ID Consults Roster #3

In this third month of inpatient service, I saw about 45 new consults. Still not as much as that first month from hell.

1. BIODEFENSE
   • none
2. BONE/JOINT
   • Pseudomonas aeruginosa, Citrobacter freundii, Enterococcus & methicillin resitant Staphylococcus aureus osteomyelitis
   • Pseudomonas aeruginosa, diphtheroids, & methicillin resistant Staphyloccocus aureus ischial osteomyelitis
   • Right great toe osteomyelitis
   • Enterococcus, diphtheroids & methicillin sensitive Staphyloccocus ischial osteomyelitis
   • Pseudomonas aeruginosa, Enterococcus and diphtheroids right toe osteomyelitis
   • Left thumb paronychia
   • Proteus mirabilis sternal wound infection/osteomyelitis
   • Methicillin sensitive Staphylococcus aureus vertebral osteomyelitis
   • Right calcaneus osteomyelitis
   • Methicillin resistant Staphylococcus aureus prosthetic left knee infection
3. CARDIAC
   • Methicillin resistant Staphylococcus aureus endocarditis (3)
   • Methicillin sensitive Staphylococcus aureus endocarditis
   • Enterococcus faecalis endocarditis
   • Presumed Acinetobacter baumanii aortic endocarditis
   • Presumed methicillin resistant Staphylococcus aureus endocarditis
4. DERMATOLOGIC
   • Drug hypersensitivity rash
   • Methicillin sensitive Staphylococcus aureus furunculosis
   • Methicillin resistant Staphylococcus aureus perineal abscess, post-op
   • Left groin super-infected hematoma
5. EYES/ORBITS
   • none
6. FEVER
   • none
7. GASTROINTESTINAL
   • Presumed biliary sepsis
   • Klebsiella pneumoniae & vancomycin resistant Enterococcus peritonitis
   • Inactive Echinococcus liver cysts
8. GENERALIZED INFECTION
   • none
9. GENITOURINARY
   • Candida albicans urinary tract infection
   • Klebsiella pneumoniae urinary tract infection
   • Citrobacter amalonaticus urinary tract infection
   • Methicillin resistant Staphylococcus aureus right renal abscess
10. GYNECOLOGIC
    • none
11. HEENT
    • none
12. HIV/AIDS
    • none
13. NEUROLOGIC
    • Enterococcus, Proteus mirabilis & Escherichia coli post-surgical ventriculostomy infection with cerebral abscesses
    • Chronic meningitis
14. RESPIRATORY
    • Multi-lobar pneumonia
    • Haemophilus influenza ventilator associated pneumonia (2)
    • Enterobacter cloacae ventilator associated pneumonia
    • Serratia marcesens ventilator assocated pneumonia
    • Post-operative ventilator associated pneumonia
    • Invasive pulmonary aspergillosis
    • Bleomycin toxicity (not an infectious disease!)
15. SEPSIS SYNDROMES
    • Acinetobacter baumanii bacteremia (2)
    • Methicillin resistant Staphyloccocus aureus bacteremia (2)
    • Coagulase negative Staphylococcus tunnelled catheter related bloodstream infection
    • Methicillin resistant Staphyloccus aureus tunnelled catheter related bloodstream infection
    • Pseudomonas aeruginosa bacteremia
    • Candida parapsillosis central line related bloodstream infection
    • Enterococcus faecalis tunnelled catheter related bloodstream infection
16. SEXUALLY TRANSMITTED INFECTIONS
    • none
17. SURGICAL INFECTIONS
    • Enterococcus, Proteus mirabilis & Escherichia coli post-surgical ventriculostomy infection with cerebral abscesses
    • Methicillin resistant Staphylococcus aureus perineal abscess, post-op
    • Left groin super-infected hematoma
    • Proteus mirabilis sternal wound infection/osteomyelitis
18. TRAVEL/TROPICAL
    • Typhoid Fever (Salmonella typhii) in returning traveller
19. VACCINE ADVERSE REACTIONS
    • none