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#IDrounds : immunocompetent patient seen for non-bloody diarrhea. No nausea/vomiting. Temperature 37.9C. Family members with similar diarrhea episodes 3-4 days prior.

Which is most likely:

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#IDrounds : Previously healthy male farmer w/ AV mobile echo density. BC prior to ABX remained negative. Records indicate Rx for culture-negative CAP w/ hepatitis 6-months prior.

Which is most likely:

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#IDrounds : Non-HIV male smoker admitted to MICU with severe CAP. Vitals: T 42C, RR 28, & O2 70% RA. WBC 19, Na 120, & ALT 62. Employed with cleaning horse stables at a racetrack.

Which is most likely?

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Fever is frequently encountered in ICU. While it augments immune response & ⬇️ viral/bacterial replication, it ⬆️ metabolic rate, O2 consumption, impairs cardiac function. Optimal temperature control remains unclear. You:

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#IDrounds : asymptomatic immunocompetent failed blood donor seen for positive HTLV-1/2 serology with chronic Strongyloides stercoralis coinfection.

Recalling treatment failures, you:
IVM=ivermectin

Kyle Walding Stanford Infectious Diseases Fellowship Betsy Hirsch, PharmD (TV) William Wright