Infectious Diseases

  • Antibiotic stewardship: Why we must, how we can
    Arjun Srinivasan, MD, FSHEA, CAPT USPHS
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 673-679; DOI: https://doi.org/10.3949/ccjm.84gr.17003

    It has always been a good idea; now it is required.

  • Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

  • To have not and then to have: A challenging immune paradox
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.84b.12017

    The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is suddenly normalized.

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • Diagnostic value of the physical examination in patients with dyspnea
    Diagnostic value of the physical examination in patients with dyspnea
    Richard A. Shellenberger, DO, Bathmapriya Balakrishnan, MD, Sindhu Avula, MD, Ariadne Ebel, DO and Sufiya Shaik, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 943-950; DOI: https://doi.org/10.3949/ccjm.84a.16127

    How accurate are the signs of pneumonia, pleural effusion, COPD, and congestive heart failure?

  • Hiding in clear sight: Complications of immunosuppressive therapies
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 862-863; DOI: https://doi.org/10.3949/ccjm.83b.12016

    Immunosuppressive drugs can mask the signs of deep infection and thus delay its diagnosis.

  • Abdominal pain under immunosuppressive conditions
    Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

    A cancer patient receiving corticosteroids for a brain metastasis developed emphysematous cystitis and psoas muscle abscess.

  • Women’s health 2016: An update for internists
    Pelin Batur, MD, NCMP, CCD, Eleanor Bimla Schwarz, MD, MS, Judith M. E. Walsh, MD, MPH and Kay M. Johnson, MD, MPH
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 905-913; DOI: https://doi.org/10.3949/ccjm.83a.16098

    Important studies of urinary tract infections, bisphosphonates, ovarian cancer screening, and contraception.

  • Influenza: Still more important than Zika virus in 2016–2017
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 836-840; DOI: https://doi.org/10.3949/ccjm.83a.16105

    Despite all the news reports, infl uenza still kills or hospitalizes more people than Zika.

  • Concurrent uvulitis and epiglottitis
    William Shomali, MD and Katherine Holman, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 712-714; DOI: https://doi.org/10.3949/ccjm.83a.15078

    A 66-year-old woman presented with fever, cough, odynophagia, and anterior neck pain.

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