Infectious Diseases
- Fever in a traveler returning from Ethiopia
His symptoms began about 10 days after returning and had been going on for 11 days. What was the cause?
- Sepsis and septic shock: Guideline-based management
Sepsis requires prompt recognition, appropriate antibiotics, careful hemodynamic support, and control of the source of infection.
- How to respond to flu vaccine doubters
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
Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.
Appropriate laboratory testing in Lyme diseaseTesting 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?
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
Immunosuppressive drugs can predispose to invasive fungal infection.
- A young man with acute chest pain
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
Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.
- When does acute pyelonephritis require imaging?
Imaging is recommended for those at risk of complications.