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EM@3AM: Murine Typhus

EMDocs

Clinical Infectious Diseases , vol. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. 2018 Oct-Dec;55(4):258-264. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus.

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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19.

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Two Big Changes in Community Acquired Pneumonia Treatment

ACEP Now

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.

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EM@3AM: Kawasaki Disease

EMDocs

Kawasaki disease: epidemiology and etiology. Kawasaki disease: a comprehensive review. 2018; 3: e41-e45. link] Clinical Practice Guidelines: Kawasaki Disease. Kawasaki disease: clinical features and diagnosis. He has had a high fever of > 103°F (39.4°C) C) for the past week. In: Post TW, ed. UpToDate;2022.

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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

A 2018 meta-analysis reviewed here suggested that prolonged infusion of antipseudomonal beta-lactams reduced mortality by 30% compared with shorter infusions, and more observational data has accumulated since that time. Read in Read in Clinical Infectious Diseases

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Support Care Cancer.

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EM@3AM: Cardiac Transplant Complications

EMDocs

10 Dysrhythmias (more commonly ventricular), chest pain, dyspnea, acute CHF and shock are all possible. 12 This is a variant of coronary artery disease in the allograft vessels, characterized by concentric intimal hyperplasia, as opposed to the eccentric pattern seen in atherosclerosis among non-transplant coronary arteries.

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