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diagnosis differential infectiousdiseases infections lung concurrent management abscess cardiology radiology clinical cns comparison culture fungal infection infective lesions marantic meningitis
Causes of Culture Negative Abscess - Differential Diagnosis Framework Consider prior antibiotics as a cause of a
Causes of Culture ... negative culture Brain ... : Aspergillus, Cryptococcus ... nocardia - Fungal: Cryptococcus ... Coccidiomycosis, Cryptococcus
Differential Diagnosis for Concurrent Brain and Lung Infections • Bacteria: Strep anginosus, Staph aureus, Klebsiella pneumoniae
for Concurrent Brain ... phenomena from endocarditis ... Mucormycosis, Cryptococcus ... @ID_fellows #Brain ... Differential #Diagnosis #causes
Concurrent Brain and Lung Lesions • Bacteria: Nocardia spp, Strep anginosus, Staph aureus, Klebsiella pneumoniae (hypervirulent),
Concurrent Brain ... phenomena from endocarditis ... Mucormycosis, Cryptococcus ... febrilepodcast #Brain ... Differential #Diagnosis #causes
Concurrent Brain and Lung Lesions • Bacteria: Nocardia spp, Strep anginosus, Staph aureus, Klebsiella pneumoniae (hypervirulent),
Concurrent Brain ... phenomena from endocarditis ... Mucormycosis, Cryptococcus ... febrilepodcast #Brain ... Differential #Diagnosis #causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
histoplasmosis, cryptococcus ... RingEnhancing #Lesions #Brain ... differential #diagnosis #causes
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... positive in 90% of IE cases ... Aspergillus • Cryptococcus ... Septic Emboli Cause ... Treat underlying cause
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... valves • MRI brain ... in up to 30% of cases ... often seen • MRI brain ... Marantic #diagnosis #table
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... antibiotics once stable ... shows a small, stable ... Dermatitidis - Cryptococcus ... #differential #causes
Cryptococcal meningitis on T2 MRI 30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Cryptococcal meningitis ... Cryptococcal meningitis ... Nausea & vomiting ... IUIDfellowship #Cryptococcal ... meningitis #T2 #MRI #Brain
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Fluconazole CRYPTOCOCCUS ... level, presence of cryptococcal ... CSF and serum Cryptococcal ... • Sinusitis • Brain ... arthritis, and endocarditis
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