3 results
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Incubation period: 3-12 ... Lutzomyia verrucarum Clinical ... toxo reactivation Clinical ... Chronic phase: Derm ... TREATMENT: ​• Acute
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... intrinsic factor, IF) Clinical ... • P/E - GI and derm ... Check for IF ab Treatment ... , can consider IM
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
Treatment with broad-spectrum ... #Clinical #Derm ... #EM #IM #PurpuraFulminans ... Meningococcemia #NEJM