11 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF evaluation ... seizure) #Diagnosis #Peds ... #EM #Classification ... #Ddxof
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... : fever +++, hepatosplenomegaly ... Drugs, Unknown cause ... inhibitors under evaluation
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Rapid onset of fever ... chronic liver disease ... immunosuppressive meds ... Diseases Fellowship ... dermatology #legs #clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... healthy pt with fever ... interstitial lung disease ... interstitial diffuse infections ... #Lung #POCUS #clinical
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... should be based on clinical ... • Symptoms: Fever ... Demyelinating disease ... caused by the JC
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
treatment of HIV/AIDS ... worsening of that disease ... be present: • AIDS ... noncompliance • Clinical ... initiation Clinical
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Shock, Autoimmune disease ... Diagnosis: • Infection ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... or family - Ever ... Skin exam for infection ... Change in clinical ... perioperative #Risk #Evaluation
Babesiosis on Peripheral Smear
85 M from SE USA, hx splenectomy, IgG4 plasmacytic syndrome: F, chills, profound
invasion & lysis: fever ... complications: ARDS ... and DIC, case fatality ... Indiana University Infectious ... Diseases Fellowship
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
No fever. ... / foot + tinea pedis ... tissues - mainly caused ... recommended Mayo Clinic ... Infectious Diseases