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diagnosis infectiousdiseases american cardiology chagas differential disease acute algorithm bloodstream candida candidemia canimorsus capnocytophaga catheter cglabrata checklist chronic coxiellaburnetii crbsi
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
, infective endocarditis ... , african trypanosomiasis ... abscess • Diarrhea ... abscess, visceral ... endocarditis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
for metastatic infection ... • Myocardial abscess ... • Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... • Infectious insult ... #diagnosis #management
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
• Persistent fever ... (endocarditis, ... epidural abscess ... • Persistent fever ... limited vascular access
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary Acute Chagas Disease (8-12 weeks): • Mild: Malaise,
Disease (American trypanosomiasis ... Diagnosis and Management ... Mild: Malaise, fever ... useful for chronic infection ... #Microbiology #
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management Acute: - Self-limited flu-like illness -
Q Fever (Coxiella ... Diagnosis and Management ... Hepatitis - Acute endocarditis ... #microbiology ... #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... #Endocarditis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Increased protein level ... normal glucose level ... Sinusitis • Brain abscess ... arthritis, and endocarditis ... Fungal #Diagnosis #Management
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
the majority of infections ... • Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology ... infectiousdiseases #diagnosis #management
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