17 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... : Fever, Arthralgia ... Diaqnoses: • Infectious ... splenomegaly • Hepatic ... #diagnosis #management
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
Hydatid disease ... definitive host; the infection ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... : fever +++, hepatosplenomegaly ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... Lymphohistiocytosis #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... for metastatic infection ... • Persistent fever ... • Aggressive management ... Internet Book of Critical
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... cystitis, may have fever ... present or signs of infection ... , such as fever. ... , specifically CT
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... has five major clinical ... • Cough, fever ... • Isolated fever ... Fungal #Diagnosis #Management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Lung Abscess - Clinical ... : • 80% have fever ... decubitus - air fluid level ... seen • Chest CT
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Persistent bacteremia/fevers ... Endocarditis #diagnosis #management ... #cardiology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Chronic kidney disease ... Lung cancer • Septic ... characteristic features Clinical ... Active TB: • Fever ... TB #Diagnosis #Management
HSV Herpetic Whitlow Infection of the Finger
20 F presents with painful finger, treated w/ oral cephalexin
HSV Herpetic Whitlow ... Fever and lymphadenopathy ... Diseases Fellowship ... #Finger #clinical ... #photo