Cases in Clinical Infectious Disease Practice
k
k
,Cases in Clinical
Infectious
Disease Practice
Obtaining a good history from
the patient remains the
cornerstone of an accurate
clinical diagnosis: Lessons
learned in many years of
clinical practice k
Okechukwu Ekenna
k
,Copyright © 2016 by John Wiley & Sons, Inc. All rights reserved
Published by John Wiley & Sons, Inc., Hoboken, New Jersey
Published simultaneously in Canada
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by
any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted
under Section 17 or 18 of the 1976 United States Copyright Act, without either the prior written permission
of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 1923, (978) 750-8400, fax (978) 750-4470, or
on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the
Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 730, (21) 748-611, fax
(21) 748-608, or online at http://www.wiley.com/go/permission.
Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in
preparing this book, they make no representations or warranties with respect to the accuracy or
completeness of the contents of this book and specifically disclaim any implied warranties of
merchantability or fitness for a particular purpose. No warranty may be created or extended by sales
representatives or written sales materials. The advice and strategies contained herein may not be suitable for
your situation. You should consult with a professional where appropriate. Neither the publisher nor author
shall be liable for any loss of profit or any other commercial damages, including but not limited to special,
incidental, consequential, or other damages.
For general information on our other products and services or for technical support, please contact our
Customer Care Department within the United States at (800) 762-2974, outside the United States at (317)
572-3993 or fax (317) 572-402.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not
be available in electronic formats. For more information about Wiley products, visit our web site at
www.wiley.com.
Library of Congress Cataloging-in-Publication Data:
Names: Ekenna, Okechukwu, author. k
Title: Cases in clinical infectious disease practice / Okechukwu Ekenna.
Description: Hoboken, New Jersey : John Wiley & Sons, Inc., [2016] | Includes
bibliographical references and index.
Identifiers: LCCN 2016023166 (print) | LCCN 2016023807 (ebook) | ISBN
9781119044161 (cloth) | ISBN 9781119044185 (pdf) | ISBN 9781119044062
(epub)
Subjects: | MESH: Communicable Diseases–diagnosis | Communicable
Diseases–therapy | Clinical Medicine–methods | Case Reports
Classification: LCC RC112 (print) | LCC RC112 (ebook) | NLM WC 100 | DDC
616.9–dc23
LC record available at https://lccn.loc.gov/2016023166
10 9 8 7 6 5 4 3 2 1
k
, Contents
Table of Normal Laboratory Values, ix
About the Author, xi
Dedication, xiii
Acknowledgments, xv
Preface, xvii
Introduction, xix
How the book should be used and understood, xxi
1 Skin and Soft Tissue Infections, 1
Case 1.1 Soft tissue infection following traumatic aquatic exposure, 1
Case 1.2 Soft tissue infection of the hand and wrist in an 81-year-old
man, 6
Case 1.3 A 41-year-old Caucasian female with right arm swelling, 12
k
Case 1.4 A 24-year-old female with fever and arm swelling, 15
Case 1.5 A 72-year-old male with necrotic soft tissue elbow infection, 16
Case 1.6 A 37-year-old man with severe body aches and fever, 18
2 Fever of Unknown Origin and Drug-Induced Fever, 25
Case 2.1 Hypersensitivity masquerading as sepsis, 25
Case 2.2 A psychiatric patient with HIV infection and fever, 32
Case 2.3 A hypertensive patient with 2 months of fever and chills, 36
Brief review and discussion of drug-induced fever, 38
Lessons learned from these two cases, 40
3 Dermatologic Manifestations of Infectious and Non-infectious Diseases, 41
Case 3.1 A 45-year-old patient referred for "persistent shingles", 41
Case 3.2 A 39-year-old female with fever and acute rash illness, 46
Case 3.3 A 45-year-old female with subacute rash illness for 2 weeks, 50
Case 3.4 An 82-year-old man with a chronic non-healing elbow wound, 55
4 Diseases Acquired Through Close Contact with Animals, 61
Case 4.1 A 10-month-old child with "worms", 61
v
k
k
k
,Cases in Clinical
Infectious
Disease Practice
Obtaining a good history from
the patient remains the
cornerstone of an accurate
clinical diagnosis: Lessons
learned in many years of
clinical practice k
Okechukwu Ekenna
k
,Copyright © 2016 by John Wiley & Sons, Inc. All rights reserved
Published by John Wiley & Sons, Inc., Hoboken, New Jersey
Published simultaneously in Canada
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by
any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted
under Section 17 or 18 of the 1976 United States Copyright Act, without either the prior written permission
of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 1923, (978) 750-8400, fax (978) 750-4470, or
on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the
Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 730, (21) 748-611, fax
(21) 748-608, or online at http://www.wiley.com/go/permission.
Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in
preparing this book, they make no representations or warranties with respect to the accuracy or
completeness of the contents of this book and specifically disclaim any implied warranties of
merchantability or fitness for a particular purpose. No warranty may be created or extended by sales
representatives or written sales materials. The advice and strategies contained herein may not be suitable for
your situation. You should consult with a professional where appropriate. Neither the publisher nor author
shall be liable for any loss of profit or any other commercial damages, including but not limited to special,
incidental, consequential, or other damages.
For general information on our other products and services or for technical support, please contact our
Customer Care Department within the United States at (800) 762-2974, outside the United States at (317)
572-3993 or fax (317) 572-402.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not
be available in electronic formats. For more information about Wiley products, visit our web site at
www.wiley.com.
Library of Congress Cataloging-in-Publication Data:
Names: Ekenna, Okechukwu, author. k
Title: Cases in clinical infectious disease practice / Okechukwu Ekenna.
Description: Hoboken, New Jersey : John Wiley & Sons, Inc., [2016] | Includes
bibliographical references and index.
Identifiers: LCCN 2016023166 (print) | LCCN 2016023807 (ebook) | ISBN
9781119044161 (cloth) | ISBN 9781119044185 (pdf) | ISBN 9781119044062
(epub)
Subjects: | MESH: Communicable Diseases–diagnosis | Communicable
Diseases–therapy | Clinical Medicine–methods | Case Reports
Classification: LCC RC112 (print) | LCC RC112 (ebook) | NLM WC 100 | DDC
616.9–dc23
LC record available at https://lccn.loc.gov/2016023166
10 9 8 7 6 5 4 3 2 1
k
, Contents
Table of Normal Laboratory Values, ix
About the Author, xi
Dedication, xiii
Acknowledgments, xv
Preface, xvii
Introduction, xix
How the book should be used and understood, xxi
1 Skin and Soft Tissue Infections, 1
Case 1.1 Soft tissue infection following traumatic aquatic exposure, 1
Case 1.2 Soft tissue infection of the hand and wrist in an 81-year-old
man, 6
Case 1.3 A 41-year-old Caucasian female with right arm swelling, 12
k
Case 1.4 A 24-year-old female with fever and arm swelling, 15
Case 1.5 A 72-year-old male with necrotic soft tissue elbow infection, 16
Case 1.6 A 37-year-old man with severe body aches and fever, 18
2 Fever of Unknown Origin and Drug-Induced Fever, 25
Case 2.1 Hypersensitivity masquerading as sepsis, 25
Case 2.2 A psychiatric patient with HIV infection and fever, 32
Case 2.3 A hypertensive patient with 2 months of fever and chills, 36
Brief review and discussion of drug-induced fever, 38
Lessons learned from these two cases, 40
3 Dermatologic Manifestations of Infectious and Non-infectious Diseases, 41
Case 3.1 A 45-year-old patient referred for "persistent shingles", 41
Case 3.2 A 39-year-old female with fever and acute rash illness, 46
Case 3.3 A 45-year-old female with subacute rash illness for 2 weeks, 50
Case 3.4 An 82-year-old man with a chronic non-healing elbow wound, 55
4 Diseases Acquired Through Close Contact with Animals, 61
Case 4.1 A 10-month-old child with "worms", 61
v
k
