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How in the world is lib.nmsu.edu/rarecat a top search result? If I do the search and go to Google's cached version, it tells me "These terms only appear in links pointing to this page: buy propecia"

It's actually a really good collection of links for anyone interested in medieval manuscripts. Bookmarked.

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Hacked sites suck, especially because the hackers can target so many pages at once. Please keep your web servers patched and up-to-date.

The page title shows up in the search as "buy propecia price - NMSU Library". My guess would be some sort of old HTML injection attack that's been cleaned out, but which hasn't fully flushed out of the index.

What's really odd is the two college sites below that, which don't have anything obvious about Propecia on them...

Maybe the page content is cloaked so that googlebot sees completely different text to human visitors.

this is most likely what is going on

Probably had their CMS hacked or something. That sort of thing happens to a lot of sites, sadly. Google for "comment3" (make sure there's no space in there) and look through a couple pages of results and you'll find a lot of spam-filled sites. And that's after Google cleaned up a lot of it.

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