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management diagnosis differential infectiousdiseases amebic blastomycosis candidemia candidiasis coccidioides coccidioidomycosis criticalcare debridement entamoebahistolytica fungemia guidelines hepaticabscess hepatology hyponatremia idsa infection
Liver Abscess • Pyogenic abscess, accounts for 80% of abscess. • Amebic abscess due to Entamoeba histolytica, accounts for 10%. • Fungal
Liver Abscess • ... • Fungal abscess ... 50% of solitary liver ... in the right Liver ... #liverabscess #liver
Liver Abscess and Mimics - Differential Diagnosis Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes Infectious Differential:
Liver Abscess and ... bartonella - Fungal ... : Candida, endemic ... fungi - Parasite ... Kumfer @AnnKumfer #Liver
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Consider: Spine, CNS, liver ... Guidelines #Management #candida ... #candidiasis #treatment ... #fungal #fungemia
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
• Confirm IV access ... • Concise one-liner ... Orders placed, treatments ... Wrap up RRT: • Final ... questions "Never
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
• Dimorphic fungus ... • The fungus ... in New York and Canada ... Farmer and forestry work ... serum/urine Treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Diagnosis and Treatment ... 3 questions to work ... Assess volume status ... Treatment: Treatment ... include vaptans (HF/liver
Debridement and Management of Prosthetic Joint Infection (PJI) Duration of symptoms <3 weeks OR <30 days
DDIs/AEs) - Fungus ... expectancy, poor candidacy ... benefit > risk - Never ... patient q6-12mo to assess ... Joint #Infection #treatment
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet • Morphology • Geography, Reservoir and Mode of Transmission
or excavation work ... , eyes, heart, liver ... pulmonary disease: no treatment ... nodule/cavity: no treatment ... management #summary #fungal
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Mississippi and Ohio River ... Diagnosis: • Direct fungal ... Increased protein level ... normal glucose level ... Sinusitis • Brain abscess
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