Contact Transmission of Vaccinia to an Infant Diagnosed by Viral Culture and Metagenomic Sequencing.

Targeted molecular diagnostic tests and accurate immunoassays have transformed the landscape of clinical virology, calling into question the usefulness of traditional viral culture. Here we present a case where viral culture, followed by metagenomic sequencing, was central to the diagnosis of an unexpected viral infection, with significant clinical and public health implications.

Treatment consideration for US military members with skin disease.

Recent changes to military medicine precipitated by the National Defense Authorization Act for Fiscal Year 2017 are expected to result in civilian specialists playing a larger role in the care of our military population. Medical readiness and deployment eligibility should be taken into consideration when establishing a treatment plan for service members. This article highlights unique factors civilian dermatologists must consider when treating active-duty military patients with acne, atopic dermatitis (AD), psoriasis, dissecting cellulitis of the scalp (DCS), and lupus erythematosus (LE).