Infectious Diseases in Critical Care Medicine

24 Miliary Tuberculosis in Critical Care Helmut Albrecht Division of Infectious Diseases, University of South Carolina, Columbia ...

is rare in infants, the proportion of TB patients presenting with disseminated disease is still higher than in any other age gro ...

Underlying Medical Conditions Mycobacterial virulence factors and host immune defenses determine the risk of dissem- ination. In ...

Atypical presentations and the nonspecific symptomatology can delay the diagnosis and account for the fact that this diagnosis i ...

occur in an approximately equal minority of patients. A leukemoid reaction simulating acute leukemia can occur (42). Thrombocyto ...

the onset of clinical symptoms (24,33,45,46). The initial nodular interstitial spread occurs without significant alveolar involv ...

Cultures tend to be more sensitive, but the turnaround time of several weeks significantly diminishes their usefulness in the cr ...

the organ system being sampled, the yield was generally higher. Specific target amplification can be performed on fresh and even ...

While the data suggest that this approach is successful in the era of potent bactericidal regimens, it is important to individua ...

Prevention/Infection Control Any significant suspicion of active pulmonary TB should prompt placement in an AII room with negati ...

Sydow M, Schauer A, Crozier TA, et al. Multiple organ failure in generalized disseminated tuberculosis. Respir Med 1992; 86:517 ...

Jeong YJ, Lee KS. Pulmonary tuberculosis: up-to-date imaging and management. Am J Roentgenol 2008; 191:834–844. Strumpf IJ, Tsa ...

25 Bioterrorism Infections in Critical Care Dennis J. Cleri Department of Medicine, Internal Medicine Residency Program, St. Fra ...

agents or toxins against civilians, with the objective of causing fear, illness, or death” (2,3). The CDC has classified the mos ...

Table 1 Classification of Bioterrorism Agents Category and agents Characteristics Category A “High-priority agents include organ ...

Table 2 A Brief History of Biological Warfare and Bioterrorism Dates Biological agent(s) Method of delivery Comments 12th to 15t ...

Table 2 A Brief History of Biological Warfare and Bioterrorism ( Continued ) Dates Biological agent(s) Method of delivery Commen ...

Table 2 A Brief History of Biological Warfare and Bioterrorism ( Continued ) Dates Biological agent(s) Method of delivery Commen ...

Assess the Patient Many if not most of the likely agents to be used for bioterrorism have overlapping incubation periods and cli ...

The Chest Radiograph The chest X ray is one of the most important tools of the intensivist. Chest radiographic findings for sele ...