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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Infectious Diseases

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    Should urine antigen testing for Legionella pneumophila be ordered for all hospitalized patients with community-acquired pneumonia?
    Anna Cheek, MD, Ian Jackson, MD, Manasa Velagapudi, MBBS and Shraddha Narechania, MD, FCCP
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 345-347; DOI: https://doi.org/10.3949/ccjm.90a.22039

    Testing is recommended if the pneumonia is severe, if there has been recent travel, and if there is currently an outbreak of legionnaires disease.

  • You have access
    The perfect storm: An unseasonably early RSV annual epidemic, a severe annual flu epidemic, and a smoldering COVID-19 pandemic
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine May 2023, 90 (5) 297-306; DOI: https://doi.org/10.3949/ccjm.90a.23007

    The author presents scenarios illustrating the overlapping clinical manifestations of respiratory viral infections that challenge clinical diagnosis.

  • You have access
    Brodie abscess in an 87-year-old man
    Masumi Suzuki Shimizu, MD and Kohsuke Matsui, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 205-207; DOI: https://doi.org/10.3949/ccjm.90a.22041

    Though Brodie abscess is rare in older adults, timely diagnosis and treatment can prevent exacerbation of the abscess and avoid the need for additional surgical treatment, shortening the duration of hospitalization and preventing long-term complications.

  • You have access
    Diagnosis and management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome
    Sarah Khan, MD and Maureen Linganna, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 209-213; DOI: https://doi.org/10.3949/ccjm.90a.22028

    A review of recommendations from the American Association for the Study of Liver Diseases.

  • How does climate change impact our patients?
    You have access
    How does climate change impact our patients?
    CME article
    Ilyssa O. Gordon, MD, PhD, Neil Mehta, MD, J. Harry Isaacson, MD and Sumita B. Khatri, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 221-226; DOI: https://doi.org/10.3949/ccjm.90a.22007

    Comprehensive patient health and well-being will benefit from an understanding of the effects of climate change on health.

  • You have access
    Viruses change; we can, too
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 135-136; DOI: https://doi.org/10.3949/ccjm.90b.03023

    As we learn more about the mpox (formerly monkeypox) virus, Sossai et al in this issue of the Journal discuss how our understanding of its link to variola has led to therapeutic and prophylactic vaccination options.

  • You have access
    Smallpox and monkeypox: Looking back and looking ahead
    Paolo Sossai, MD, PhD, Domenico Staiti, MD, Massimiliano Cannas, MD and Piero Grima, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 141-144; DOI: https://doi.org/10.3949/ccjm.90a.22067

    Two vaccines have been developed for mpox prevention, but clarity is needed on when and how to use them.

  • You have access
    Central vision loss in a 44-year-old woman
    Walker M. Schmidt, BS, Nirosha D. Perera, MD, Blake H. Fortes, MD, Benjamin A. Nelson, MD, Wendy M. Smith, MD and Hannah C. Nordhues, MD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 35-41; DOI: https://doi.org/10.3949/ccjm.90a.22038

    The patient had a wide range of symptoms and comorbidities, resulting in a complicated differential diagnosis. Careful evaluation eventually led to a focus on sexually transmitted infection.

  • You have access
    Test ordering: Balancing the good for the many with the good for the one
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 672-673; DOI: https://doi.org/10.3949/ccjm.89b.12022

    Three articles this month address how we order clinical tests, one on the question of treating the patient with asymptomatic bacteriuria, the others on the advantages and disadvantages of standing orders for “daily labs” for inpatients.

  • You have access
    Does my patient need to be screened or treated for a urinary tract infection?
    Ellen K. Kendall and Yael Mauer, MD, MPH
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 695-698; DOI: https://doi.org/10.3949/ccjm.89a.21121

    When patients present with symptoms that suggest but are not clearly diagnostic of urinary tract infection, urine studies should be obtained.

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