Infectious Disease Consultation Archive
An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.
What is the best way to handle ear fungus that is resistant to ketoconazole?
Do blood transfusions affect implementation of the routine immunization schedule?
Several dermatologic manifestations of hepatitis C infection have been described.
How can clinicians determine which patients will benefit most from specialist referral in resource-limited settings?
Were antibiotics the right decision in this clinical scenario?
What is the best treatment option for an elderly man with a two-year history of onychomycosis?
What is the standard of care for a patient with elevated liver function tests?
How can I avoid unnecessary antibiotic use while still satisfying my patients?
A who takes acetaminophen for chronic neck and back pain awakens to a bloody nose and blood-soaked pillow. Could liver disease be to blame?
What is the most sensitive test to use when trying to diagnose toenail fungus?
What is an effective alternative to oral medications or topical ciclopirox (Penlac) for onychomycosis?
A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?
What are the most effective therapies available to treat lymphedema?
Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?
Nonalcoholic fatty liver disease (NAFLD) is rapidly emerging as one of the most common "incidental findings" identified with radiographic testing. One in four adults is found to have the condition when undergoing abdominal ultrasound.
Could a liver infarct be the cause of a patient's dull, intermittent pain in the right-upper-quadrant? Or is something else to blame?
A patient taking terbinafine for onychogryphosis developed a fine pruritic rash over sun exposed body areas while on vacation. Could the drug be to blame?
Is there a connection between celiac disease (CD) and inflammation?
A patient is suspected of having hepatic encephalopathy (HE) attributable to liver failure from alcoholism.
Is there any evidence that changing a patient's cephalexin dose from 500 q.i.d. to 1,000 b.i.d. has decreased efficacy in terms of infection control?
What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?
In adolescents aged 11 to 14 years, must the human papillomavirus; meningococcal (MCV4); tetanus, diphtheria, and pertussis (Tdap); and, if needed, varicella vaccines be given simultaneously?
Current FDA indications for tetanus, diptheria and pertussis vaccine call for only one dose between ages 11 and 64 years. What strategies or processes have been employed to communicate to the patient whether he or she has received the one-time-only tetanus shot?
Travel medicine clinicians may consider advising patients to pack a medical kit with antibiotics to self-treat traveler's diarrhea.
Is there a role for suppressive antibiotic therapy in geriatric patients with recurrent urinary tract infections?
What vaccines and vaccination schedule are recommended for splenectomy patients?
Is it reasonable to extend interferon and ribavirin therapy to 72 weeks to increase a patient's chance of achieving sustained viral response to hepatitis C?
Clinicians asks advice for appropriate vaccine procedure for health care workers who received childhood vaccines, but cannot supply documentation and no longer have immunity to measles, mumps or rubella.
What are bacterial biofilms, and is there a link between these communities and chronic infections? What treatment strategies are recommended?
What treatment and/or confirmatory testing are required before a health-care professional who has been diagnosed with MRSA infection can resume working with patients?
Has anyone had success with the QuickVue influenza test kits? Should patients with flulike symptoms be treated with antibiotics regardless of test results?
My patient's onychomycosis is responding poorly despite treatment with terbinafine and itraconazole. What do you suggest I do next?