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This book presents short reviews of current knowledge on selected problems in infectious diseases that are faced by primary care and hospital-based clinicians. The authors have organized the problems in the first nine sections of the book by organ or body site, whereas the remaining 11 sections concern specific areas of interest such as fever, nosocomial infections, anti-infective therapy, and AIDS. The purpose is to address frequently arising questions in selected areas of infectious diseases raised by house officers and practicing clinicians. The authors made excellent choices in selecting common as well as controversial problems, and they provide brief authoritative answers. Medical students in clinical training, house officers, and primary care clinicians will find this book a valuable source of answers to common infectious problems and a source for references containing greater detail. It is well organized with a useful table of contents, complete index, and well-selected tables s ummarizing important aspects covered in the text. The book fulfills the authors' purpose by providing answers, based on current literature, to common problems in infectious diseases encountered by practitioners. It is selective and therefore not an encyclopedic type of manual, but the authors have chosen well and include many important areas. It will be most useful to medical students and house officers because it provides readily accessible answers to problems at hand as well as a good listing of references for further understanding. Paul O'Keefe, MD(Loyola University Stritch School of Medicine). Copyright 2001, Doody Publishing
目录
Preface | p. xi |
Acknowledgments | p. xiii |
I. Upper Respiratory Tract | |
1. Tonsillopharyngitis in Adults | p. 3 |
2. Sinusitis | p. 8 |
3. Infectious Mononucleosis: Many Faces of a Common Disease | p. 13 |
II. Lower Respiratory Tract | |
4. Acute Bronchitis | p. 21 |
5. Antibiotic-resistant Pneumococci | p. 24 |
6. Fever and Pleural Effusions | p. 27 |
7. Pneumonia in the Intensive Care Unit | p. 34 |
8. Community-acquired Pneumonia in the Geriatric Patient | p. 42 |
9. Disease Caused by Legionella pneumophila and Chlamydia pneumoniae | p. 46 |
III. Cardiovascular System | |
10. Infective Endocarditis: Diagnostic Criteria | p. 57 |
11. Culture-negative Endocarditis | p. 61 |
12. Surgery in Active Infective Endocarditis | p. 64 |
13. Endocarditis Prophylaxis | p. 68 |
IV. Gastrointestinal System | |
14. Filling Defects of the Liver | p. 77 |
15. Granulomatous Hepatitis | p. 82 |
16. Community-acquired Peritonitis | p. 85 |
17. Infections of the Hepatobiliary Tract | p. 92 |
V. Urinary Tract | |
18. Urinary Tract Infections: Basic Principles of Therapy | p. 101 |
19. Cystitis Versus Pyelonephritis: Localizing Urinary Tract Infections | p. 103 |
20. Asymptomatic Bacteriuria | p. 106 |
21. The Significance of Pyuria | p. 109 |
22. Prostatitis | p. 111 |
23. Complicated Urinary Tract Infections | p. 115 |
24. Candiduria | p. 119 |
VI. Genital Tract | |
25. Urethral Discharge | p. 125 |
26. Serologic Tests for Syphilis | p. 129 |
27. Pelvic Inflammatory Disease | p. 134 |
28. Therapy of Genital Herpes | p. 138 |
29. Vaginitis | p. 143 |
VII. Nervous System | |
30. Analysis of Cerebrospinal Fluid | p. 151 |
31. Central Nervous System Infections in the Compromised Host | p. 157 |
32. New Onset of Facial Paralysis | p. 162 |
33. Acute Infections of the Central Nervous System | p. 167 |
34. Chronic Meningitis | p. 176 |
35. Guillain-Barre Syndrome | p. 182 |
VIII. Bones and Joints | |
36. Vertebral Osteomyelitis | p. 189 |
37. Infections of Prosthetic Joints | p. 193 |
38. Fever and Joint Pain | p. 198 |
IX. Skin and Soft Tissue | |
39. Infectious Disease Indications for Hyperbaric Oxygen Therapy | p. 205 |
40. Lyme Disease--A Diagnostic Challenge | p. 209 |
41. Cellulitis and Other Skin and Soft-Tissue Infections | p. 215 |
X. Bacteremia | |
42. Gram-negative Bacteremia and the Sepsis Cascade | p. 223 |
43. Methicillin-resistant Staphylococcus aureus | p. 229 |
44. Coagulase-negative Staphylococci | p. 234 |
45. Vancomycin-resistant Enterococci | p. 237 |
XI. FEVER | |
46. The Febrile Patient without an Obvious Source of Infection | p. 245 |
47. Fever and Prosthetic Heart Valves | p. 248 |
48. Prolonged Fever and Generalized Lymphadenopathy | p. 253 |
49. Fever and Skin Rash | p. 256 |
50. Fever and the Renal Transplant Recipient | p. 264 |
51. Fever Following Travel Abroad | p. 270 |
52. Hyperpyrexia and Hyperthermia | p. 276 |
53. Fever in the Granulocytopenic Patient | p. 282 |
54. Fever of Unknown Origin | p. 288 |
55. Chronic Fatigue Syndrome | p. 293 |
XII. Immunity | |
56. Management of the Patient with Suspected [beta]-Lactam Allergy | p. 303 |
XIII. Nosocomial Infections | |
57. Postoperative Fever | p. 311 |
58. Urinary Catheter-related Infections | p. 316 |
59. Hospital-acquired (Nosocomial) Pneumonia | p. 322 |
60. Management of the Employee with a Needlestick Injury | p. 328 |
61. Hepatitis C | p. 336 |
XIV. Zoonoses | |
62. Human Infections Following Animal Bites | p. 345 |
XV. Newly Appreciated Infections | |
63. New and Increasingly Recognized Pathogens | p. 351 |
XVI. Prophylaxis of Infection in Travelers | |
64. Prophylaxis of Infectious Diseases in Travelers | p. 357 |
XVII. Tuberculosis | |
65. Role of the Tuberculin Skin Test | p. 365 |
66. Isoniazid Chemoprophylaxis: Indications and Management | p. 370 |
67. Chemotherapy of Tuberculosis | p. 376 |
XVIII. Selected Laboratory Procedures | |
68. Laboratory Report of a Gram-negative Rod in the Blood | p. 385 |
69. Blood Culture Growing a Gram-positive Rod | p. 389 |
70. Stool for Ova and Parasites | p. 392 |
71. Antimicrobial Susceptibility Tests | p. 395 |
72. Special Tests of Antimicrobial Activity in Infectious Diseases | p. 400 |
XIX. Antimicrobial, Antiviral, Antiparasitic, and Antifungal Agents | |
73. Principles of Antimicrobial Therapy | p. 407 |
74. Choosing a Cephalosporin | p. 410 |
75. Single Daily Dosing of Aminoglycosides | p. 414 |
76. Antimicrobial-associated Colitis | p. 417 |
77. Perioperative Antimicrobial Prophylaxis | p. 421 |
78. Antifungal Chemotherapy | p. 426 |
79. New Oral Antimicrobials | p. 433 |
80. Antibiotic Failure | p. 437 |
81. Who Really Needs Parenteral Antibiotics? | p. 441 |
XX. Aids | |
82. Acquisition and Transmission of HIV | p. 449 |
83. Primary HIV Infection (HIV-Mononucleosis Syndrome) | p. 452 |
84. Treatment of Pneumocystis carinii Pneumonia in AIDS | p. 455 |
85. Tuberculosis and Syphilis in the AIDS Era | p. 460 |
86. HIV-1 and Infections of the Central Nervous System | p. 466 |
87. Disseminated Mycobacterium avium Complex Infection | p. 474 |
88. Fever and Fever of Unknown Origin in the HIV-infected Patient | p. 478 |
89. Prevention of Opportunistic Infection in the HIV-infected Patient | p. 482 |
90. Antiretroviral Therapy | p. 485 |
91. Drug Interactions in Patients with Human Immunodeficiency Syndrome | p. 493 |
Subject Index | p. 499 |