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diagnosis management infectiousdiseases cardiology differential infections algorithm bloodstream canimorsus capnocytophaga catheter clinical crbsi epidural fungal granuloma infection intermittent majocchis mycoses
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
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... source: blood cultures ... imaging as needed Treatment
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... night sweats, fever ... • Blood cultures ... Persistent bacteremia/fevers
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... hematuria, + RF Treatment ... Persistent bacteremia/fevers
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
Obtain blood cultures ... • Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... Hernodynamically stable after treatment
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... microorganism (Culture ... Treatment: • 50% ... Capnocytophaga #canimorsus #microbiology
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
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... infection • Cough, fever ... Sinusitis • Brain abscess ... • Isolated fever ... arthritis, and endocarditis
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