Infectious Diseases
- Appropriate diagnosis of tickborne infections
Fear of undertreatment of early infection can morph into unwarranted treatment of nonexistent chronic infection.
- Secondary syphilis
A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.
- Syphilis 100 years later: Another lost opportunity?
A century of progress and then backward steps on syphilis and other sexually transmitted diseases.
- Tickborne diseases other than Lyme in the United States
Consider them in patients with known or potential tick exposure and fever or vague constitutional symptoms.
- Necrotizing pancreatitis: Diagnose, treat, consult
Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.
- Postexposure management of infectious diseases
People who have been exposed to an infectious disease should be evaluated promptly and systematically.
- Evidence helps, but some decisions remain within the art of medicine
In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.
- To have not and then to have: A challenging immune paradox
The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is suddenly normalized.
- Drug reaction or metastatic lung cancer?
Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.