Mayo Clinic Infectious Diseases Case Review

Larry M. Baddour, MD Supplemental Consultant for Research, Division of Infectious Diseases Mayo Clinic, Rochester, Minnesota; Professor Emeritus of Medicine Mayo Clinic College of Medicine and Science John C. O'Horo, MD, MPH Consultant, Division of Infectious Diseases Mayo Clinic, Rochester, Minnesota; Associate Professor of Medicine Mayo Clinic College of Medicine and Science Mark J. Enzler, MD Consultant, Division of Infectious Diseases Mayo Clinic, Rochester, Minnesota; Assistant Professor of Medicine Mayo Clinic College of Medicine and Science Rahul Kashyap, MBBS Research Scientist, Department of Anesthesiology and Perioperative Medicine Mayo Clinic, Rochester, Minnesota; Assistant Professor of Anesthesiology Mayo Clinic College of Medicine and Science

Section I: Cases

Case 1 Pneumonia in a Patient With a Kidney Transplant
Nicholas Y. Tan, MD, MS, Omar M. Abu Saleh, MBBS, and Elena Beam, MD

Case 2 A Pregnant Pause
Jasmine R. Marcelin, MD, and Joseph D. Yao, MD

Case 3 What a Headache!
Eugene M. Tan, MD, Jasmine R. Marcelin, MD, and Zelalem Temesgen, MD

Case 4 Retinal Lesions and Eye Pain
Prakhar Vijayvargiya, MBBS, and Jasmine R. Marcelin, MD

Case 5 Ascites at the Border
Jasmine R. Marcelin, MD, and Abinash Virk, MD

Case 6 A Lengthy Leg Problem
Jasmine R. Marcelin, MD, and Larry M. Baddour, MD

Case 7 A Filamentous Monster
Abdelghani El Rafei, MD, Daniel C. DeSimone, MD, Alan M. Sugrue, MB, BCh, BAO, and Rodney L. Thompson, MD

Case 8 The Great Mimicker
Abdelghani El Rafei, MD, Korosh Sharain, MD, Kelly A. Cawcutt, MD, and Zelalem Temesgen, MD

Case 9 Altered Mental Status After Hematopoietic Stem Cell Transplant
Jarrett J. Failing, MD, Omar M. Abu Saleh, MBBS, and Jennifer A. Whitaker, MD

Case 10 The Resistance
Jasmine R. Marcelin, MD, and Nathan W. Cummins, MD

Case 11 Emergency Infectious Diseases
Douglas W. Challener, MD, Jasmine R. Marcelin, MD, and John C. O'Horo, MD

Case 12 Kidney Disease and HIV
Eugene M. Tan, MD, Jasmine R. Marcelin, MD, and Stacey A. Rizza, MD

Case 13 Constitutional Symptoms in a Patient After Cardiovascular Surgery
Joana Kang, MD, and Daniel C. DeSimone, MD

Case 14 Piggyback Ride Anyone?
Maria V. Dioverti Prono, MD, and M. Rizwan Sohail, MD

Case 15 Premature Closure
Douglas W. Challener, MD, Jasmine R. Marcelin, MD, and Aaron J. Tande, MD

Case 16 Disclosure
Eugene M. Tan, MD, Jasmine R. Marcelin, MD, and Zelalem Temesgen, MD

Case 17 Acute Respiratory Failure in a Patient With a Methicillin-Resistant Staphylococcus aureus Bloodstream Infection
Erica Lin, MD, Omar M. Abu Saleh, MBBS, and Christina G. O'Connor, PharmD, RPh

Case 18 More Than One Problem
Douglas W. Challener, MD, and Jasmine R. Marcelin, MD

Case 19 Raised, Purplish, Papular Mass in the Oral Cavity in a Patient Receiving Therapy for HIV/AIDS
Jithma P. Abeykoon, MD, Omar M. Abu Saleh, MBBS, and Jose J. Sanchez, MD

Case 20 Transplant Headaches
Eugene M. Tan, MD, Jasmine R. Marcelin, MD, and Stacey A. Rizza, MD

Case 21 Neurologic Lesions Acquired Abroad
Caroline Ball, MD, and Kelly A. Cawcutt, MD

Case 22 Fifty-Year-Old Man With Diabetes Mellitus and Sinusitis
Douglas W. Challener, MD, Jasmine R. Marcelin, MD, and Jennifer A. Whitaker, MD

Case 23 A Swollen Leg
John C. O'Horo, MD, and Mark J. Enzler, MD

Case 24 The Other Coinfection
Eugene M. Tan, MD, Jasmine R. Marcelin, MD, and Stacey A. Rizza, MD

Case 25 An Earache Too Far
Zerelda Esquer-Garrigos, MD, Jasmine R. Marcelin, MD, Alfonso Hernandez-Acosta, and Priya Sampathkumar, MD

Case 26 Not So Good
Douglas W. Challener, MD, and Jasmine R. Marcelin, MD

Case 27 A Little Atypical
Prakhar Vijayvargiya, MBBS, Jasmine R. Marcelin, MD, Zerelda Esquer-Garrigos, MD, and Jennifer A. Whitaker, MD

Case 28 The Initial Diagnosis Was Cholecystitis
Poornima Ramanan, MD

Case 29 Complicated Urinary Tract Infection With Multidrug-Resistant Organism
Prasanna P. Narayanan, PharmD, RPh, Omar M. Abu Saleh, MBBS, and John C. O'Horo, MD

Case 30 Thrombocytopenia
Jithma P. Abeykoon, MD, Omar M. Abu Saleh, MBBS, and Candido E. Rivera, MD

Case 31 When Transplantation Goes Viral: The Perils of Overimmunosuppression
Cybele L. Abad, MD, and Raymund R. Razonable, MD

Case 32 Ulcerative Skin Lesions in a Returned Traveler
Madiha Fida, MBBS, Eugene M. Tan, MD, and Mark J. Enzler, MD

Case 33 HIV Prevention
Saira R. Ajmal, MD, and Mary J. Kasten, MD

Case 34 Progressive, Cutaneous Nodules in an Immunocompromised Patient
Madiha Fida, MBBS, and Omar M. Abu Saleh, MBBS

Case 35 Two Problems
Anil C. Jagtiani, MD, and Zelalem Temesgen, MD

Case 36 Patient With Diplopia and Thoracic Pain
Alexandra S. Higgins, MD, Patrick S. Hoversten, MD, and Mark J. Enzler, MD

Case 37 Integrating Resistance
John D. Zeuli, PharmD, RPh

Case 38 Bilateral Tinnitis
Christina G. O'Connor, PharmD, RPh

Case 39 Fever in a Returning Traveler
Madiha Fida, MBBS, Lina I. Elbadawi, MD, and Mark J. Enzler, MD

Case 40 Dermatology Crisis
Sarwat Khalil, MBBS, and Omar M. Abu Saleh, MBBS

Case 41 A 60-Year-Old Man With Multiple Falls
Madiha Fida, MBBS, Sara L. Cook, MD, PhD, and Omar M. Abu Saleh, MBBS

Case 42 Flexor Tenosynovitis and Septic Arthritis After a Dog Bite
Talha Riaz, MBBS, and Omar M. Abu Saleh, MBBS

Case 43 Healthy Young Female With Fever and Jaundice
FNU Shweta, MBBS, Eric C. Stone, MD, and Abinash Virk, MD

Case 44 Does It Always Have to Be a Burning Sensation?
Aditya S. Shah, MBBS, and John W. Wilson, MD

Case 45 The Furuncle Keeps Getting Worse
Edison J. Cano Cevallos, MD, and Daniel C. DeSimone, MD

Case 46 Oral Ulcers in an Immunocompromised Patient
Tariq Azam, MD, and Mark J. Enzler, MD

Case 47 It Must Be Something in the Water: A Hand Infection After Fishing
Kathryn T. del Valle, MD, and Aaron J. Tande, MD

Case 48 Negative Pressure
Natalia E. Castillo Almeida, MD, and Mary J. Kasten, MD

Case 49 An Unusual Cause of Prosthetic Joint Infection
Caitlin P. Oravec, PA-C, MS, and Douglas R. Osmon, MD

Case 50 HIV and Its Myriad Opportunistic Infections
Pooja R. Gurram, MBBS, and Alan J. Wright, MD

Case 51 A Travel Souvenir
Natalia E. Castillo Almeida, MD, and Mary J. Kasten, MD

Case 52 Stuck Between a Foot and a Soft Place
Matthew J. Thoendel, MD, PhD, and Aaron J. Tande, MD

Case 53 Cutaneous Clue to a Fever of Unknown Origin
Irene G. Sia, MD, and Carilyn N. Wieland, MD

Case 54 A Chronic Polyarthritis
Douglas W. Challener, MD, Jasmine R. Marcelin, MD, and Kelly A. Cawcutt, MD


Section II: Questions and Answers
Questions
Answers