Lanterna Rally

Author: Nancy Khardori

Publisher: Saunders

Published: 2012-10-29

Total Pages: 0

ISBN-13: 9781455750948

From the Preface: The most significant aspect of infectious diseases is that a majority of serious emergencies are curable if diagnosed early and managed appropriately rather than just treatable, contrary to most other emergent disease processes. Unfortunately, serious infectious disease manifestations are often not seen by patients, families, and health care providers in the same light as other emergencies. Delay in seeking medical attention and recognizing the urgency for intervention often result in a worse prognosis. Like other medical emergencies, the initial encounter for infectious disease emergencies is in the emergency department or outpatient setting. Noninfectious disease physicians, particularly general internists, are often the front-line providers for diagnostic workup and initial management. The reader should keep that in mind, as the first article in this issue has been compiled by 5 of my general internal medicine colleagues. Each section starts with a case vignette and is followed by articulation of questions about diagnosis and management at the very outset. They have very skillfully abstracted a few clinical pearls for each of the serious clinical presentations in their respective sections. The next 10 articles review in detail epidemiology, microbiology, clinical presentations, diagnostic workup, and management, including presumptive and definitive antimicrobial therapy for infectious disease emergencies involving various organ systems. They include articles on the role of molecular diagnosis and pharmacotherapy of infectious disease emergencies.