-endemic countries, we have assessed whether asymptomatic malaria affects immune responses to the 2-dose Ad26.ZEBOV, MVA-BN-Filo Ebola vaccine regimen.

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Randomized Clinical Trial of High-Dose Rifampicin With or Without Levofloxacin Versus Standard of Care for Pediatric Tuberculous Meningitis: The TBM-KIDS Trial 

Mandar S Paradkar, Bella Devaleenal D, Tisungane Mvalo, Ana Arenivas, Kiran T Thakur, Lisa Wolf, Smita Nimkar, Sadaf Inamdar, Prathiksha Giridharan, Elilarasi Selladurai, Aarti Kinikar, Chhaya Valvi, Saltanat Khwaja, Daphne Gadama, Sarath Balaji, Krishna Yadav Kattagoni, Mythily Venkatesan, Radojka Savic, Soumya Swaminathan, Amita Gupta, Nikhil Gupte, Vidya Mave, Kelly E Dooley, TuBerculous Meningitis in Kids (TBM-KIDS) Study Team

doi : 10.1093/cid/ciac208

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1594–1601,

Pediatric tuberculous meningitis (TBM) commonly causes death or disability. In adults, high-dose rifampicin may reduce mortality. The role of fluoroquinolones remains unclear. There have been no antimicrobial treatment trials for pediatric TBM.

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Cost-effectiveness of Fecal Microbiota Transplantation for First Recurrent Clostridioides difficile Infection 

Elizabeth S Aby, Byron P Vaughn, Eva A Enns, Radha Rajasingham

doi : 10.1093/cid/ciac207

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1602–1609

Both the American College of Gastroenterology and the Infectious Diseases Society of America (IDSA)/Society for Healthcare Epidemiology of America 2021 Clostridioides difficile infection (CDI) guidelines recommend fecal microbiota transplantation (FMT) for persons with multiple recurrent CDI. Emerging data suggest that FMT may have high cure rates when used for first recurrent CDI. The aim of this study was to assess the cost-effectiveness of FMT for first recurrent CDI.

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Cluster of Burkholderia cepacia Complex Infections Associated With Extracorporeal Membrane Oxygenation Water Heater Devices 

Chanu Rhee, Meghan A Baker, Robert Tucker, Vineeta Vaidya, Meghan Holtzman, Raghu R Seethala, Maria Bentain-Melanson, Jesslyn Lenox, Adam R Smith, Jon C Boyer, Alison Gassett, Manfred Brigl, Mohamad Sater, Miriam Huntley, Ann E Woolley, Hilary J Goldberg, Karen Reilly, Andrew Resnick, Madelyn Pearson, Michael Klompas

doi : 10.1093/cid/ciac200

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1610–1617

Burkholderia cepacia complex is a group of potential nosocomial pathogens often linked to contaminated water. We report on a cluster of 8 B. cepacia complex infections in cardiothoracic intensive care unit patients, which were attributed to contaminated extracorporeal membrane oxygenation (ECMO) water heaters.

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Severe Acute Respiratory Syndrome Coronavirus 2 Delta Vaccine Breakthrough Transmissibility in Alachua County, Florida

Brittany Rife Magalis, Shannan Rich, Massimiliano S Tagliamonte, Carla Mavian, Melanie N Cash, Alberto Riva, Simone Marini, David Moraga Amador, Yanping Zhang, Jerne Shapiro, Amelia Horine, Petr Starostik, Maura Pieretti, Samantha Vega, Ana Paula Lacombe, Jessica Salinas, Mario Stevenson, Paul Myers, J Glenn Morris, Jr., Michael Lauzardo, Mattia Prosperi, Marco Salemi

doi : 10.1093/cid/ciac197

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1618–1627

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant has caused a dramatic resurgence in infections in the United Sates, raising questions regarding potential transmissibility among vaccinated individuals.

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Recurrent Subclinical Tuberculosis Among Antiretroviral Therapy–Accessing Participants: Incidence, Clinical Course, and Outcomes 

Kogieleum Naidoo, Mikaila C Moodley, Razia Hassan-Moosa, Navisha Dookie, Nonhlanhla Yende-Zuma, Rubeshan Perumal, Halima Dawood, Nomonde R Mvelase, Barun Mathema, Salim Abdool Karim

doi : 10.1093/cid/ciac185

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1628–1636

Undiagnosed asymptomatic subclinical tuberculosis (TB) remains a significant threat to global TB control, accounting for a substantial proportion of cases among people living with human immunodeficiency virus (HIV)/AIDS (PLWHA). We determined incidence, progression, and outcomes of subclinical TB in antiretroviral therapy (ART)–accessing PLWHA with known previous TB in South Africa.

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Treatment of Cutaneous Balamuthia mandrillaris Infection With Diminazene Aceturate: A Report of 4 Cases 

Lei Wang, Bing Li, Tao Zhao, Lu Wang, Zhe Jian, Wenjing Cheng, Jiaxi Chen, Chunying Li, Gang Wang, Tianwen Gao

doi : 10.1093/cid/ciac356

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1637–1640

Four cases of cutaneous Balamuthia mandrillaris infection were treated with diminazene aceturate. One patient was cured with mainly monotherapy, 2 patients were cured with diminazene aceturate and excision, and 1 patient died of drug-induced liver damage. This is the first report of B. mandrillaris infection treated with diminazene aceturate.

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Emergence of Dalbavancin, Vancomycin, and Daptomycin Nonsusceptible Staphylococcus aureus in a Patient Treated With Dalbavancin: Case Report and Isolate Characterization 

Rutan Zhang, Hari Polenakovik, Ismael A Barreras Beltran, Adam Waalkes, Stephen J Salipante, Libin Xu, Brian J Werth

doi : 10.1093/cid/ciac341

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1641–1644

A patient with end-stage renal disease received 2 doses of dalbavancin for methicillin-resistant Staphylococcus aureus (MRSA) arteriovenous fistula infection and presented 5 weeks later with infective endocarditis secondary to vancomycin, daptomycin, and dalbavancin nonsusceptible MRSA. Resistance was associated with walK and scrA mutations, reduced long-chain lipid content, and reduced membrane fluidity.

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Neutralization of Severe Acute Respiratory Syndrome Coronavirus 2 Omicron and Other Variants in Serum From Children With Vaccination-Induced Myocarditis

Fatema Tuz Zahra, Gabrielle Grubbs, Kirsten Dummer, Adriana H Tremoulet, Chisato Shimizu, Jane C Burns, Surender Khurana

doi : 10.1093/cid/ciac323

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1645–1648

Our study demonstrates that children who developed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination-induced myocarditis and may not receive another vaccination, could be susceptible to infection with Omicron and emerging variants. We observed higher neutralizing antibody titers in myocarditis patients vs. healthy vaccinated children, but significantly lower neutralization titers against Omicron in both groups.

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Temporal Dynamics of Nasopharyngeal and Tracheal Severe Acute Respiratory Syndrome Coronavirus 2 Cycle Thresholds in Coronavirus Disease 2019 Patients With Tracheostomy 

Sallie M Long, Alexander Chern, Victoria Cooley, Sei Chung, Noah Z. Feit, Arryn Craney, Matthew S Simon, Andrew B Tassler

doi : 10.1093/cid/ciac316

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1649–1651

In this study of 45 patients with COVID-19 undergoing tracheostomy, nasopharyngeal and tracheal cycle threshold (Ct) values were analyzed. Ct values rose to 37.9 by the time of tracheostomy and remained >35 postoperatively, demonstrating that persistent test positivity may not be associated with persistent transmissible virus in this population.

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Discordant Antibody and T-Cell Responses to the Severe Acute Respiratory Syndrome Coronavirus 2 Omicron Variant in Coronavirus Disease 2019 Messenger RNA Vaccine Recipients 

Bezawit A Woldemeskel, Caroline C Garliss, Tihitina Y Aytenfisu, Trevor S Johnston, Andrea L Cox, Andrew H Karaba, Joel N Blankson

doi : 10.1093/cid/ciac305

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1652–1654,

We compared antibody and T-cell responses against the severe acute respiratory syndrome coronavirus 2 vaccine strain spike protein to responses against the Omicron variant in 15 messenger RNA vaccine recipients. While these individuals had significantly lower levels of antibodies that inhibited Omicron spike protein binding to ACE2, there was no difference in T-cell responses.

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Resistance-Guided Therapy for Neisseria gonorrhoeae 

Lao-Tzu Allan-Blitz, Paul C Adamson, Jeffrey D Klausner

doi : 10.1093/cid/ciac371

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1655–1660

Antimicrobial-resistant Neisseria gonorrhoeae infections are a threat to public health. Novel strategies for combating such resistance include the development of molecular assays to facilitate real-time prediction of antimicrobial susceptibility. Resistance to ciprofloxacin is determined by the presence of a single mutation at codon 91 of the gyrase A gene; molecular assays to guide therapy are commercially available

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Houston, We Have a Problem: Reports of Clostridioides difficile Isolates With Reduced Vancomycin Susceptibility 

David Henry Greentree, Louis B Rice, Curtis J Donskey

doi : 10.1093/cid/ciac444

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1661–1664

During the past 4 decades, oral vancomycin has been a mainstay of Clostridioides difficile infection (CDI) therapy with no reports of treatment failure due to emergence of vancomycin resistance. However, C. difficile isolates with high-level phenotypic resistance to vancomycin have recently been reported in 3 distinct geographic regions.

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Skin Lesions in a Toddler 

Morven S Edwards, Javier Chinen, Ankhi Dutta

doi : 10.1093/cid/ciab948

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1665–1667

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Persistent Methicillin-resistant Staphylococcus aureus Bacteremia: Resetting the Clock for Optimal Management 

Thomas L Holland, Arnold S Bayer, Vance G Fowler, Jr

doi : 10.1093/cid/ciac364

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1668–1674,

A positive follow-up blood culture for methicillin-resistant Staphylococcus aureus (MRSA) while on seemingly appropriate therapy is a common and ominous development.

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Mind the OPAT Gap: Providing Home Intravenous Antibiotic Therapy for Veterans Hospitalized at Community Hospitals 

Donald F Storey, Jessica M Guastadisegni, Marcus A Kouma, Reuben J Arasaratnam

doi : 10.1093/cid/ciac513

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1675–1676

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Response to “Inhaled Zanamivir versus Oral Oseltamivir to Prevent Influenza-related Hospitalization or Death: A Nationwide Population-based Quasi-experimental Study� 

Renin Chang, Hui-Yuan Chen, Yao-Min Hung, Cheuk-Kwan Sun

doi : 10.1093/cid/ciac462

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1676–1677

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Reply to Chang et al 

Chia-ping Su, K Arnold Chan, Ching-Tai Huang, Chi-Tai Fang

doi : 10.1093/cid/ciac464

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Page 1677

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Are Vancomycin Non-Susceptible Clostridioides difficile Strains Emerging? 

Joseph D Lutgring, Susannah L McKay, Amy S Gargis, Alison L Halpin, L Clifford McDonald

doi : 10.1093/cid/ciac375

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1677–1678

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Reply to Lutgring et al 

Charles Darkoh, Herbert L DuPont, Cesar A. Arias, Micah Oyaro, Eric L Brown, Blake M Hanson

doi : 10.1093/cid/ciac376

Clinical Infectious Diseases, Volume 75, Issue 9, 1 November 2022, Pages 1678–1679

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