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diagnosis management infectiousdiseases clinical cardiology differential abscess algorithm bloodsmear bloodstream canimorsus capnocytophaga catheter crbsi epidural fungal haemophilus hinfluenzae infection infections
Streptobacillus moniliformis on peripheral smear and culture microscopy - blood culture; patient w/ outdoor exposure -
microscopy - blood ... culture; patient ... agent in Rat-bite fever ... #moniliformis #blood ... #microbiology #
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
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
on Peripheral Blood ... sensitivity of blood ... Treatment is tetracycline ... initiation of treatment ... recurrentis #BloodSmear #microscopy
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 ... Locate the source: blood ... cultures (positive
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... night sweats, fever ... Diagnosis: • Blood ... hematuria, + RF 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
Haemophilus influenzae on culture and microscopy Immunosuppressed patient, recently diagnosed with Flu A. Presents after initial improvement
influenzae on culture ... and microscopy ... improvement with fever ... Blood cx +ve on ... #microbiology
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
purulence Obtain blood ... cultures from the ... • Persistent fever ... metastatic infection (endocarditis ... Hernodynamically stable after treatment
Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
Infections: • Leptospirosis ... renal function • Blood ... culture; rapid ... dipstick test, microscopic ... examination, culture
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... • Major blood ... • Isolated fever ... arthritis, and endocarditis ... have positive blood
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