21 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... Epidemiologic exposure + clinical ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology ... diagnosis #treatment #management
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Diagnosis and Management ... Hepatitis - Acute endocarditis ... #infection #microbiology ... #diagnosis #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever ... Abscess #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Persistent bacteremia/fevers ... #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Bronchiolitis - Lower respiratory tract (bronchioles) 

Microbiology 
 • Respiratory syncytial virus (RSV) (most commonl
bronchioles) Microbiology ... Influenza virus Clinical ... prodrome • Fever ... Respiratory failure Management ... Bronchiolitis #Diagnosis #Management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology ... infectiousdiseases #diagnosis #management
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
vegetation secondary to endocarditis ... young patient with fever ... #Clinical #POCUS ... PLAX #Infective #Endocarditis
Cyclosporiasis - Diagnosis and Management Summary
Pathogen: 
 • Cyclospora cayetanensis
 • Foodborne, waterbone, and soil-transmitted.
 •
Diagnosis and Management ... diarrhea, Low-grade fever ... routine O&P • Clinical ... cayetanensis #diagnosis #management ... #treatment #microbiology