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"You hear of cases, but it's not like an epidemic." This is true even in the regions surrounding much warmer Texan waters, where flesh-eating bacterial infections are more frequent but not "super common." Since 2010, between 700 and 1,200 cases occur each year in the United States, though this is probably an underestimate, according to the US Centers for Disease Control and Prevention

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Most clinicians use MMA as a follow-up test when serum B12 looks borderline