4 results
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Histoplasmosis, blastomycosis ... psittaci/avian, leptospirosis ... ) - Returning travelers ... Eosinophilic PNA (acute ... infarction/PE, CHF
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Stable Angina • Acute ... Interstitium ... • ILDCHF ... Differential #Diagnosis #Algorithm
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
conidia → Yeast → travel ... presents with acute ... to 12 weeks for acute ... MC: CNS CSF: • ... India ink prep CSF
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
Blastomycosis Summary ... The Disease: • Pulmonary ... (91%): Acute / ... pleural fluid, BAL, CSF ... : • Mild-moderate