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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. 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. Food and Drug Administration.

EMS 101
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Imported Malaria

Pediatric EM Morsels

Travel Medicine and Infectious Disease 44 (2021) 102196. Food and Drug Administration Approval of Artesunate for Severe Malaria: Enough to Achieve Best Practice? falciparum parasitemia , and no other defined cause of AMS (WHO 2023). Clin Microbiol Rev. 2020 Mar 11;33(2):e00104-19. Clin Infect Dis. 2023 Feb 1; 76(3): e864–e866.

Seizures 281
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Professional Medical Societies Call for Elimination of SEP-1

PulmCCM

The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1). The stakes are going up. That was the pregame.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. Oral administration of antibiotics: a rational alternative to the parenteral route. 1997; 24(3):457-67. PMID: 9114201 Siegel RE et al.

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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. Corticosteroid Use Historically, the administration of corticosteroids in patients hospitalized with pneumonia has been controversial. aeruginosa.

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EM@3AM: Kawasaki Disease

EMDocs

High-dose methylprednisolone (B) is not currently recommended, as steroids for Kawasaki disease are controversial. Low-dose aspirin (D) would not fully treat Kawasaki disease as high-dose aspirin is required. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. C) for the past week. Lakhani, N.

EMS 84
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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

A) Administration of a 30 mL/kg bolus of normal saline B) Admission for intravenous vancomycin C) CT scan of the pelvis D) Emergency surgical consultation and broad-spectrum antibiotics Answer: D Fournier gangrene is necrotizing fasciitis of the perineal, genital, or perianal anatomy. Clinical Infectious Disease. 2012;5(2):206.

EMS 87