Infectious Diseases

  • Fournier gangrene
    Hiroki Matsuura, MD and Kazuki Iwasa, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.85a.18036

    The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

  • Brain abscesses in a 60-year-old man
    Stella Pak, MD, Shawn Marein, DO, Victor Valencia, Damian Valencia, MD, Jessica Uhler, BS and Adam Fershko, MD, FACP
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 672-674; DOI: https://doi.org/10.3949/ccjm.85a.17130

    The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.

  • Palmoplantar exanthema and liver dysfunction
    Tatsuya Fujikawa, MD, PhD and Hiroki Matsuura, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 591-593; DOI: https://doi.org/10.3949/ccjm.85a.17060

    The patient admitted to having had unprotected sex with a female sex worker.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

  • S aureus bacteremia: TEE and infectious disease consultation
    Susan J. Rehm, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 521-522; DOI: https://doi.org/10.3949/ccjm.85a.18061

    Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.

  • Necrotizing fasciitis after a watercraft accident
    Natsu Fukui, MD, Mark Delman, MD, Tuyethoa N. Vinh, MD and Svetolik Djurkovic, MD, FACCP
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 448-449; DOI: https://doi.org/10.3949/ccjm.85a.17096

    Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.

  • The algorithm less traveled
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 346-347; DOI: https://doi.org/10.3949/ccjm.85b.05018

    At Bellevue, the RPR was a routine test; at the University of Pennsylvania not so much—it all depends on context.

  • Eyes of the mimicker
    Tamara A. Sussman, MD, Nabin K. Shrestha, MD and Maria Miklowski, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 356-357; DOI: https://doi.org/10.3949/ccjm.85a.17074

    A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.

  • How soon should patients with infective endocarditis be referred for valve surgery?
    Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 362-364; DOI: https://doi.org/10.3949/ccjm.85a.17052

    Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.

  • Infective endocarditis: Refer for expert team care as soon as possible
    Gösta B. Pettersson, MD, PhD, Brian Griffin, MD, Steven M. Gordon, MD and Eugene H. Blackstone, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 365-366; DOI: https://doi.org/10.3949/ccjm.85a.18019

    Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.

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