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1/ Clinical #Pearls and summary of @NEJM #CPS:
"A Chilly Fever"
For full case: bit.ly/37Co43k
A young man presents in March w/ 1 week of fevers, shaking chills & severe headaches which peaked at night & defervescence by morning.
"A Chilly Fever"
For full case: bit.ly/37Co43k
A young man presents in March w/ 1 week of fevers, shaking chills & severe headaches which peaked at night & defervescence by morning.
2/ My initial approach to fever is as follows, and is adapted from Penn frameworks: med.upenn.edu/frameworks/fev…
#PEARL1: I always try to remember the importance of assessing:
1. Host: immunosuppressed?
2. Exposures: work, sexual, travel, animals, IVDU, food/water
#PEARL1: I always try to remember the importance of assessing:
1. Host: immunosuppressed?
2. Exposures: work, sexual, travel, animals, IVDU, food/water
3/ He recently traveled to Cape Cod + trip to Uganda 2 years earlier w/ appropriate vaccinations and adherence to malaria ppx. This impacts the DDx:
⬆️ Tickborne infection:
- Lyme disease
- Anaplasmosis
- Babesiosis
#Medtwitter, which infections do you a/w travel to Uganda?
⬆️ Tickborne infection:
- Lyme disease
- Anaplasmosis
- Babesiosis
#Medtwitter, which infections do you a/w travel to Uganda?
