Infectious Diseases Case Management Conference 2016-2018

Infectious Diseases Case Management Conference 2016-2018

Infectious Diseases Case Management Conference 2016-2018

Sessions

Topic Session datesort icon
24yo w/neck mass & Fever->EBV; 38yo h/a/Fx3 weeks, then rash->WNV; 74yo from India s/p kidney tnsplnt w/ chronic F & infiltrates->mTB & mold 1/8/16
28 Gambian MV dz 2 mo hospital w/F, granuloma hepatitis, new veg->AFB! ? mngmt; 26 s/p MVA and spine surg w/ h/a/F->Stool grew salmonella 1/15/16
65 lung tplt hip pain new skin lesions SOB->dis VZV; 66 Nigerian RLE weakness abnl brain/spine/chest CT->HIV/PML->new diffuse rash->VZV; h/o spelunking now w/Ca nodes->Histo 1/22/16
Lung tplt w/F abd pain/surface lesions on liver->HSV; FUO/rash->B-cell lymphoma; CLL/BMT/GVHD chonic cough new large mass lesions in lung->nocardia; Vietnamese w/multiple lung changing nodules/spinal lesion->mouth flora(fuso, actino) 1/29/16
Mngmt of non-adherent HIV w/severe MRSA vertebral osteo->Oritavancin; MVA w/liver abscess/ICU, now w/growth on trachea->aspergillus; Traveler from Haiti w/rash, arthritis->Zika virus 2/5/16
AIDS pt w/watery diarrhea->spirochetosis; 72yo w/psoriais on humera w/cough+wt loss past IGRA-negative->mTB; 3yo with rice-sized worms in stool->Dog tapeworm (Dipylidium caninum) ingestion of fleas 2/12/16
Forehead swelling worseing on antbix->B-cell lymphoma; 50yo from India on adalimumab w/F, pulm status worsens after bronch, ?TB->Histo; Recent Ht tplt w/F GPR in BC & pleural fluid->lactobacillus 2/19/16
64yo w/auto-immune hepatitis on azathioprine w/diarrhea & delta-MS->disseminated CMV; 25 yo AIDS w/progressive anemia->parvovirus 2/26/16
Past HCV on Rx for Thymic cancer w/Fever & GNR in blood->campylobacter fetus; 67yo fever, confusion, rash->traveled to Uganda->East African trypanosomiasis (sleeping sickness)! 3/4/16
mngmt of common variable immunodef. w/ recurrent campylobacter infections and diarrhea; 74 yo w/chronic drainage from buttock ->sinus track from RUQ abscess w/actino ? from choley 2 years ago 3/11/16
Asplenic pregnant female w/2-wks F, cough, h/a->Babesia; Mngmt of HIV pt w/recurrent M. xenopi verteb osteo; Complex onc pt w/mult infxn, past C. dif, acute onset of watery diarrhea->Norovirus 3/18/16
Renal tplt w/2 mo of foot infection->madura foot (Eumycetoma); Distant past liver tplt w/diarrhea/renal failure/delta MS->C.dif & CMV; "Survivor" contestent w/F->Rickettsia africae 4/8/16
62yo w/1mo. multiloculated thigh abscess->Salmonella; Ht tsplt w/thigh & ankle cellulitis->Cryptococcus!; 1 yr FUO->Kikuchis/anti-synthetase syndrome 4/15/16
41yo acute abd pain w/vesico-sigmoid fistula->Pylephlebitis!; Discussion of Zika & pregnancy advice; 37yo w/monthly fever & ulcers on tonsilsx3 yrs->PFAPA! 4/22/16
Chonic fluid collection after elbow trauma->M. gordonae; Mngmt of nasophar CA w/culture neg meningitis; Mngmt of worsening CXR while on rx for mTB 4/29/16
Traveler to Africa w/larvae coming out of skin->Putzi/Tumbu fly larvae; Flu-like illnes post blood transfusion in S. America->T. cruzi; Mngmt of syphilis in pregnancy 5/6/16
Mgmt of recurrent Herpes B infection; Change in mental status w/abnl CSF->Eastern Equine Encephalitis 5/13/16
Mgmt of recurrent pyelo due to altered anatomy; Hatian w/enhancing brain stem lesion->?mTB?; Renal/Liver tplt w/new bilat patchy pneumonia->Legionella jamestowniensis 5/20/16
Multiple arm lesions after gardening->nocardia, but sulfa allergic; Recurrent joint pain, now looks like spetic arthritis->RA & mgmt of P acnes in culture; Mngmt of chronic mucocutaneous candidiasis w/R azoles 5/27/16
RA pt recently d/c TNF-blocker w/diarrhea->UC; Egyptian w/dysphagia & CP->Histo!; Cirrhotic w/post-op absc w red hands->Linear IgA bullous Derm; Kidney tplt w/chronic rash on one leg->M. marinum 6/3/16
Healthy 24 yo from Ghana w/new cough and rapid worsening requiring ECMO->mTB; Veteran w/delta MS multiple CNS lesions->Met lung CA; Mgmt of CF lung tplt candidate w/AFB->Segniliparus rugosus 6/10/16
HIV w/diffuse rash->syphilis; 65yo w/encephalopathy p-GI surg->? CJD, ? vasculitis; UC pt on infliximab w/nodular pneumonia->Legionella! 6/17/16
Chin lesion w/drainage->likely actino; MS pt w/chronic diarrhea->Shiga toxin +(EHEC); Ht tplt w/bloody diarrhea and colonic ulcers->strongyloides 6/24/16
22yo w/congenital ht dz now w/ring enhancing brain lesion->actino; 62yo w/distant ht tplt now w/F/D mult spleen&liver lesions->B.henselae endocard; Guatemalan w/F and jaundicex1mo large spleen->babesia 7/1/16
Met carcinoid tumor w/new lung lesion->mucor; Mgmt of dog/racoon rabies exposure; Mult bullseyes lesions->Lyme; Summer viral illness progressing to shock->lethal ehrlichiosis 7/12/16
3rd trimester w/F RLQ pain rapidly critical->Group A strep; 79 yo w/empyema->Listeria!; M&M immunocompromised pt w/ new cough and dense infiltrate/mass in entire left lung->Legionella 7/19/16
AIDS w/mult OIs including past Toxo, now HIV controled with deltaMS/Sz->Toxo relapse; Pt who lived in jungles of Peru for 5 yrs with cachexia&lung cavities->Histo!; 39yo s/p chemo for colon CA with granuloma in spleen (spine&lung)->Sarcoid 7/26/16
IVDA w/chronic eye problem->C.albicans; Aseptic meningitis->HSV2;Mgmt of +MHATP w/neg RPR; neonatal HSV1 infxn 8/2/16
Mgmt 28yo w/cystic lung dz&aspergillus ? rx ? trplt candidate?; AIDS from Sierra Leone w/pulm&CNS dz->likely mTB; Elderly with liquid CA and rapidly progressing lung lesion->Rhodococcus 8/9/16
71 yo w/subacute onset of encephalitis->West Nile; 65 yo veteran w/empyema & chronic discitis->Capnocytophagia; Discussion of Zika testing 8/16/16
31 yo w/recurrent F rash thrombocytopenia->Adult Stills w/HLH; 28 yo new CHF recovering renal dz->Post-strep glomerulonephritis vs. carditis 8/23/16
Mgmt of exposure to bat feces while in Cancun; Hodkins pt w/rapidly cavitating pneumonia->L. maciacernii; Allogeneic tplt w/new brain lesions->melanoma; Vestibular toxicity from gent 8/30/16
Mgmt HIV while on PReP; 70yo w/1 mo illness & concerns about Lyme->Babesiosis; Distant stem cell transplant now w/Bradyrhizobium enterica bacteremia 9/6/16
Filipino w/Ht tplt recent cryptosporidiosis, new h/a, chronic cough->mTB; Ukranian w/worms in mouth->Gongylonema pulchrum 9/13/16
40yo w/necrotic nasal lesion/sinusitis->Cocaine/percocet; 70yo w/anemia F/S abnl chest CT spleen lesion->myelodysplastic syndrome; 50yo w/chronic cough wt loss->HIV/PCP/CMV pneumonitis 9/20/16
Pregnant returning taveler from India w/Fever->Dengue; Veteran w/onset of meningitis in hospital->Crowned Dens Syndrome; kidney transplant s/p trip to Viet Nam w/elevated LFTs->Chronic Hep E 9/27/16
GI case w/numerous polypoid lesions in terminal ileum->Florid reactive lymphoid tissue from giardia; Mgmt of echinococcus liver abscess; Mgmt of Strep intermedius joint & bone infxn w/hardware now in place 10/4/16
ALL, neutropenia bug bites leg lesions->Sweet syndrome; Surgeon w/ 4d H/A fever->Babesia; Prior Ht tplt w/CMV & new infiltrates->PCP 10/11/16
Progressive lung dz in pt on steroids->Nocardia; young female w/subacute delta MS->anti-NMDAr; Lung tplt w/new effusions & declining PFTs->M.kansasii 10/18/16
Gambian in US w/progressive LE weakness->HIV; Female w/PID progressing to spinal cord abscess->Gardnerella!; woman 2mo post-partum w/ascites & peritonitis->PID ? chlamydia 11/1/16
F/C rhabdo->legionella; CLL with recurrent peri-tonsillar abscess->Bcell lymphoma; Rash, migrating lumps->Loa Loa 11/8/16
New HIV/AIDS w/large chronic lesion on hard palate->plasmablastic lymphoma; Chronic HIV/AIDS w/N/V/F abd pain->MAI of liver; Mngmt of positive HTLV-1 serology 11/15/16
15yo traveler to Thailand w/chronic leg ulcers->Burkholderia pseudomallei; 40 yo AIDS w/chronic fever/lymphadenopathy/abd pain not responding to MAC rx->M. genavensae 11/22/16
Mngmt of VRE endocarditis; Cirrhosis with Fever and stroke->crypto; Returning traveler from Mexico w/F and diffuse rash->HHV-6; Returning traveler from Guatemala w/conjuctivitis & diffuse rash involving palms->Zika 11/29/16
Recurrent colon CA w/microscopic worms in liver path->vegetable material from prior perf; Chronic knee pain->Lyme; skin infection after tatoo->M. chelonae 12/6/16
Mgmt of Veteran with fungating lesion in nose/sinus; BMT pt w/progressing lung lesions that cavitate on antifungal->?IRIS?; High Ca++ w/lung nodules->Histo 12/13/16
Update on HIV testing; Mngmt of MAI/M. abscessus lung infxn; Liberian w/30lb wt loss and abd findings->mTB & HIV 1/10/17
HIV w/new hearing & eye problems, rash on scalp->Syphilis w/prozone effect/ PCN desensitization J-H rxn; Breast CA pt w/infxn at mastectomy site-> Resistant M. chelonae; Mngmt of penile fracture complicated by infected hematoma 1/17/17
Nursing home pt w/Staph bacteremia and thick skin rash->Scabies; 70 yo w/chest pain/myocarditis->Legionella mycoarditis; Mngmt of intermitent S. aureau bacteremia in pt w/old AAA graft 1/24/17
73yo chronic hospitalization w/erysipelothrix-like rash->M. chelonae; 22 lung tpts w/mass in back of orbit->PTLD; Returning traveler from India w/abd pain/feve->Typhoid fever; Tendon rupture p-fall->Cx with algae! 1/31/17
88yo w/new asthma abnl xray & bronch growing AFB & nocardia->mngmt; 37 yo w/finger injury nodules up arm and abnl CXR->Sarcoid, M.marinum from arm lesion 2/7/17
Mngmt of M.kansasii in Lung tplt; HIV, renal transplant w/bloody diarrhea->shigella by molecular testing; Mngmt of polymicrobial skin infxn; Crohn's pt on infliximab w/ scalp pain CN findings, hearing->Ramsey Hunt 2/14/17
CNS lymphocytosis & CN finding, ? lymphoma->Lyme; Sierra leone w/Liver & lung dz->Sarcoid vs. TB; Mexican w/brain stem lesion, ? cysticercosis->syringobulbia 2/21/17
Liver tplt w/F & plts of 8K->?CMV iduced ITP; Lung Tplt F and empyema->lactobacillus; Elderly man w/dementia "sarcoid", very abnl CSF->mTb! 2/28/17
Lung tplt w/recurrent C. kruseii infxn->donor derived; Lung tplt w/new F, cough->Cryptococcus (+LP); College student h/o F/S, new rash->syphilis; Mgmt of worsening symptoms in AIDS/MAI (MAI vs. IRIS)->Rx steroids 3/7/17
Mgmt of recurrent brain abscess in pt w/congenital cardio-pulm dz; Lung tplt w/chronic pruritic rash->polyomavirus-7; Tplt pt w/acute necrotic brain lesion->Toxo!; chronic mastoiditis not responding to antibx->Granulomatosis with polyangiitis (Wegners) 3/21/17
ALL w/dyspnea F miliary dz on CXR->BC+ coccidioidomycosis; Mngmt of DVT w/infect thrombus in Ao arch; Mngmt HCV/HIV non-compliant w/meds s/p liver trplt 3/28/17
Elderly man w/F/N/V->Listeria; Homless with bilat leg uclers->fat necrosis; S. African w/HIV & h/o leprosy with painful skin lesions->conversion rxn; Mngmt of AoVR w/ staph endocarditis 4/4/17
Liberian w/h/a->P. ovale; 79yo w/HIV w/FUO->mTB; post Flu B hemorrhagic pneumonia & shock->S. pyogenes toxic shock 4/11/17
19yo ECMO Lung tplt open chest->mucor infxn; CLL RUL pneumonia p-chemo->Legionella (non-type 1); Cases from Bots: rhinocerebral mucormycosis; brain empyema from sinus infxn 4/18/17
Mgmt of thermomyces endocarditis; Veteran w/chronic h/a and acute delta MS->HSV2; Wrist swelling in pt w/prior M. marinum infxn->M. marinum 4/25/17
Acute leukemia w/F/confusion/sepsis->B. Cereus/mgmt; Mgmt GNR meningitis w/PCN allergy->acinetobacter; Dx of body rash in returning traveler from Dominican Republic->Zika (cross rxn Dengue Ab); Veteran w/ acute back pain->Gout! 5/2/17
Indian w/F/N/V/bloody diarrhea->Liver abscess->E. histolytica; s/p pancreatic CA, unremitting cough w/cavitary lesion->bordetella +/-MAC?; voluminous diarrhea s/p multipe rx for C. dif->Salmonella vs lactose intol vs. post-colitis diarrhea 5/9/17
Cambodian w/30lb wt loss, polymyositis, rash->?Syphilis; 36 HIV w/new cough & LUL cavitary, light growth MAI-> management discussion; 32 F/S/LN->mono 5/16/17
Lung tplt w/vaginal lesions & brochial anastomosis site->Malkoplakia (E.coli); Botfly case; College student w/mucositis, skin lesions, some hypoxia->Amox vs. adeno vs. mycolplasma; EBV seriology in a 60 yo w/chronic fatigue 5/23/17
Rx of acute on chronic foot ulcer w/polymicrobial bacteremia->AIN from beta-lactams; Hiker w/fever->anaplasma; Mgnmt of p-surgical sites w/M. chelonae 5/30/17
AML w/cat bit and cellulitis->pasteurella; HIV w/liver dz rx steroids w/ bilateral CXR findings->cryoptococcus!; 66 w/endocarditis->H. parainfluenza 6/6/17
Cambodian thalassemia-Fe overload w/liver abscess->hypervirulent Klebs; New sz's w/lots of sick animal exposures new lung mass->CABA-B receptor enceph from lung CA; Liver tplt w/flu-like illness/pancytopenia, new liver mass->anaplasmosis(hematoma) 6/13/17
26 HIV abd pain diarrhea Eos & new lung that develop while hositalized->EGPA vs hyperEo syndrome; 70 w/new diffuse rash->Anaplasma 6/20/17
Mngmt chronic mouth/jaw lesion now w/draining sinuses & unrevealing studies->should be actino; Peritoneal dialysis w/persistent F on antibx->mTB!; Distant lung tplt w/complications (M.abscessus retropharangeal abscess) w/acute abd->CMV appendicitis 6/27/17
Chronic foot infxn after dog bit/frequent pedicures->AFB; Fever, low plts, high creat->4% babesia; 87yo w/AoVR s/p MVA now w/meningitis->BC+Strep salivarius 7/7/17
Albanian w/liver cyst->echinococcus; Elderly Greek woman w/small lump in nose and thickened skin in nostrils->leishmania; Mngmt of pt w/AVR and thermomyces infxn, thrombotic events, CNS lesion 7/14/17
Pakistani man w/crhonic fistula dz on buttocks->hidradenitis suppurativa - use of biologics; Elderly man w/acute onset of severe hip pain->Erysipelothrix septic arthritis!; IVDA w/delta MS brain lesions abnl CXR->Septic emboli from Serratia endocarditis 7/21/17
Psoriatic arthritis on MTX & biologics w/4 wks swollen finger->M.marinum worsening on rx; Mngmt of MRSA endocarditis w/persistant bacteremia; Stem cell tplt w no B or T-cells ablnl CXR->Aspergillus & MAI, not improving 7/28/17
Indian women w/new sz abnl MRI->prob cysticercosis; 60yo on chemo for CA w/acute meningitis->Listeria; 82 w/wt loss chronic h/a mutiple CNS lesions->?vasculitis vs tumor? 8/4/17
Mngmt of Crohns on infliximab w/+TB test on biologic wants to get pregnant; Haitian w/Crohns on infliximab w/wt loss & abnl CXR->Miliary TB mgmt w/rising LFTs; Skin ulcers 1 yr after visit to Costa Rica->extranodal NK Tcell lymphoma 8/11/17
Ddx: 22yo w/new cardiomyopathy +Legionella antigen; CLL w/worsening lung abscess->CLL; Abd pain and shoulder pain->Lyme!; 16 yo past Lyme w/new facial palsy->Lyme 8/18/17
Mngmt untreated HIV in pregnancy near delivery; Student w/water & machete xposures while in FIji w/skin lesions->Strep, Staph; aBMT w/steroid responsive brain lesions w/new lesions and deltaMS->+GABA-A receptor (also had dead racoon exposure!) 8/25/17
Mngmt of MSSA endocarditis w/CNS emboli, timing of surgery; AIDS with facial lesions after shaving->Trichophyton; Ht tplt with rounded pneumonia->Pseudomonas!: AIDS w/wt loss pain on swallowing->aphthous ulcers 9/1/17
Mgmt of woman h/o anaphylaxis to PCN in labor w/clinda resistant GBS vag culture; returning traveler from Ghana->P. falcip, mgmt of pot severe malaria; 58 yo w/new CVA and rash on lower extr->syphilis 9/8/17
Camper lake-swimming, weeks of progressing nodular body rash->?Rheum (sarcoid, Behcet's); woman w/necrotizing surgical wound->pyoderma; Returning traveler w/fever->Typhoid 9/15/17
Kidney tplt w/acute encephalitis/paralysis & bat, cat, rat, sheep exposure->Powassan virus; Mgmt of ART in a pt w/ h/o various regimens >20yr about to undergo kidney tplt 9/22/17
41yo w/pruritic rash->Chickenpox; DeltaMS hydrocephalus->Listeria vs autoimmune; Cameron native w/Rx'ed P.falcip w/Hgb 4 & high Eos->post artesunate delayed hemolysis also undx'ed strongyloides 9/29/17
Returning traveler from Belize w/scalp lesion->Bot fly; 38yo w/necrotizing tonsilitis->HSV-1; ALL s/p Tplnt, past mucur with sepsis & difuse skin lesions->Clostridum sordellii bacteremia 10/6/17
1mo p-tplnt w/inflam arthritis of elbow->Mycoplasma hominis; Oral ulcers & heel ulcer->hydroxyuria; Lung tplnt w/lower ext rash/lesions post-fall in street->trichophyton 10/13/17
SLE w/pericardial effusion and worsening liver fxn->HSV hepatic necrosis (needing tplt); HIV/AIDS with rectal pain->syphilis AND LGV; Myeloma on chemo w/fever and rapidly spreadding bullous lesions->Sweet's syndrome 10/20/17
51yo from Ghana w/ UC/Liver Dz/+PPD, new HIV colon Bx w/CMV and AFB, abnl LFTs->Mngmt rx or not rx TB; 49 yo w/FUO w/splenic granuloma & pulm lesions +serology for bartonella->Mngmt not improving on rx 10/27/17
Discussion of pericarditis post-flu vaccine; Kidney tplt w/megacolon & bacteremia->salmonella; Chronic wounds on breasts->steroid induced VEGF inhib impaired wound healing; Past bowel perf w/new complex fluid collection->M. mucogenicum 11/3/17
Mngmt Ao aneurysm->?syphilis; Mngmt pregnant female w/?toxo exposure; Acute knee pain/swelling p-steroid injxn->Steroid crystal jt dz; Mngmt pregnant w/diarrhea & campylobacter 11/10/17
f/u FUO->splenectomy, prob bartonella; 25 yo w/Crohn's on adalimumab/steroid w/splenic infarct and rapid decline->B-cell lymphoma; identificaiton & Rx of bed bug; 78 chronic hip infxn on chronic suppr w/new high AST/ALT->Acute liver injury from amox/clav 11/17/17
Mngmt of young female w/F/delta-MS/abnl LP and neg w/u; Young female w/chronic h/a, F, hydrocephalus->Crypto/mngmt; Infected finger after tree branch cut->pasteurella 12/1/17
Mngmt of Malaysian w/chronic pleural thickening/small cavitary, fever, some MAI; AVR w/chronic night sweat, F, wt loss, abnl liver & spleen, neg BC->M. chimaera 12/8/17
IVDA DM w/bilateral hydronephrosis->Aspergilus; Mnmt Vietnamese air traveler w/+PPD, now w/mTB; Veteran on PrEP w/sore throat ? +gen4HIV test->EBV; Mngmt of health care workers exposed to baby w/congenital syphilis 12/15/17
Honduran with multi-loculated tubo ovarian abscess/abnl CXR->TB; 18yo w/2nd meningitis->aseptic meningitis from Lamotrigine; 70yo BMT w/2 months of neurtropenic fever on vori->mult septic emboli from ?aspergillus/mold 1/5/18
Mgmt of 67 AVR/ESRD w/persistent VRE bacteremia and no source; 66 Vietnamese w/vasculitis steroids mastoid surgery now w/E. coli meningitis->Strongy; 80 yo w/eso strictures worsening CXR (ground glass) p-dilation->new HIV dx/PCP 1/12/18
40yo w/HIV recurrent syph now w/Lichen planus & rock hard testicle->mTB!; 65yo Liver tplt 1mo ago w/delirium->HHV-6; 70yo w/chronic painful finger/necrosis->calciphylaxis 1/19/18
Mngmt of 23yo w/worsening cryptococcal brain lesions on fluconazole; Mgmt of 66yo w/liver cancer and Strep gallolyticus (Bovis) cholecystitis vs endocarditis 1/26/18
Pet rabbits w/lip and genital lesions->Rabbit syphilis (T. cuniculi); L pleural effusion p ht valve repair, new pnemonia->Enterococcus; 74 bisexual, HIV neg, Cranial nerve findings, leg weakness, ablnl CSF->met lung CA 2/2/18
Allo tplt GVHD w/oral ulcers ocular sx's rapidly progressing CNS change->mucor; Prior MVR for endocarditis, new brain lesions->PML due to idiopathic CD4 lymphopenia; kidney tplt s/p leg fracture from falling bricks; new leg lesion->aeromonas 2/9/18
Mgmt of persistently elevated RPR (1:250) after multiple course of PCN; Dx & mgmt HIV w/hemoptysis Lung cavity w/Aspergilloma; 85yo w/FUO now w/enlarging liver & spleen lesions->angiosarcoma 2/16/18
HIV past AZT abnl gait->mitochondrial DNA depletion syndrome; Mngmt of progressing M. avium in psoriatic arthrits pt on biologics; Oral ulcer from syphilis, new HIV; Ethiopian w/colitis & eosinophilia->strongy 2/23/18
purulent ulcer on neck that began as a popped pimple->MRSA; Mauritanian w/hematuria->schisto;Mgmt ear drainage w/M. abscessus & mucor; Mgmt S. American with multiple pea-sized enhancing brain lesions 3/2/18
28yo w/fever, myalgias, polyarthritis and evolvoing rash->? Stills; 22yo w/abd pain and evolving purpuric rash->IgA vasculitis (HSP); Mngmt young DM w/TPN line Staph lugdunensis and candida bacteremia and large abscess in right atria on TEE 3/9/18
40yo Liberian (HIVneg) w/chronic nodular lesions->Endemic Kaposi's; Mngmt pt w/LVAD and persistent and recurrent MSSA bacteremia; Young female w/childhood renal tplt w/recurrent PID->? Mycoplasma genitalium? 3/16/18
Mngmt of CF h/o Segniliparus rugosus infxn now p-lung tplnt w/new chest wall lesions; Mngmt pregnant Nigerian w/AIDS & TB; Mngmt AAA repair in pt from Sierra Leone w/ poorly formed granuloma on path & pos-Quant gold 3/23/18
63 Liberian traveler w/fever->Mngmt P. ovale/vivax; LN bx w/necrosis->CLL/SLL w/HSV associat. lymphadenitis; 28 w/SCC crisis s/p transfusions and fever->false pos malaria test->Babesia; Mngmt Lyme w/mult CN and ? cardiac involvement 4/6/18
Mngmt H&N CA w/lung lesion w/cryptococcus; Mngmt bladder CA w/urine->mite; Mngmt 25yo PR w/parotid lesion->caseating granuloma; 69 yo w/cirrhosis and subacute neurologic sx's and multiple brain lesions->cryptococcus; Renal tplt w/pneumonia->new HIV PCP 4/20/18
Complicated young AIDS, DM, mac/IRIS w/continued skin lesions w/ granulomas->Sarcoid w/tuberculin response; HIV w/signif right-sided facial swelling->B-cell lymphoma 4/27/18
Mngmt of 72yo w/RUL lung lesion s/p resection w/caseating granuloma AFB&Cx neg; Indian w/ESRD new liver failure & Eos->schisto; AML/GVH worsening pulm nodules on vori->mucor 5/4/18
AIDS w/past B-cell lymphoma now w/delta MS abnl MRI->??PML; ESRD prior crypto new HBsAg awaiting tplt->recent HBV vaccination; Multiple ulcers on routine colonoscopy->Entameba histolytica 5/11/18
Mgmt crypto meningitis w/persistant +stain, but not growing; Healthy athelete w/lung abscess vs. empyema; MSM Asian traveler w/descrete colonic ulcers->possible Amoebiasis; Discussion of new WHO ART recs in females of child bearing age 5/18/18
Mngmt of Malaysian s/p empiric Rx for TB w/non-healing VATS site; Elderly man w/chronic cough->Lung abscess 5/25/18
Healthy 19yo w/F/sweats/DOE/abnl CT->Histo; Mngmt community acquired ESBL; Bangladeshi w/myasthenia gravis on steroids w/chronic knee bursitis->mold (medicopsis romeroi) 6/1/18
history of HIV/AIDS 6/8/18
Elderly man s/p infiltrated iv now w/chronic pustular nodules->prototheca;Baseline neurogegenerative dz w/new rigidity->? tetanus; Mngmt HIV on changed ART w/blip->antacids 6/15/18
Diabetic w/acute eye pain->CMV retinitis; Mgmt recurrent candida endocartitis in IVDA; Persistent neutropenic fever on antibx/antifungals-> M. abscessus; Bladder CA rx BCG w/many cavitating lung nodules->Brochiolitis obleterans; 6/22/18
Recurrent AML on Imi/caspofungin w/BC's +candida&fungal elements->trichospora & C. parapsilosis; Mngmt new myocarditis & tick identification Ddx; Gardiner with a bug bite and necrotic lesion->Erythema migrans 6/29/18
Lymphoma pt on Ibrutinib & pulse steroids with new SOB/abnl chest CT with nodular infiltrate->PCP; AIDS pt w/ h/a progressive lethargy and single cerebellar mass w/edema 7/6/18
Camper returning from Utah/Arizona with large nectrotizing LN in neck->Prob plague: Pennsylvanian w/multi-organ failure w/?malaria->babesia+/-ehrlichia; 19yo w/recent sore throat now w/empyema ARDS->fusobacterium 7/13/18
Infectious Diseases Case Management Conference 7/20/18
Infectious Diseases Case Management Conference 7/27/18
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