ID Consults Roster #9

As I neared the end of the first year of fellowship, I got quite lazy in keeping tabs on my consults. As such, with each subsequent month, my roster became less and less detailed. I still did the consults and required follow-up of course, just neglected to keep tabs for my own insight.

This month, I kept good enough tabs. I saw about 50 new consults.

1. BIODEFENSE
   • none
2. BONE/JOINT
   • Methicillin resistant Staphylococcus aureus osteomyelitis (2)
   • Unspecified right mandible osteomyelitis
   • Streptococcus viridans & Candida albicans mandible osteomyelitis
   • Methicillin sensitive Staphylococcus aureus prosthetic joint infection
   • Methicillin resistant Staphylococcus aureus prosthetic joint infection
3. CARDIAC
   • Presumed methicillin resistant Staphylococcus aureus endocarditis with septic emboli
4. DERMATOLOGIC
   • Sternotrophomonas maltophia & Enterobacter cloacae wound infection associated with fish-tank injury
   • Methicillin resistant Staphylococcus aureus left groin abscess & cellulitis (? Community acquired)
   • Methicillin resistant Staphylococcus aureus right hand abscess & cellulitis in intravenous drug abuser
   • Herpes zoster (shingles)
5. EYES/ORBITS
   • Herpes simplex virus ophthalmicus in HIV patient
6. FEVER
   • Fever of unknown origin in transplant candidate
   • No active source of infection (4)
7. GASTROINTESTINAL
   • Unspecified hepatic abscess
   • Extended spectrum beta-lactamase producing Escherichia coli biliary sepsis
   • Clostridium difficile associated diarrhea
   • Bacteroides fragilis hepatic abscess
   • Salmonella associated diarrhea
8. GENERALIZED INFECTION
   • none
9. GENITOURINARY
   • Proteus mirabilis and Group F streptococcus renal abscess
   • Escherichia coli scrotal abscess
   • Methicillin resistant Staphylococcus aureus urinary tract infection in setting of sepsis
10. GYNECOLOGIC
    • none
11. HEENT
    • Submandibular/sublingular spaces Methicillin sensitive Staphylococcus aureus abscess (? Ludwigs)
    • Streptococcus viridans & Candida albicans buccal space abscess
    • Unspecified L buccal abscess
    • Presumed oropharyngeal candidiasis in HIV patient
    • Temporal arteritis (not ID dx)
    • HIV/AIDS
    • Patient with failure to thrive secondary to depression (not ID dx)
    • Pseudomonas aeruginosa ventilator associated pneumonia
    • Patient with HIV – no active infection
    • Progressive Multifocal Leukoplakia in new diagnosis HIV/AIDS
    • Unspecified bacterial pneumonia
    • Presumed oropharyngeal candidiasis
12. NEUROLOGIC
    • Methicillin resistant Staphylococcus aureus T10-T11 epidural abscess
    • Medication withdrawal seizure (not ID dx)
    • Methicillin sensitive Staphylococcus aureus epidural abscess
    • Streptococcus pneumoniae meningitis
    • Progressive Multifocal Leukoplakia in new diagnosis HIV/AIDS
    • Unspecified cerebral abscess
    • Presumed post-surgical meningitis
13. RESPIRATORY
    • Pseudomonas aeruginosa ventilator associated pneumonia in patient with HIV
    • Methicillin resistant Staphylococcus aureus pneumonia (2)
    • Unspecified bacterial pneumonia in HIV patient
14. SEPSIS SYNDROMES
    • Acinetobacter baumanii bacteremia
    • Extended spectrum beta-lactamase producing Escherichia coli biliary sepsis
    • Candida parapsillosis catheter related bloodstream infection
    • Methicillin sensitive Staphylococcus aureus catheter related bloodstream infection
    • Klebsiella pneumoniae bacteremia
    • Methicillin resistant Staphylococcus aureus sepsis
15. SEXUALLY TRANSMITTED INFECTIONS
    • none
16. SURGICAL INFECTIONS
    • Methicillin resistant Staphylococcus aureus “seroma” complicating panniculectomy
    • Methicillin resistant Staphylococcus aureus forearm flap infection
    • Presumed post-surgical meningitis
17. TRAVEL/TROPICAL
    • none
18. ADVERSE VACCINE REACTIONS
    • none