Infectious Diseases

  • Crowned dens syndrome: Caution about asymptomatic calcification
    Junki Mizumoto, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 204-205; DOI: https://doi.org/10.3949/ccjm.88a.20184

    An 88-year-old man developed fever, headache, and posterior neck pain resistant to initial therapy.

  • Calcium pyrophosphate deposition and crowned dens syndrome
    Ann K. Rosenthal, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 206-207; DOI: https://doi.org/10.3949/ccjm.88a.21008

    Patients are typically over age 65, often with significant leukocytosis and dramatically elevated inflammatory markers.

  • Is it safe to start steroids at home for a COPD exacerbation after virtual assessment in the COVID-19 era?
    Achintya D. Singh, MBBS, MD, Agrima Mian, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 213-215; DOI: https://doi.org/10.3949/ccjm.88a.20194

    Yes. Corticosteroids are beneficial, and virtual visits are appropriate, especially in this pandemic.

  • A cutaneous clue to HIV infection
    Stephen Chan, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 145-146; DOI: https://doi.org/10.3949/ccjm.88a.20042

    A retired trucker presented with fever, cough, dyspnea, and a rash on his forehead.

  • Imaging to evaluate suspected infective endocarditis
    Imaging to evaluate suspected infective endocarditis
    CME article
    Ikram-Ul Haq, MD, Iqraa Haq, BS, Brian Griffin, MD and Bo Xu, MD, FACC, FRACP, FASE
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 163-172; DOI: https://doi.org/10.3949/ccjm.88a.19142

    What if echocardiographic findings are initially negative and the patient continues to have bacteremia?

  • Severe thrombocytopenia in a patient with otherwise asymptomatic COVID-19
    Lauren M. Granat, DO, MS, Achintya D. Singh, MBBS, MD, Matthew Cortese, MD, MPH, Vicente Velez, MD, FACP, FHM and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 86-92; DOI: https://doi.org/10.3949/ccjm.88a.20154

    A young woman, seemingly healthy, presented with easy bruising.

  • COVID-19 diagnostic testing and the psychology of precautions fatigue
    Gregory W. Ruhnke, MD, MS, MPH
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 19-21; DOI: https://doi.org/10.3949/ccjm.88a.20086

    Overuse of special precautions can lead to diminished vigilance.

  • Cryptosporidiosis in an immunosuppressed patient with persistent diarrhea
    Firas Bahdi, MD, Shilpa Jain, MD and Suneal Kumar Agarwal, MD, FACG
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 24-26; DOI: https://doi.org/10.3949/ccjm.88a.20016

    A 29-year-old lung transplant recipient presents with diarrhea lasting 1 month.

  • 2020: A year like no other
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 710-711; DOI: https://doi.org/10.3949/ccjm.87b.12020

    Veracity and bias are issues we address on a daily basis.

  • COVID-19 coagulopathy
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 712; DOI: https://doi.org/10.3949/ccjm.87c.12001

    Skepticism of high-intensity prophylaxis for patients with D-dimer ≥ 3.0 µg/mL.

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