Differential of fever, HA, and rash
- Ricketsial - RMSF, Ricketsial Pox
- Meningitis (Neisseria, Pneumococcus, Listeria)
- Q fever
- Dengue, Chikungunya, Zika
- Aseptic meningitis - arboviruses (St. Louis, West Nile...etc.)
- VZV, HSV, EBV, CMV, HHV-6
- HIV (Acute)
- Toxo (less likely)
Posted 01/19/17 09:39:46 AM by Ying Liu
- Commonly seen in Southeast and Midwest
- Different strains around the world
- Antibodies notoriously tough to interpret
- Should be covered by doxycycline but chloramphenicol is a potential option for refractory disease
Posted 01/19/17 09:41:00 AM by Ying Liu
- Leptospirosis is transmitted in rodent urine and is associated with liver disease, renal disease and conjunctival suffusion
- Ricketsial pox is carried on rodents and seen in slums; associated with more mild illness
- HSV 1 and 2 IgG and IgM should not be interpreted as chronic and acute as can wax and wane
- New CSF biofire is a great tool to test for many infectious causes of meningitis but doesn't give titers
Posted 01/19/17 09:44:43 AM by Ying Liu
Created by Christopher Kelly
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