54 results
Rodent-associated Bacterial infections: Leptospirosis, Rat-bite fever, Tularemia, Plague 

#rodent
#infections
#leptospirosis
#tularemia
#ratbitefever
#plague
#rats
#infectiousdisease
#fever
#differential
#diagnosis
#management
#treatment
#table
, Rat-bite fever ... #infections #leptospirosis ... infectiousdisease #fever ... #differential ... #diagnosis #management
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Malaria • Leptospirosis ... CLINICAL UTILITY ... help hone your differential ... #Dissociation #diagnosis ... #differential #
Blood culture contaminants
Grouped by gram negative vs gram positive vs other as well as never/maybe/probably
Some additional
Blood culture contaminants ... other as well as never ... #Infections #Microbiology ... #Micro #Differential ... #Ddx #Diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... Epidemiologic exposure + clinical ... #Leptospira #microbiology ... #diagnosis #treatment ... #management
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Fever • ... Abdominal pain Diagnosis ... Positive Gram stain/culture ... Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Persistent fever ... • Aggressive management ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Listeriosis Summary - Listeria Monocytogenes
Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming
Risk
food, salad bar Clinical ... CNS infection Diagnosis ... : • Stool culture ... #management #infectiousdiseases ... #treatment #microbiology
Listeriosis Summary - Listeria Monocytogenes
Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming
Risk
food, salad bar Clinical ... CNS infection Diagnosis ... : • Stool culture ... #management #infectiousdiseases ... #treatment #microbiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever ... source: blood cultures ... #management
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... Neutrophil (Normal) Differential ... tachycardia or fever ... likelihood of negative clinical ... #Bandemia #differential