Infectious Diseases
- Cardiovascular disease in people living with HIV: Risk assessment and management
Because people living with HIV develop coronary artery disease much earlier than the general population, careful attention must be given to assessment and management of their cardiovascular risk.
- Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
The already higher cardiovascular risk in people living with HIV is exacerbated by social determinants of health such as socioeconomic status, access to healthcare, and systemic discrimination. Interventions that address this risk must be based in medical science and equity.
- Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.
- Respiratory virus season: Strategies for successful navigation
The authors review the burden, prevention, diagnosis, and treatment of influenza, COVID-19, and respiratory syncytial virus infection.
- How can I better recognize and manage delirium in my hospitalized patients?
By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.
- Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
- Oral condylomata lata
The patient had a 3-month history of painless oral lumps and intermittent sore throat.
- Matter of the heart: Prioritizing harm reduction in managing infective endocarditis associated with injection drug use
Despite specialty society recommendations, many patients do not receive treatment for substance use disorder in conjunction with heart disease treatment.
- It’s time for a little history of medicine—introducing a new feature in CCJM
This month, we debut a feature focused on topics in the history of medicine, authored by Cleveland Clinic rheumatologist Adam Brown, MD.
- Skin manifestations in a patient with acute bacterial infective endocarditis
During a dialysis session, the patient experienced the onset of rigors accompanied by the appearance of painless purpuric lesions, which developed into petechiae.