Private Practice Infectious Disease

(ISSN: 2770-4629) Open Access Journal
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Review
PPID 2021, 1(2), 8; doi: 10.35995/ppid1020008
Received: 10 Dec 2021 / Revised: 21 Dec 2021 / Accepted: 23 Dec 2021 / Published: 31 Dec 2021
Septic arthritis (SA) is an uncommon but potentially life-threatening condition; it occurs when microorganisms invade the joint space by direct inoculation or by hematogenous spread. Up to a third of patients with septic arthritis suffer long-term disability. Challenges in the management of septic
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Septic arthritis (SA) is an uncommon but potentially life-threatening condition; it occurs when microorganisms invade the joint space by direct inoculation or by hematogenous spread. Up to a third of patients with septic arthritis suffer long-term disability. Challenges in the management of septic arthritis include selection of appropriate antimicrobials and selection of an appropriate joint fluid drainage method [1]. In this review, I will focus on the epidemiology, mechanism, pathogenesis, clinical signs, diagnosis, and treatment of native joint bacterial septic arthritis in the adult. Full article
Research
PPID 2021, 1(1), 5; doi: 10.35995/ppid1010005
Received: 21 Jun 2021 / Revised: 18 Aug 2021 / Accepted: 24 Aug 2021 / Published: 30 Sep 2021
A 50-year-old Nigerian woman presented to the infectious diseases clinic for evaluation of incidental left foot mass [...] Full article
PPID 2021, 1(2), 6; doi: 10.35995/ppid1020006
Received: 18 Jun 2021 / Revised: 11 Sep 2021 / Accepted: 14 Sep 2021 / Published: 31 Dec 2021
Shewanella spp. is a Gram-negative rod that is normally found in the marine environment and rarely causes illness in humans. Since the late 1970s, cases of Shewanella spp. infection have been described in the literature with a wide array of clinical syndromes and
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Shewanella spp. is a Gram-negative rod that is normally found in the marine environment and rarely causes illness in humans. Since the late 1970s, cases of Shewanella spp. infection have been described in the literature with a wide array of clinical syndromes and was found to be commonly seen in patients with predisposing conditions. We report a case of a 73 year old woman with end-stage renal disease on peritoneal dialysis who presented with a 3 day history of abdominal pain and was found to have Shewanella putrefaciens peritonitis complicated by bacteremia. She was treated in a novel and successful way by administration of intraperitoneal cefepime. This was further validated by adequate cefepime blood concentrations after drawing a cefepime serum level on day 8 of treatment. To the best of our knowledge, intraperitoneal antibiotic administration to treat both bacterial peritonitis and bacteremia has not been reported in the literature. This treatment approach could potentially be a good precedent for peritoneal dialysis patients needing antibiotics as a less invasive option for antibiotic administration. Full article
PPID 2021, 1(2), 7; doi: 10.35995/ppid1020007
Received: 22 Jun 2021 / Revised: 30 Aug 2021 / Accepted: 14 Sep 2021 / Published: 31 Dec 2021
Q (Query) fever is a zoonotic illness caused by the bacterium Coxiella burnetti, which is transmitted to humans via host animals, usually cattle, sheep and goats. Acute Q fever often presents as a flu-like illness or atypical pneumonia that is nonspecific and
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Q (Query) fever is a zoonotic illness caused by the bacterium Coxiella burnetti, which is transmitted to humans via host animals, usually cattle, sheep and goats. Acute Q fever often presents as a flu-like illness or atypical pneumonia that is nonspecific and often self-limiting. The identification of acute infection is clinically important due to the high morbidity and mortality associated with chronic infection. We present a case of a 43-year-old female who lived in the vicinity of cattle and goats and presented with an acute febrile illness found to be secondary to acute Q fever infection. Exposure to Q fever in the United States is frequently not associated with a classical occupational exposure and should be considered in those living in areas near to possible host animals. We discuss clinical presentation and clues to diagnosis, as well as relevant epidemiology. This case highlights important considerations for risk stratification for chronic infection and follow-up in acute Q fever patients. Full article
PPID 2021, 1(1), 1; doi: 10.35995/ppid1010001
Received: 9 Jun 2021 / Revised: 28 Jul 2021 / Accepted: 3 Aug 2021 / Published: 30 Sep 2021
Addressing these three simple questions can assist any physician in making the best-informed decision about diagnostic tests and treatments in regard to a solid organ transplant recipient with an infection. This article serves as a preliminary guide to finding the simplest approach to
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Addressing these three simple questions can assist any physician in making the best-informed decision about diagnostic tests and treatments in regard to a solid organ transplant recipient with an infection. This article serves as a preliminary guide to finding the simplest approach to what is typically a complicated patient and the course of the disease. Full article
PPID 2021, 1(1), 2; doi: 10.35995/ppid1010002
Received: 11 Jun 2021 / Revised: 10 Aug 2021 / Accepted: 17 Aug 2021 / Published: 30 Sep 2021
PPID 2021, 1(1), 3; doi: 10.35995/ppid1010003
Received: 11 Jun 2021 / Revised: 14 Aug 2021 / Accepted: 17 Aug 2021 / Published: 30 Sep 2021
Other
PPID 2021, 1(1), 4; doi: 10.35995/ppid1010004
Received: 29 Jun 2021 / Revised: 20 Aug 2021 / Accepted: 23 Aug 2021 / Published: 30 Sep 2021

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