PPID Journal

Teaching Infectious Diseases in the Context of a Busy Private Practice: A Pragmatic Framework for Clinician Educators - Private Practice Infectious Disease Abstract Teaching infectious diseases (ID) in private practice is inherently constrained by multiple external and internal factors, including time scarcity, documentation burden, and financial…

Clinical educators - this one’s for you! A pragmatic approach to teaching ID in a busy private practice - actionable strategies to boost engagement and learning!

Malpractice litigation is a reality for many clinicians - even in ID. This article explains the anatomy of a lawsuit and shares proves risk reduction strategies to help protect your practice and your patients 🩺 💡

www.ppidjournal.com/doi10-55636-...

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New case report: Strep canis bacteremia in a COVID19 patient - a rare zoonotic infection with potential serious implications.

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56 yo retired Desert Storm veteran p/w 1 month of fevers, 2 wks of headaches, 4 d of floaters & progressive loss of central vision. Hx of fostering dogs🐕 & 🐈. Fundoscopic exam: optic nerve disc edema w/ blurred disc margins. How would you tx? *click👇

www.ppidjournal.com/doi10-55636-...

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Curious about the differences between FMTs for recurrent C. Diff? Which therapy suits your patient best? Explore the 4 options: Rebyota, Vowst, VE303, and CP101 here. www.ppidjournal.com/doi10-55636-...

The Art and Science of Infectious Disease Consultation - Private Practice Infectious Disease Infectious disease is a cognitive specialty, procedurally represented by the consultation. Done correctly, a consultation is a powerful tool that can change physician behavior, strengthen critical relationships,...

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Do you know the faux pas of an ID consultation? Don’t make these mistakes!
Here are 8 steps to a successful ID consultation

www.ppidjournal.com/doi10-55636-...

Building a Thriving Infectious Disease Practice: Key Strategies for Financial Success and Sustainability - Private Practice Infectious Disease This article summarizes key characteristics of a successful private practice group in Infectious Disease based on the experience of Metro Infectious Disease Consultants.

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Learn key strategies on how to build a thriving Infectious Disease Private Practice here!
www.ppidjournal.com/doi10-55636-...

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22 yo man w/ PMH bicuspid aortic valve & recent dental work presents with fever, myalgias and Strep gordonii bacteremia. Echo shows this ⬇️. What is the diagnosis? *Click here to find out*
www.ppidjournal.com/doi10-55636-...

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50 yo man with poorly controlled DM, HTN p/w Group B strep bacteremia and the below findings. What is the diagnosis? *Click here to find out*
www.ppidjournal.com/doi10-55636-...

A Rare Case of Salmonella Myopericarditis in an Athlete: Diagnosis by Stool Polymerase Chain Reaction (PCR) - Private Practice Infectious Disease Introduction Myocarditis, a potentially life-threatening disease characterized by inflammatory infiltration of the myocardium and/or degeneration of myocardial tissue, has many potential infectious...

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Read this fascinating case of myopericarditis caused by Salmonella! Pt presented with chest pain, fever, diffuse ST elevation on EKG, and trop elevation with diffuse enhancement of cardiac wall with myocardial edema.
www.ppidjournal.com/doi10-55636-...

A Rare Case of Salmonella Myopericarditis in an Athlete: Diagnosis by Stool Polymerase Chain Reaction (PCR) - Private Practice Infectious Disease Introduction Myocarditis, a potentially life-threatening disease characterized by inflammatory infiltration of the myocardium and/or degeneration of myocardial tissue, has many potential infectious...

#IDsky
Read this fascinating case of myopericarditis caused by Salmonella! Pt presented with chest pain, fever, diffuse ST elevation on EKG, and trop elevation with diffuse enhancement of cardiac wall with myocardial edema.
www.ppidjournal.com/doi10-55636-...

Board Review | Candida In which patient population undergoing abdominal surgery, should empiric anti-fungal therapy be given? A) Any abdominal surgery B) Septic shock C) Patients with recent abdominal surgery and recurrent ...

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Which pts undergoing abdominal surgery should receive empiric anti-fungal therapy?
A. Any abdominal surgery
B. Septic shock
C. Pts w/ recent abdominal surgery & recurrent gastrointestinal perforations/anastomotic leakages
D. Pts w/hx of prior abx exposure

www.ppidjournal.com/quiz/candida/

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Severe malaria meets sickle cell anemia: A complex case where P. Falciparum & ACS challenge both dx & treatment. Successful recovery with artesunate & RBC exchange transfusion highlight importance of timing concurrent prompt management! www.ppidjournal.com/doi10-55636-...

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68 yo PWH on biktarvy, CD4 650, undetectable VL, recent dx of bladder cancer, bilateral nephrostomies, p/w PURPLE urine (see picture). Why is the urine purple? *click to find out*

www.ppidjournal.com/quiz/march-2...

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48 yo man p/w fever, chills, malaise, jaundice, throat swelling, & exudative pharyngitis. AST 299, ALT 528, Bili 8.3. Read about this interesting case of primary EBV hepatitis & how early intervention made the difference! *click to read* www.ppidjournal.com/doi10-55636-...

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73 yo man p/w chronic oral lesions, odynophagia, mildly enlarged cervical LAD, 20 lb weight loss and RUL nodule. What is the diagnosis and how did he do? *Click to find out*
www.ppidjournal.com/doi10-55636-...

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75 yo woman w/ PMH HTN, DM p/w 4d abd pain, f/c, n/v/diarrhea after eating raw crab 48 hours earlier. Blood cx grows out GNRs, what is dx?
A. Enteropathogenic E. coli
B. Haemophilus influenza
C. Vibrio cholera non-O1/non-O139 strain
D. PsAR

www.ppidjournal.com/quiz/vibrio/

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35 yo man p/w painless ulcer in R groin following unprotected sex 1 wk prior w/new partner. Pt w/ hx syphilis 5y ago. FTA Ab+, RPR-. What next?
A. - RPR, no need to tx
B. Tx empirically, rpt RPR in 4 wks
C. 👀 for alternative dx
D. B & C
www.ppidjournal.com/quiz/syphilis/

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49 yo woman with PMH relapsed multiple myeloma tx with Isatuximab, pomalyst, & dex p/w 3 d of fever, AMS, dense LLL pna . What is the dx?
A. HSV pna
B. Bacterial pna w/encapsulated org
C. Reactivation TB
D. Aspergillosis

www.ppidjournal.com/quiz/multipl...

60 yo patient with PMH schizoaffective disorder p/w hypertrophic growths on hands and feet. WBC 6.4, 6.6% eos. What is the diagnosis and how would you treat this patient? *click to take the quiz*

www.ppidjournal.com/quiz/decembe...

Board Review | Specific Antibody Deficiency 1. What levels are abnormal in specific antibody deficiency? A. Quantitative immunoglobulins B. IgG subsets C. Response to protein based vaccine D. Response to conjugate vaccinesE. Response to polysaccharide...

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What levels are abnormal in specific antibody deficiency?
A. Quantitative immunoglobulins
B. IgG subsets
C. Response to protein based vaccine
D. Response to conjugate vaccines
E. Response to polysaccharide antigens

Board Review | Prosthetic Joint Infections 1. Which of the following is NOT a diagnostic criterion for the definition of PJI according to the IDSA guidelines (2013)? Sinus tract communicating with the prosthesis Elevated WBC with high predominance...

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Which is NOT a criteria for PJI dx according to 2013 IDSA guidelines?
A. Sinus tract w/ prosthesis
B. ⬆️ WBC w/ ⬆️ PMNs w/in synovial fluid (3K w/80% PMNs)
C. + pus near prosthesis intraop
D. ≥2 +cx w/ same org (pre-/intraop)

Mycobacterium Abscessus - Private Practice Infectious Disease Share

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#Mycobacterium
Test your ID knowledge w/ our ID Board Review❓ Bank!
Which of the following is NOT a recognized subspecies of M. abscessus?
A. abscessus
B. bolletii
C. massiliense
D. chelonae
*click here*

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#Measles
Test your ID knowledge w/ our ID Board Review❓ Bank!
People born before what yr are considered to be immune to measles due to the likelihood of natural infection prior to widespread vaccination?

A) 1957
B) 1963
C) 1970
D) 1980

IgG Subclass Deficiency - Private Practice Infectious Disease Share

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#Immunodeficiency
Test your ID knowledge with our ID Board Review Question Bank!
Which of the following antibody concentrations must be normal to qualify for dx of IgG subclass deficiency?
A. IgA
B. IgM
C. IgG
D. IgE

HIV - Private Practice Infectious Disease This question module contains 5 questions related to HIV therapeutics.

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#HIV
Test your ID knowledge w/ our ID Board Review ❓Bank!
45 yo man p/w unstable angina, undergoes PCI. His HIV ELISA is +, CD4 100 & VL 250K. If you had to Rx a PI, which would be best?
A. Darunavir
B. Atazanavir
C. Fosemprenavir
D. Lopinavir

Board Review | Encephalitis What is NOT one of the minor criteria for definition of encephalitis? A) Fever B) New onset seizure C) Acute mental status change D) CSF WBC ≥ 5

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#Encephalitis
Test your ID knowledge with our ID Board Review Question Bank!
What is NOT one of the minor criteria for the definition of encephalitis
A. Fever
B. New onset seizure
C. Acute mental status change
D. CSF WBC ≥ 5
*Click here*

www.ppidjournal.com/quiz/encepha...

HBV - Private Practice Infectious Disease Share

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#HepB
Test your ID knowledge with our ID Board Review Question Bank!
Which of the following is considered the main indicator of previously resolved HBV (HBsAg-, anti-HBc+)
A. ⬆️ ALT 2x ULN
B. Detectable HBV DNA
C. + HBsAg
D. A and C
E. B and C