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moreover, in the literature there are no reports on Petronie's disease resistant to medical therapy, which constitutes a class destined to remain unhealed, where even surgery is not a feasible proposition (reserved exclusively for those subjects in whom progression of the disease has been arrested by medical therapy) and no wholly reliable pharmacological therapy is yet available

Brain Res (1984) 295(1):1325

It is hypothesised that once an acute infection has dysregulated the hosts immune system, pathogens are capable of intracellular persistence where they escape immune surveillance (202)

For bicep tendonitis, this usually means the front (anterior) deltoid