Wednesday, October 03, 2007

Two emerging outdoorsy infections

Naegleria fowleri---it’s the brain eating Amoeba we’ve been hearing about, with 6 infections reported this year in contrast with 23 reported in a 9 year period. Think of it if your patient has been swimming, has an illness resembling meningitis and has a negative CSF gram stain.

Rabies---early recognition is now more important because it may not be hopeless. Think of it in any patient with undiagnosed neurologic disease. An article beginning on page 17 of this issue of The Hospitalist tells you what a hospitalist needs to know about it.

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