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Miliary Tuberculosis Hematogenous dissemination of Mycobacterium tuberculosis Clinical: • Failure to thrive • Fever
Miliary Tuberculosis ... tuberculosis Clinical ... to thrive • Fever ... Adrenal glands #Miliary
Oroya Fever Hematologic disease caused by Bartonella bacilliformis Restricted to the Andes highlands of Peru & Ecuador B. bacilliformis:
Oroya Fever Hematologic ... Lutzomyia verrucarum Clinical ... Inflammation: high fever ... toxo reactivation Clinical ... Months-Years): ​• Miliar
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Typhus, Babesiosis, Malaria ... , Dengue fever, ... , Drug fever
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
bacteremia • Malaria ... endocarditis, malaria ... Malaria • Lymphoma ... (Falciparum malaria ... hemolysis) • Malaria
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Typhus, Babesiosis, Malaria ... , Dengue fever, ... , Drug fever
Fever in the Returning Traveler - History Exposure History: • Street foods / Local water: entenc fever,
Arthropod bites: malaria ... < 7 days: malaria ... 7-21 days: malaria ... > 21 days: malaria ... / Continuous: malaria
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
• Typhoid Fever ... Babesiosis • Malaria ... • Drug Fever ... CLINICAL UTILITY ... Typhoid Fever (S
Differential Diagnosis of Fever and Splenomegaly - Typhoid - Infective endocarditis - Miliary tuberculosis - Hodgkin
Differential Diagnosis of Fever ... endocarditis - Miliary ... Brucellosis #Fever
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
bacteremia, and miliary ... characteristic features Clinical ... Active TB: • Fever ... Hematogenous spread -> Miliary
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
bacteremia, and miliary ... characteristic features Clinical ... Active TB: • Fever ... Hematogenous spread -> Miliary
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