8 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
B, hepatitis C infection ... , HIV infection, ... infective endocarditis ... HIV infection ... endocarditis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Pyogenic/focal infection ... • Hepatic abscess ... • Leptospirosis ... • Malaria • Leptospirosis ... endocarditis Non-Infectious
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Endocarditis Definite ... or intracardiac abscess ... or intracardiac abscess ... Predisposition • Fever ... evidence of active infection
Waterborne Infections - Differential Diagnosis Framework

Infections that can be acquired from fresh water, brackish water, sea
Escherichia coli O157:H7 Infection ... (Mycobacteria abscessus ... dermatitidis CNS Infection ... - Rhizopus Leptospirosis ... is biphasic • Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Myocardial abscess ... • Persistent fever ... metastatic foci of infection ... Internet Book of Critical
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... features: Fever ... common, Aortic root abscess ... large infarct - Infectious
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
S.aureus • Strep spp ... Pseudomonas Sources of infection ... from contiguous focus ... of infection (cholecystitis ... artery (e.g., endocarditis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
50% in chronic infection ... weeks for acute infection ... River valleys • Infection ... Sinusitis • Brain abscess ... arthritis, and endocarditis