ID Consults Roster #8

In this month, I saw all of about 15 new consults. Whew! What hard work, smirk.

1. BIODEFENSE
   • none
2. BONE/JOINT
   • Methicillin resistant Staphylococcus aureus and Escherichia coli foot gangrene/osteomyelitis
   • Avascular necrosis of bilateral femoral heads, not otherwise specified
3. CARDIAC
   • none
4. DERMATOLOGIC
   • Cellulitis, not otherwise specifed
   • Methicillin sensitive Staphylococcus aureus cellulitis/abscess with toxin production
5. EYES/ORBITS
   • none
6. FEVER
   • T cell lymphoma (not an infectious disease)
   • Neutropenic fevers of unknown etiology over many months!
7. GASTROINTESTINAL
   • Coagulase negative Staphylococcus & Morganella morganii infected pancreatic psuedocyst with secondary peritonitis
   • Clostridium difficile colitis (4)
8. GENERALIZED INFECTION
   • Lyme disease of indeterminate age
9. GENITOURINARY
   • Pseudomonas cepacia catheter associated urinary tract infection
10. GYNECOLOGIC
    • none
11. HEENT
    • none
12. HIV/AIDS
    • Adverse effect (nausea) to different formulation of ART
13. NEUROLOGIC
    • Presume neuroborelliosis
14. RESPIRATORY
    • Methicillin sensitive Staphylococcus aureus & extended spectrum beta-lactamase producing Klebsiella pneumoniae ventilator associated pneumonia
    • Extended spectrum beta-lactamase producing Klebsiella pneumoniae colonization (in sputum)
    • Extended spectrum beta-lactamase producing Escherichia coli ventilator associated pneumonia
    • Community acquired pneumonia, not otherwise specified
    • Escherichia coli ventilator associated pneumonia
    • Lung nodules of unclear etiology in neutropenic patient with multiple malignancies
15. SEPSIS SYNDROMES
    • Salmonella group D sepsis
    • Vancomycin resistant enterococcus bacteremia
    • Escherichia coli bacteremia
    • Coagulase negative Staphylococcus PICC line associated bacteremia
16. SEXUALLY TRANSMITTED INFECTIONS
    • none
17. SURGICAL INFECTIONS
    • none
18. TRAVEL/TROPICAL
    • none
19. VACCINE ADVERSE REACTIONS
    • none