Infectious Diseases

  • When should I give corticosteroids to my patient with Pneumocystis pneumonia?
    Simran Gupta, MD and Lisa M. Bebell, MD, MSc, FIDSA
    Cleveland Clinic Journal of Medicine April 2024, 91 (4) 217-219; DOI: https://doi.org/10.3949/ccjm.91a.23082

    Patients with HIV infection who are hypoxemic should receive corticosteroids. Evidence for patients without HIV infection is limited.

  • Is there a role for chronic suppressive therapy in herpes simplex virus infection?
    Sandhya R. Nagarakanti, MD, FIDSA and Ahmed M. Zikri, PharmD
    Cleveland Clinic Journal of Medicine March 2024, 91 (3) 151-153; DOI: https://doi.org/10.3949/ccjm.91a.23099

    Yes, in patients with recurrent oral and genital HSV-2 infection and oral HSV-1 infection.

  • Conjunctival petechiae in infective endocarditis
    Akinori Sekizawa, MD, Ayaka Nagano, MD, Kenichi Hashimoto, MD, PhD and Yosuke Ono, MD, PhD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 20-21; DOI: https://doi.org/10.3949/ccjm.91a.23041

    A 75-year-old-man presented with a 33-day history of intermittent nocturnal fevers of 39°C (102°F) and truncal rashes. The rashes appeared on the same day as the fever.

  • Hey, Doc: Could the 2023–2024 cold and flu season finally be the calm after the storm?
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 729-734; DOI: https://doi.org/10.3949/ccjm.90a.23088

    The author answers questions patients may have about the currently available influenza, COVID-19, and respiratory syncytial virus vaccines.

  • COVID-19: A management update
    Kathryn Bash, MHSc, MSN, APRN-CNP, Gretchen Sacha, PharmD, BCCCP and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 677-683; DOI: https://doi.org/10.3949/ccjm.90a.22102

    The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.

  • vOka vaccine-associated disseminated varicella zoster
    Peter R. Hyson, MD and Louis B. Polish, MD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 599-600; DOI: https://doi.org/10.3949/ccjm.90a.23008

    The patient had received the live attenuated vaccine 1 month before presentation. He had no history of varicella infection.

  • Masked tinea
    Ayano Hamai, MD and Yukinori Harada, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 601-602; DOI: https://doi.org/10.3949/ccjm.90a.23002

    A result of daily mask-wearing during a long hospitalization.

  • Should midodrine be used as an intravenous vasopressor-sparing agent in septic shock?
    Simran Gupta, MD, Ayan Sen, MD and Aman Verma, DO
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 603-605; DOI: https://doi.org/10.3949/ccjm.90a.23040

    Research and robust data are still lacking regarding use of midodrine in this setting.

  • Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
    Daniel Rozenbaum, MD, Anirudh Yalamanchali, MD, MS and Deborah Hornacek, MD, FSVM
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 611-614; DOI: https://doi.org/10.3949/ccjm.90a.23018

    The authors provide recommendations on when to order imaging of the extremities in the evaluation of hospitalized patients with unexplained fever.

  • Persistent rectal pain leading to diffuse pustules
    Lydia Cassard, BA, Taylor A. Bullock, MD, Wyatt Andrasik, MD and Anthony P. Fernandez, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 537-539; DOI: https://doi.org/10.3949/ccjm.90a.22089

    The authors relate the workup of a 34-year-old patient with a history of syphilis and human immunodeficiency virus.

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