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diagnosis clinical management differential infectiousdiseases bloodsmear cardiology cayetanensis chestxray cxr cyclospora cyclosporiasis endocarditis epidural granuloma infections intermittent leptospira lung majocchis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
infection • Abscess ... Leptospira • Borrelia ... • Lymphoma • Borrelia ... • Leptospirosis ... • Malaria • Leptospirosis
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... , hemoptysis Treatment ... meropenem) #Lung #Abscess
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... manifestations • MAT microscopic ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology ... #diagnosis #treatment
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Borrelia recurrentis ... caused by Borrelia ... Treatment is tetracycline ... initiation of treatment ... recurrentis #BloodSmear #microscopy
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... imaging as needed Treatment
Cyclosporiasis - Diagnosis and Management Summary Pathogen: • Cyclospora cayetanensis • Foodborne, waterbone, and soil-transmitted. •
diarrhea, Low-grade fever ... Established via stool microscopy ... Treatment: • TMP-SMX-DS ... diagnosis #management #treatment ... #microbiology #
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... hematuria, + RF Treatment ... Complications: Abscess ... Persistent bacteremia/fevers
Majocchi’s Granuloma due to Trichophyton rubrum This is GMS stain and culture of a skin biopsy
No fever. ... Treatment: Itraconazole ... plaques, pustules, abscess ... Majocchi granuloma Treatment ... clinical #photo #microscopy
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