39 results
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Staphylococcus aureus, Capnocytophaga ... Insufficiency #AI
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
primary OR secondary AI ... primary or secondary AI ... High = primary AI ... secondary or tertiary AI
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... primary vs secondary AI
Safe Living After Transplant: Animal & Pet Safety Risks
Lower ← → Higher Infection Risk
 • Dogs:
Campylobacter, Capnocytophaga ... : Pasteurella, Capnocytophaga
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
chronic severe AI ... associated with chronic AI
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Vibrio, aeromonas, Capnocytophaga ... fulminans secondary to Capnocytophaga ... BIDMC_IDFellows #Capnocytophaga
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
insufficiency (AI ... secondary or tertiary AI
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Pathophysiology Primary AI ... Secondary AI = the
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Capnocytophaga ... Pathogen: Capnocytophaga ... TheIDtrivia #Capnocytophaga
Key Pathogens to Consider in Asplenia
 - Encapsulated bacteria
    • S. pneumoniae
meningitidis - Capnocytophaga