Infectious Diseases

  • How to respond to flu vaccine doubters
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 782-788; DOI: https://doi.org/10.3949/ccjm.86a.19139

    Misinformation and unfounded fears abound. What should you tell patients who say no to a fl u shot?

  • STI update: Testing, treatment, and emerging threats
    Matifadza Hlatshwayo, MD, MPH, Hilary E. L. Reno, MD, PhD and Melanie L. Yarbrough, PhD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 733-740; DOI: https://doi.org/10.3949/ccjm.86a.18098

    Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.

  • Appropriate laboratory testing in Lyme disease
    Appropriate laboratory testing in Lyme disease
    Teny M. John, MD and Alan J. Taege, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 751-759; DOI: https://doi.org/10.3949/ccjm.86a.19029

    Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.

  • What are the risks to inpatients during hospital construction or renovation?
    Amjad Kanj, MD, Yuqing Gao, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 650-652; DOI: https://doi.org/10.3949/ccjm.86a.19008

    Risks include mold infection, Legionnaires disease, sleep deprivation, exacerbation of lung disease, and physical injury.

  • Mediastinal granuloma due to histoplasmosis in a patient on infliximab
    Takaaki Kobayashi, MD and Christine Cho, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 579-581; DOI: https://doi.org/10.3949/ccjm.86a.18138

    Immunosuppressive drugs can predispose to invasive fungal infection.

  • A young man with acute chest pain
    Amir Farid, MD, Neil Beri, MD, David Torres-Barba, MD, PhD and Charles Whitcomb, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 586-594; DOI: https://doi.org/10.3949/ccjm.86a.19025

    A young man presents with severe, pressure-like, midsternal, nonradiating pain, rated 10 on a scale of 10.

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • When does acute pyelonephritis require imaging?
    Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517; DOI: https://doi.org/10.3949/ccjm.86a.18096

    Imaging is recommended for those at risk of complications.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
    Joy-Ann Tabanor, MBBS and Santhanam Lakshminarayanan, MBBS
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 449-453; DOI: https://doi.org/10.3949/ccjm.86a.18084

    Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.

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