Annals of internal medicine
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Haemophilus ducreyi was isolated with an enriched chocolate agar containing vancomycin from seven patients with clinical evidence of chancroid. Four cases were imported from outside the United States; the other three cases were acquired in the United States from one of the imported cases. ⋯ Plasmid molecular weights were identical for isolates from the epidemiologically linked cases and differed according to the geographic origins of the strains. Findings of this study confirm that H. ducreyi is sexually transmitted and suggest that clinical chancroid develops frequently after acquisition of H. ducreyi.
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The body of knowledge pertinent to the care of the elderly lies largely within internal medicine and its subspecialties. A growing number of elderly persons have great need for medical and social services. ⋯ The FCIM opposes the creation of separate medical school departments and favors inclusion of an administrative mechanism for geriatrics within the department of medicine, preferably linked to the division or section of general internal medicine. The FCIM encourages the American Board of Internal Medicine to continue to explore forms of recognition of advanced training and particular competence in geriatric medicine but opposes the creation of a separate certifying board for geriatrics.