Mayo Clinic Infectious Disease Case Review: With Board-Style Questions and Answers (Mayo Clinic Scientific Press)

This textbook addresses many of the current-day illnesses seen by primary care clinicians and infectious diseases specialists. A case presentation format is used for all 54 chapters, and this framework serves as a wonderful educational tool that mirrors, in many respects, the objectives of a “case conference” format. The dozens of authors from different areas of our specialty have ensured that a robust clinical examination of specific infection syndromes has been included. In addition, the Question and Answer section solidifies the educational benefits for all levels and types of clinicians who seek an understanding of disease diagnosis, management, and prevention. A well-recognized characteristic of infectious diseases specialists is our focus on epidemiology, and this trait has served us well in developing successful clinical careers. Perhaps our compulsive investigation of a patient’s illness has been key in the desire of our colleagues from other specialties to “get infectious diseases involved.” This focus is evident in each chapter so that the reader will have a deeper understanding of the epidemiology of illness and its impact on early, pathogen-based diagnoses. Advances in the microbiology laboratory have clearly been influential in the diagnosis and management of infectious diseases. Automated systems have revolutionized laboratory activities, and even work areas in the laboratory have evolved. This textbook addresses many of these laboratory tools and how to interpret laboratory test results, which now are often available in almost warp speed. As a result, the duration of empiric (and possibly incorrect) therapy is shortened with the subsequent initiation of specific treatment, to the benefit of the individual patient. Cover 1 Series 3 Mayo鈥疌linic 4 Copyright 5 Preface 6 Table of聽Contents 8 Contributors 12 Section I Cases 16 1 Pneumonia in a Patient With a Kidney Transplant 18 2 A聽Pregnant Pause 22 3 What a Headache! 26 4 Retinal Lesions and Eye Pain 30 5 Ascites at the Border 34 6 A聽Lengthy Leg Problem 36 7 A Filamentous Monster 38 8 The Great Mimicker 42 9 Altered Mental Status After Hematopoietic Stem Cell Transplant 46 10 The Resistance 50 11 Emergency Infectious Diseases 54 12 Kidney Disease and鈥疕IV 58 13 Constitutional Symptoms in a Patient After Cardiovascular Surgery 62 14 Piggyback Ride Anyone? 66 15 Premature Closure 70 16 Disclosure 74 17 Acute Respiratory Failure in a Patient With a Methicillin-鈥婻esistant Staphylococcus aureus Bloodstream Infection 76 18 More Than One Problem 80 19 Raised, Purplish, Papular Mass in the Oral Cavity of a Patient Receiving Therapy for HIV/鈥婣IDS 84 20 Transplant Headaches 88 21 Neurologic Lesions Acquired Abroad 90 22 Fifty-鈥媃ear-鈥婳ld Man With Diabetes Mellitus and Sinusitis 92 23 A Swollen鈥疞eg 96 24 The Other Coinfection 100 25 An Earache Too鈥疐ar 104 26 Not So Good 106 27 A Little Atypical 108 28 The Initial Diagnosis Was Cholecystitis 112 29 Complicated Urinary Tract Infection With a Multidrug-鈥婻esistant Organism 116 30 Thrombocytopenia 120 31 When Transplant Goes Viral: The Perils of Overimmunosuppression 124 32 Ulcerative Skin Lesions in a Returned Traveler 128 33 HIV Prevention 132 34 Progressive, Cutaneous Nodules in an Immunocompromised Patient 136 35 Two Problems 140 36 Patient With Diplopia and Thoracic Pain 144 37 Integrating Resistance 148 38 Bilateral Tinnitus 154 39 Fever in a Returning Traveler 158 40 Dermatology Crisis 162 41 A 60-鈥媃ear-鈥婳ld Man With Multiple Falls 166 42 Flexor Tenosynovitis and Septic Arthritis After a Dog Bite 170 43 Healthy Young Woman With Fever and Jaundice 174 44 Does It Always Have to Be a Burning Sensation? 178 45 The Furuncle Keeps Getting Worse 182 46 Oral Ulcers in an Immunocompromised Patient 186 47 It Must Be Something in the Water: A Hand Infection After Fishing 190 48 Negative Pressure 194 49 An Unusual Cause of Prosthetic Joint Infection 198 50 HIV and Its Myriad Opportunistic Infections 202 51 A Travel Souvenir 206 52 Stuck Between a Foot and a Soft Place 210 53 Cutaneous Clue to a Fever of Unknown Origin 212 54 A Chronic Polyarthritis 216 Section II Questions and Answers 220 Questions 222 Answers 241 Index 258 Cover Series Mayo Clinic Copyright Preface Table of Contents Contributors Section I Cases 1 Pneumonia in a Patient With a Kidney Transplant 2 A Pregnant Pause 3 What a Headache! 4 Retinal Lesions and Eye Pain 5 Ascites at the Border 6 A Lengthy Leg Problem 7 A Filamentous Monster 8 The Great Mimicker 9 Altered Mental Status After Hematopoietic Stem Cell Transplant 10 The Resistance 11 Emergency Infectious Diseases 12 Kidney Disease and HIV 13 Constitutional Symptoms in a Patient After Cardiovascular Surgery 14 Piggyback Ride Anyone? 15 Premature Closure 16 Disclosure 17 Acute Respiratory Failure in a Patient With a Methicillin-​Resistant Staphylococcus aureus Bloodstream Infection 18 More Than One Problem 19 Raised, Purplish, Papular Mass in the Oral Cavity of a Patient Receiving Therapy for HIV/​AIDS 20 Transplant Headaches 21 Neurologic Lesions Acquired Abroad 22 Fifty-​Year-​Old Man With Diabetes Mellitus and Sinusitis 23 A Swollen Leg 24 The Other Coinfection 25 An Earache Too Far 26 Not So Good 27 A Little Atypical 28 The Initial Diagnosis Was Cholecystitis 29 Complicated Urinary Tract Infection With a Multidrug-​Resistant Organism 30 Thrombocytopenia 31 When Transplant Goes Viral: The Perils of Overimmunosuppression 32 Ulcerative Skin Lesions in a Returned Traveler 33 HIV Prevention 34 Progressive, Cutaneous Nodules in an Immunocompromised Patient 35 Two Problems 36 Patient With Diplopia and Thoracic Pain 37 Integrating Resistance 38 Bilateral Tinnitus 39 Fever in a Returning Traveler 40 Dermatology Crisis 41 A 60-​Year-​Old Man With Multiple Falls 42 Flexor Tenosynovitis and Septic Arthritis After a Dog Bite 43 Healthy Young Woman With Fever and Jaundice 44 Does It Always Have to Be a Burning Sensation? 45 The Furuncle Keeps Getting Worse 46 Oral Ulcers in an Immunocompromised Patient 47 It Must Be Something in the Water: A Hand Infection After Fishing 48 Negative Pressure 49 An Unusual Cause of Prosthetic Joint Infection 50 HIV and Its Myriad Opportunistic Infections 51 A Travel Souvenir 52 Stuck Between a Foot and a Soft Place 53 Cutaneous Clue to a Fever of Unknown Origin 54 A Chronic Polyarthritis Section II Questions and Answers Questions Answers Index Mayo Clinic Infectious Disease Case Review is a comprehensive collection of case studies covering a wide array of infectious diseases. This volume addresses many common illnesses that primary care clinicians and infectious diseases specialists will see during their practice. With a focus on epidemiology, the investigative study of each case addresses laboratory tools to be used and how to interpret the results. This volume contains: · 54 unique case vignettes · Highlighted key takeaways for each case · Practice questions and answers for review Mayo Clinic Infectious Disease Case Review collects some of the most experienced voices in the field. Coming from different areas of expertise in the specialty of epidemiology, the authors of this volume robustly investigate and examine specific infection syndromes. This book will be useful to busy clinicians for their treatment of different infectious diseases in their daily practice, as well as for those interested in evaluating their knowledge and familiarity with infectious diseases.