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Oxford Textbook of Medicine$
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Edited by David A. Warrell, Timothy M. Cox, John D. Firth

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Latest update

The November 2012 update sees updates to over 70 chapters, focusing on Neurology and Gastroenterology. This update also incorporates a selection of 29 Case Histories taken from related titles in the Oxford Case Histories series, linked to from related chapters. Each case includes several questions followed by detailed answers and discussion to enhance diagnostic and clinical understanding.

Neurology updates include substantial updates to key chapters and new material on a wide range of topics including spinal cord injury, autonomic nervous system disorders, and inherited neurodegenerative diseases. 

Gastroenterology updates
include extensive revisions of key chapters on liver failure and acute pancreatitis and new material on a wide range of matters, ranging from the common to the rare: including surgical treatments for colonic diverticular disease, antibody tests for immune disorders, and a revised treatment algorithm for small bowel bacterial overgrowth.

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Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Newly discovered viruses

Chapter:
Newly discovered viruses
Author(s):

H.C. Hughes

DOI:
10.1093/med/9780199204854.003.070529_update_001

Update:

Updated information on human paraechovirus, Aichivirus and Titi Monkey adenovirus.

Updated on 31 May 2012. The previous version of this content can be found here.

Although humans are affected by an enormous range of microorganisms, almost all newly discovered emerging pathogens are viruses that are often zoonotic or vector-borne. These emerging viruses often have high baseline mutation rates, allowing them to adapt relatively easily to new hosts and enabling them to take advantage of new epidemiological opportunities provided by the changing environment. A range of apparently new human viral pathogens has been reported increasingly in international outbreak information over the last few years. How they will influence global public health remains to be seen.

Emerging viruses that may be of particular public health importance include (1) respiratory SARS-like coronaviruses; (2) Garissa and Ngari viruses, Alkhurma virus and Lujo virus—discovered during investigations of haemorrhagic fever; (3) KI and WU human polyomaviruses, new human coronaviruses, human bocavirus, human parechovirus, and mimivirus—causing predominantly respiratory disease; (4) Toscana and, Usutu viruses—causing viral meningitis and encephalitis; (5) Merkel cell polyomavirus—with oncogenic potential. The human pathogenicity of other emerging viruses, e.g. Vesivirus, Ljungan virus, Aichi virus, Titi Monkey adenovirus, gamma-retrovirus, and Saffold virus is less certain.

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