Disseminated Histoplasmosis
November 9, 2010
For 3 days, a 28-year-old woman with a history of polymyositis and possible dermatomyositis had fever, chills, and nonproductive cough. She complained of rash, joint pain, and progressive immobility because of severe muscle weakness. For the past 6 years, she had been taking prednisone (60 mg/d), hydroxychloroquine (200 mg bid), and tramadol (100 mg q6h prn for pain).
Disseminated Histoplasmosis
January 15, 2010
A 38-year-old man had fever and fatigue for the past 6 days and tenderness in the left upper abdominal quadrant for the past 3 days. He also had a facial butterfly rash that had been present for 10 years and a 1-year history of lupus nephritis, treated with prednisone and mycophenolate. He denied respiratory complaints or recent weight loss.
Aspergillus niger Infection
December 7, 2009
For 10 days, a 55-year-old man had a productive cough and progressively worsening rightsided chest pain that was sharp, nonexertional, and worse with deep inspiration and movement. He denied hemoptysis, fevers, sick contacts, or recent travel.
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ASH is the largest organization of hypertension researchers and health care providers in the United States committed to preventing and treating hypertension and its consequences. The editors of ConsultantLive bring you updates from the 2013 ASH conference in San Francisco, CA. Read More Prominent, pigmented polyangular scales on the extensor surfaces of the arms, legs, and trunk suggested recessive X-linked ichthyosis. More in this article.Read More Take the survey on medical marijuana and see how your colleagues answered.Read More More than 1300 physicians of all specialties responded to the 2012 survey. Many of the respondents are primary care physicians. See how your colleagues responded and learn what concerns them most.Read more Here, the Physicians Compensation Survey reveals how pediatricians responded to various questions related to their field.Read More
September 18, 2012 The black, hard center represents an eschar. This type of morphology is almost always caused by a virulent organism—bacterial or fungal. Biopsy showed non-septate hyphae within the dermis, and a culture grew Mucor species (a saprophytic soil fungus). More »August 21, 2012 Serum procalcitonin level is a more specific marker for detection of bacterial infection in patients with rheumatoid arthritis than C-reactive protein level, erythrocyte sedimentation rate, or white blood cell count. More »May 7, 2012 Hospitalization rates for bacterial infection are higher in children who have juvenile idiopathic arthritis (JIA) than in those who do not, according to an observational study. More »February 17, 2011 Bacterial meningitis and herpes simplex virus type 1 (HSV-1) encephalitis are both associated with significant morbidity and mortality. Thus, hospitalization and prompt initiation of therapy are essential. More »February 8, 2011 Musculoskeletal infections in children include osteomyelitis, septic arthritis, and pyomyositis. Most of these infections are bacterial. More »February 19, 2010 With advances in chemotherapy, transplantation, and the treatment of diabetes and HIV infection, fungal sinusitis has become increasingly recognized in patients in these at-risk groups. More »November 9, 2009 The clinical diagnosis of influenza is often challenging, especially in young children. Thus, pediatricians often use in-office rapid influenza diagnostic tests (RIDTs) to confirm clinical suspicions of influenza. More »October 29, 2009 A novel H1N1 influenza virus has emerged from swine and is causing a worldwide pandemic. Children and young adults have been most affected, in terms of both numbers of cases and severity of disease. Perhaps the most striking feature of the pandemic so far is that fewer than half of those... More »August 31, 2009  Purpuric pustules can present diagnostic challenges. However, the ability to correctly identify these lesions can be of crucial—even lifesaving—importance... More »June 4, 2009  Persons with HIV infection frequently present with anemia from different causes, including use of antiretroviral therapy (typically zidovudine), iron deficiency, vitamin B 12... More »
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