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Coxsackie B5 infection in an adult with fever, truncal rash, diarrhea and splenomegaly with highly elevated ferritin levels

Autor: John Gian, Burke A. Cunha, Scarlet Herrarte Fornos, Paul K. Valestra

Publikováno v: IDCases

Coxsackie viruses are enteroviruses most common in children. Coxsackie B viral infections often present with biphasic fever, headache, pharyngitis, nausea/vomiting, diarrhea and a maculopapular rash that spares the palms and soles. These clinical fea

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::774484112eb318fc57f0f8703ea8527f
https://doi.org/10.1016/j.idcr.2016.08.006

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Akademický článek

Bacterial Meningitis With Cerebral Edema in a Young Adult: A Simulation Case for Medical Students

Autor: Kyle Cohen, Grant Gregory, James Nolin, Alexandra Sappington, Jonathan Hardy, Julia Alexander, Dianne Walker, John Giannini

Publikováno v: MedEdPORTAL, Vol 19 (2023)

Introduction Simulation in the preclinical medical education setting is a beneficial tool for students to develop clinical skills, supplement preexisting knowledge, and prepare for clinical rotations and beyond. We detail the complete simulation scen

Externí odkaz: https://doaj.org/article/56be041e44ba4ed0ab1248f7c3861f7b

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Akademický článek

Widespread subclinical cellular changes revealed across a neural-epithelial-vascular complex in choroideremia using adaptive optics

Publikováno v: Communications Biology, Vol 5, Iss 1, Pp 1-12 (2022)

The in vivo pathogenesis of the blinding retinal degeneration choroideremia is visualized, which reveals enlarged and area-disrupted retinal pigment epithelial cells, providing evidence for polymegathism in choroideremia.

Externí odkaz: https://doaj.org/article/23f1aa92e6bc467cb2c2e52b88e2d152

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Akademický článek

Increasing Physical Activity in Persons With Spinal Cord Injury With an eHealth-Based Adaptive Exercise Intervention: Protocol for a Sequential Multiple Assignment Randomized Trial

Autor: Jereme Wilroy, Yumi Kim, Byron Lai, Hui-Ju Young, John Giannone, Danielle Powell, Mohanraj Thirumalai, Tapan Mehta, James Rimmer

Publikováno v: JMIR Research Protocols, Vol 12, p e47665 (2023)

BackgroundParticipating in an adequate amount of physical activity to acquire health benefits is challenging for people with spinal cord injury (SCI) due to personal and logistic barriers. Barriers in the built and social environments may include lac

Externí odkaz: https://doaj.org/article/7f65091195a746cb9302c95118e8989f

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Burkholderia contaminans Colonization from Contaminated Liquid Docusate (Colace) in a Immunocompetent Adult with Legionnaire’s Disease: Infection Control Implications and the Potential Role of Candida pellucosa

Autor: Daniela Matassa, Burke A. Cunha, Steve Gerson, Rodger Silletti, Carlos Rosales, John Gian, Elsa Santos-Cruz, Pat Daniels, Bertamaria Dieguez

Publikováno v: Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 5, Iss 12, p 110 (2016)

Objective: B. contaminans was cultured from respiratory secretions and liquid docusate (Colace) in a Neurosurgical Intensive Care Unit (NICU) patient with community-acquired Legionnaire’s disease but not from another bottle given to the patient. Un

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::71188e35b98c3495fcecb314b4195907
http://europepmc.org/articles/PMC5184783

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Fever of unknown origin (FUO) due to miliary BCG: The diagnostic importance of morning temperature spikes and highly elevated ferritin levels

Autor: John Gian, Anna Apostolopoulou, Burke A. Cunha

Publikováno v: Heartlung : the journal of critical care. 46(3)

Fever of unknown origin (FUO) is defined as prolonged fever of >101 °F for at least 3 weeks that remains undiagnosed after a focused inpatient or outpatient workup. One of the most elusive FUO diagnoses is miliary tuberculosis (TB) which typically h

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::85b74d0fb25bab079cd07f2549542771
https://pubmed.ncbi.nlm.nih.gov/28258759

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Diagnostic dilemma: Epstein-Barr virus (EBV) infectious mononucleosis with lung involvement or co-infection with Legionnaire's disease?

Autor: Burke A. Cunha, John Gian

Publikováno v: Heartlung : the journal of critical care. 45(6)

Background Hospitalized adults with fever and “pneumonia” can be a difficult diagnostic challenge particularly when the clinical findings may be due to different infectious diseases. Methods We recently had an elderly female who presented with fe

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::08faad4d368c908363efc8e3020fcc25
https://pubmed.ncbi.nlm.nih.gov/27712834

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Severe Adenoviral Pneumonia in an Immunocompetent Host with Persistent Fevers Treated with Multiple Empiric Antibiotics for Presumed Bacterial Co-Infection: An Antibiotic Stewardship Perspective on De-Escalation Derailed

Autor: Natalie C. Klein, Burke A. Cunha, John Gian

Publikováno v: Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 6, Iss 4, p 42 (2017)

We present a case of severe adenoviral pneumonia in a 20-year-old immunocompetent host with persistently high fevers. The patient was needlessly given multiple empiric antibiotics for non-existent bacterial co-infection. This case has important antib

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d1c009f9d1aaeffb7bc0919fdd986633
https://doi.org/10.3390/jcm6040042

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Akademický článek

P278: Triple diagnoses with overlapping phenotypes: Recommendations and reflections

Autor: Kate Richardson, Hope Northrup, S. Nicholas Russo, John Giang, Jenny Do

Publikováno v: Genetics in Medicine Open, Vol 1, Iss 1, Pp 100306- (2023)

Externí odkaz: https://doaj.org/article/0419e62fe1c64e1fa41ecc2624466814

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