ID Consults Roster # 1

I have decided to keep an ID consults roster. Essentially a log of the inpatient consultations I have seen during my infectious diseases fellowship training. Here, I will break them down by diagnosis. It is possible for one patient to have several infectious diseases diagnoses. The number after the diagnosis indicates unique patients. For example, I saw two different patients with salmonellosis!

During my first month as the ID fellow on the wards I saw about 65 new patients. It was busy!

1. BIODEFENSE

• none

2. BONE/JOINT

• Left heel osteomyelitis
• Pseudomonas aeruginosa spinal osteomyelitis/hardware infection
• Methicillin resistant Staph aureus right shoulder septic arthritis, community acquired
• Methicillin resistant Staph aureus T7 – T8 osteomyelitis
• Staph aureus hip osteomyelitis
• Methicillin resistant Staph aureus ulnar osteomyelitis
• Tuberculous osteomyelitis (Pott’s disease)
• Group B strep and coagulase negative staph diabetic foot ulcer, ? osteomyelitis
• Staph aureus L4 – S1 osteomyelitis
• Extended spectrum beta-lactamase producing (ESBL) Klebisiella pneumoniae diabetic foot infection/osteomyelitis
• T4 – T11 osteomyelitis
• Humeral osteomyelitis, hardware associated

3. CARDIAC

• Presumed methicillin resistant Staph aureus endocarditis
• Staph aureus tricuspid valve endocarditis
• Staph aureus endocarditis

4. DERMATOLOGIC

• Staph aureus and Group B strep furuncle
• Salmonella cellulitis with abscess
• Presumed Vibrio vulnificus cellulitis
• Insect bite associated cellulitis
• Intravenous drug abuse related hand cellulitis
• Methicillin resistant staph aureus hand cellulitis with abscess
• Psychogenic skin picking with bacterial super-infection
• Staph aureus cellulitis with abscess
• Enterococcus decubitus ulcer

5. EYES/ORBITS

• Pre-orbital cellulitis

6. FEVER

• Neutropenic fever
• Fever of unknown origin

7. GASTROINTESTINAL

• Clostridium difficile colitis (6)
• Antibiotic associated diarrhea
• Escherichia coli liver abscess
• Acute appendicitis
• Pseudomonas aeruginosa abdominal abscess
• Candida albicans & Candida glabrata abdominal abscess
• Escherichia coli & Candida albicans peritonitis
• Spontaneous bacterial peritonitis
• Acute pancreatitis (2)
• Salmonellosis (2)
• Sigmoid diverticulitis with abscess

8. GENERALIZED INFECTION

• none

9. GENITOURINARY

• Pseudomonas aeruginosa urinary tract infection (2)
• Vancomycin resistant enterococcus urinary tract infection
• Candida albicans urinary tract infection
• Escherichia coli urinary tract infection

10. GYNECOLOGIC

• none

11. HEENT

• none

12. HIV/AIDS

• Pneumocystis jiroveci pneumonia (3)
• Oral-esophageal candidiasis (3)
• Cryptococcemia
• Disseminated Mycobacterium avium
• Wasting syndrome
• Chronic diarrhea
• Toxoplasmosis
• Cytomegalovirus retinitis

13. NEUROLOGIC

• Tuberculous meningitis
• Staph aureus L4 – S1 epidural abscess
• Aseptic meningitis
• T4 – T11 epidural abscess

14. RESPIRATORY

• Methicillin resistant Staph aureus ventilator associated pneumonia (3)
• Multi-drug resistant Acinetobacter baumanii ventilator associated pneumonia
• Streptococcus pneumoniae multi-lobar necrotizing pneumonia, community acquired in HIV patient
• Multi-drug resistant Pseudomonas aeruginosa ventilator associated pneumonia (2)
• Serratia marescens and Staph aureus ventilator associated pneumonia

15. SEPSIS SYNDROMES

• Candida glabrata fungemia
• Strep viridans bacteremia
• Acinetobactar baumanii vascular catheter infection
• Lactobacillus bacteremia, recurrent
• Methicillin resistant staph aureus bacteremia (2)
• Staph aureus bacteremia (2)
• Coagulase negative staphyloccocal bacteremia
• Candida albicans fungemia
• Candida dublinensis fungemia
• Pantoea agglomerans bacteremia

16. SEXUALLY TRANSMITTED INFECTIONS

• Primary syphilis
• Presumed neurosyphilis

17. SURGICAL INFECTIONS

• Surgical wound infections

18. TRAVEL/TROPICAL

• Dengue fever
• Malaria, presumed Plasmodium falciparum

19. VACCINE ADVERSE REACTIONS

• none