Interesting Cases Seen Recently on the Infectious Diseases Consult Service at Harbor-UCLA Medical Center

A strength of our training program is the very large number of interesting infectious disease cases seen by our consultation services. Our population comes from around the world and many patients have had poor access to medical care until they come into our healthcare system. Thus we see many unusual infections, which allows our fellows and housestaff to see a very broad range of both uncommon infectious diseases and unusual manifestations of more common infectious diseases.

 

     Recently Seen Interesting Cases

HSV-2 meningitis

Subdural empyema caused by Salmonella

Rocky Mountain Spotted Fever

Biliary ascariasis

Disseminated Mycobacterium bovis infection

Mastoiditis with pyogenic infection of cavernous sinus

Entamoeba histolytica liver abscess

Moraxella endocarditis

Disseminated tuberculosis with testicular involvement

Tuberculous pericarditis

Enterococcal endocarditis

Plasmodium ovale

Primary HIV infection

Histoplasma meningitis

Lambl's excrescences

Actinomyces infection of vascular graft

MDR TB Lymphadenitis

Cutaneous crytpococcus (w/ assd neutropenic fever)

Alloiococcus otitidis bacteremia

Neurocysticercosis (several cases, including racemose, cerebellar, and ventricular infections)

Cryptococcal meningitis in an HIV-negative person

Raoltella planticolla bacteremia (2 cases)

Ascaris intestinal obstruction

Adrenal insufficiency 2/2 disseminated histoplasmosis (HIV)

Plasmodium vivax

Plasmodium faclcipirum in a partially immune host

Bipolaris nasal mass

Anti-NMDA receptor antibody encephalitis

IV Ig-associated meningitis

Meningococcal meningitis secondary to eculizumab

Mixed Pseudallescheria boydii/coccidioidomycosis pulmonary infection

Pulmonary Strongyloides infection

HSV Hepatitis

Sweet’s syndrome

Multicentric Castleman's disease (HIV)

Eosinophilic pneumonia secondary to daptomycin

Whipple's disease

Candida vertebral osteomyelitis

Actinomyces foot infection

Anterior uveitis secondary to syphilis (HIV)

Diffuse infiltrative lymphocytosis syndrome (HIV)

Rhinocerebral mucormycosis

Pulmonary aspergilloma

Acute retinal necrosis due to VZV

Chylothorax due to lymphangiomatosis (HIV)

Mycobacterium tuberculosis meningitis (HIV)

Disseminated histoplasmosis with hemophagocytic lymphohistiocytosis (HIV)

Transverse myelitis due to acute HIV seroconversion

Disseminated coccidioidomycosis with pyogenic liver abscess

Mycobacterium avium complex IRIS (HIV)

PML (HIV)

Pulmonary aspergillosis and influenza B

Reactive arthritis after diagnosis of gonorrhea (HIV)

Hepatosplenic candidiasis (neutropenic host)

Mycobacterium tuberculosis pericarditis

CMV esophagitis (HIV)

HSV keratitis (renal transplant)

Adult onset Still's disease

Pulmonary Nocardia, disseminated cryptococcus, and Kaposi's sarcoma (HIV)

CNS toxoplasmosis (HIV)

Cryptococcal pneumonia and PCP in patient w/ Evan's syndrome

Salmonella vertebral osteomyelitis and bacteremia

Plasmodium ovale

Other interesting cases seen the recent past

Acute HIV infection complicated by Guillain-Barre syndrome (HIV)

Disseminated tuberculosis (HIV)

Orbital cellulitis with septic dural sinus thrombosis

Streptococcus pneumoniae septic arthritis (HIV)

HIV-associated pulmonary HTN and cryptococcal meningitis (HIV)

Neurosyphilis

Disseminated coccidioidomycosis with meningitis

Candidemia with chorioretinitis

Candida vertebral osteomyelitis

Filariasis with elephantiasis

Q fever hepatitis

Wound botulism

Disseminated vaccinia (smallpox vaccine)

Cutaneous amebiasis

Pulmonary mucormycosis

Intestinal mucormycosis

Cryptococcal gatii meningitis (HIV negative)

Cryptococcal pneumonia (HIV negative)

Murine typhus

Vertebral osteomyelitis due to Mycobacterium tuberculosis (Pott’s disease)

Mycobacterium avium complex infection of the knee (HIV negative)

Disseminated Mycobacterium tuberculosis in pregnancy

Amebic liver abscess

Pyogenic liver abscess

Typhoid fever

Sutonella Endocarditis

Brucella Endocarditis

Meningeal coccidiomycosis (many cases)

Peritoneal coccidiomycosis

Coccidiomycosis osteomyelitis

Nocardial brain abscess

Staphylococcal vertebral osteomyelitis with paraspinous abscess (many cases)

Prosthetic joint infection due to Streptococcus pneumoniae

Madura foot

Mollaret’s meningitis due to HSV 2

Synergistic necrotizing fasciitis

Post-splenectomy pneumococcal sepsis

Hansen’s Disease (Leprosy)

Bartonella lymphadenopathy

Staphylococcal toxic shock syndrome

Brucellosis

Disseminated Mycobacterium chelonae

Mycobacterium chelonae peritonitis

Mycobacterium abscessus wound infection

Miliary tuberculosis

West Nile encephalitis

West Nile poliomyelitis syndrome

Dengue fever

Candida endophthalmitis

Pyogenic brain abscess

Gonorrhea panophthalmitis with ruptured globe

Group B streptococcal meningitis

Chronic granulomatous disease with liver abscesses

Gastrointestinal leishmaniasis

Syphilitic aortitis

VRE meningitis

Job’s syndrome (hyper IgE) with lung abscess