Microbiology and Immunology Case Reports: Beyond the Pearls is a case-based reference that covers the key material essential for USMLE and exam preparation. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios.
1. Introduction—Microbiology - p. 1 2. SECTION 1 Microbiology - p. 16 3. PART A Bacteria - p. 18 4. Case 1 A 28-Year-Old Female With Fever and Abdominal Pain - p. 19 5. Case 2 A 25-Year-Old With Fever and Abdominal Pain After Returning From Travel - p. 26 6. Case 3 A 48-Year-Old Female With Abdominal Cramping and Painful Diarrhea - p. 35 7. case 4 A 72-Year-Old Female With Diarrhea and Severe Abdominal Pain - p. 45 8. Case 5 A 49-Year-Old Woman With Sore Throat and Fever - p. 54 9. Case 6 A 68-Year-Old Male With Fever, Cough, and Worsening Dyspnea - p. 65 10. Case 7 A 35-Year-Old Male Presents With a Seizure - p. 74 11. Case 8 A 21-Year-Old Male With Pharyngitis - p. 79 12. Case 9 A 70-Year-Old-Female With Fevers and Chills - p. 88 13. Case 10 A 56-Year-Old Male With Fever, Headache, and Rash - p. 93 14. Case 11 A 62-Year-Old Female With Flank Pain and Fevers - p. 99 15. Case 12 A 54-Year-Old Homeless Male With Fevers, Chills, and Shortness of Breath - p. 104 16. Case 13 A 43-Year-Old Female Presents to Urgent Care With a 3-Day History of Sore Throat and Pain When Swallowing - p. 112 17. Case 14 An 83-Year-Old Female With Generalized Weakness, Fever, and Altered Mentation - p. 119 18. Case 15 A 42-Year-Old Male With Low Back Pain - p. 128 19. Case 16 A 20-Year-Old Male With Penile Discharge - p. 133 20. Case 17 A 57-Year-Old With History of Chronic Lymphocytic Leukemia Presenting With 2 Weeks of Fever, Cough, and Dyspnea - p. 139 21. Case 18 A 23-Year-Old Female With Hemoptysis - p. 146 22. Case 19 A 66-Year-Old Female With 2 Years of Productive Cough, Dyspnea, and Malaise - p. 152 23. Part B Virus - p. 165 24. Case 20 An 11-Month-Old Girl With Fever and a Rash - p. 166 25. Case 21 A 33-Year-Old Woman With Vomiting and Diarrhea After a Cruise - p. 181 26. Case 22 A 39-Year-Old-Male With Right Upper Quadrant Pain and Hematochezia - p. 193 27. Case 23 A 48-Year-Old Male With Nonproductive Cough, Dyspnea, and Loss of Smell - p. 204 28. Case 24 A 30-Year-Old Female With Malaise, Cough, and Myalgias - p. 217 29. Case 25 A 42-Year-Old Female With Odynophagia - p. 229 30. Case 26 A 16-Year-Old Female With Sore Throat - p. 236 31. Case 27 A 34-Year-Old Female With Diarrhea - p. 245 32. Case 28 A 48-Year-Old Male With Sudden Onset of Fever, Headache, and Confusion - p. 254 33. Case 29 A 38-Year-Old HIV Patient With Various Nonspecific Symptoms - p. 259 34. Part C Fungus - p. 266 35. Case 30 A 57-Year-Old Female With Cough and Weight Loss - p. 267 36. Case 31 A 55-Year-Old Woman With Rheumatoid Arthritis on Immunosuppressants Presents With Cough, Dyspnea, and Pleuritic Chest Pain - p. 276 37. Case 32 A 21-Year-Old Male With Hemoptysis - p. 282 38. Case 33 A 73-Year-Old-Male With a Painful Knee - p. 286 39. Part D Parasite - p. 294 40. Case 34 A 45-Year-Old Male With Prolonged Diarrhea - p. 295 41. Case 35 A 70-Year-Old Female With Abdominal Pain - p. 303 42. Case 36 A 40-Year-Old Immunocompromised Male With Ring-Enhancing Brain Lesions - p. 314 43. Case 37 A 35-Year-Old Male Returning From Travel With Fever and Headache - p. 324 44. Case 38 A 45-Year-Old Male With Heart Failure and Cardiomyopathy - p. 335 45. Introduction—Immunology - p. 341 46. SECTION 2 Immunology - p. 353 47. Case 39 A 6-Year-Old Boy With Fever, Cough, and Shortness of Breath - p. 356 48. Case 40 A 20-Month-Old Girl With Recurrent Infections - p. 370 49. Case 41 A 25-Year-Old Female With a Diffuse, Itchy Rash, Fatigue, and Joint Pain - p. 377 50. Case 42 A 7-Month-Old Boy Presents With Chronic Diarrhea and Failure to Thrive - p. 383 51. Case 43 A 24-Year-Old Female Presents With Chronic Rhinitis, Sinus Congestion, and Recurrent Sinusitis - p. 394 52. Case 44 A 50-Year-Old Male Establishing Care - p. 406 53. Case 45 Four-Day-Old Boy Presents With Lethargy, Poor Feeding, and Craniofacial Abnormalities - p. 413 54. Case 46 A 4-Month-Old Boy With Bloody Diarrhea and Eczema - p. 423 55. Case 47 A 33-Year-Old Pregnant Female With Fever, Malaise, and Myalgia - p. 429 56. Case 48 A 66-Year-Old Man Is Found by Paramedics With Hives, Hypotension, and Loss of Consciousness - p. 438 57. Case 49 A 6-Year-Old Girl With Wheezing, Lip Swelling, and Vomiting - p. 448 58. Case 50 A 29-Year-Old Male With Hemoptysis - p. 455 59. Case 51 A 12-Year-Old Boy With Fever, Arthralgia, and Rash - p. 463 60. Case 52 A 14-Year-Old Boy With Weeping, Pruritic Lesions on Lower Extremities - p. 470 61. Case 53 A 7-Year-Old Boy With Arthralgias, Abdominal Pain, and Palpable Purpura - p. 478 62. Case 54 A 67-Year-Old Male With Malaise and Fever After a Kidney Transplant - p. 484 63. Case 55 A 4-Month-Old Infant With a History of Severe Combined Immunodeficiency Who Underwent Allogeneic Stem Cell Transplant and Presents With Pruritic Morbilliform Rash and Diarrhea - p. 490 64. Case 56 A 4-Year-Old Boy Presents With Persistent Rash and Chronic Pruritis - p. 499 65. Case 57 A 4-Year-Old Boy With Burning Sensation in the Chest and Abdominal Pain - p. 512 66. Case 58 A 42-Year-Old Female Presents to the Emergency Department With Generalized Pruritus - p. 522 67. Appendix - p. 532 68. Index - p. 535
Microbiology and Immunology Case Reports: Beyond the Pearls is a case-based reference that covers the key material essential for USMLE and exam preparation. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios.
1. Introduction—Microbiology - p. 1 2. SECTION 1 Microbiology - p. 16 3. PART A Bacteria - p. 18 4. Case 1 A 28-Year-Old Female With Fever and Abdominal Pain - p. 19 5. Case 2 A 25-Year-Old With Fever and Abdominal Pain After Returning From Travel - p. 26 6. Case 3 A 48-Year-Old Female With Abdominal Cramping and Painful Diarrhea - p. 35 7. case 4 A 72-Year-Old Female With Diarrhea and Severe Abdominal Pain - p. 45 8. Case 5 A 49-Year-Old Woman With Sore Throat and Fever - p. 54 9. Case 6 A 68-Year-Old Male With Fever, Cough, and Worsening Dyspnea - p. 65 10. Case 7 A 35-Year-Old Male Presents With a Seizure - p. 74 11. Case 8 A 21-Year-Old Male With Pharyngitis - p. 79 12. Case 9 A 70-Year-Old-Female With Fevers and Chills - p. 88 13. Case 10 A 56-Year-Old Male With Fever, Headache, and Rash - p. 93 14. Case 11 A 62-Year-Old Female With Flank Pain and Fevers - p. 99 15. Case 12 A 54-Year-Old Homeless Male With Fevers, Chills, and Shortness of Breath - p. 104 16. Case 13 A 43-Year-Old Female Presents to Urgent Care With a 3-Day History of Sore Throat and Pain When Swallowing - p. 112 17. Case 14 An 83-Year-Old Female With Generalized Weakness, Fever, and Altered Mentation - p. 119 18. Case 15 A 42-Year-Old Male With Low Back Pain - p. 128 19. Case 16 A 20-Year-Old Male With Penile Discharge - p. 133 20. Case 17 A 57-Year-Old With History of Chronic Lymphocytic Leukemia Presenting With 2 Weeks of Fever, Cough, and Dyspnea - p. 139 21. Case 18 A 23-Year-Old Female With Hemoptysis - p. 146 22. Case 19 A 66-Year-Old Female With 2 Years of Productive Cough, Dyspnea, and Malaise - p. 152 23. Part B Virus - p. 165 24. Case 20 An 11-Month-Old Girl With Fever and a Rash - p. 166 25. Case 21 A 33-Year-Old Woman With Vomiting and Diarrhea After a Cruise - p. 181 26. Case 22 A 39-Year-Old-Male With Right Upper Quadrant Pain and Hematochezia - p. 193 27. Case 23 A 48-Year-Old Male With Nonproductive Cough, Dyspnea, and Loss of Smell - p. 204 28. Case 24 A 30-Year-Old Female With Malaise, Cough, and Myalgias - p. 217 29. Case 25 A 42-Year-Old Female With Odynophagia - p. 229 30. Case 26 A 16-Year-Old Female With Sore Throat - p. 236 31. Case 27 A 34-Year-Old Female With Diarrhea - p. 245 32. Case 28 A 48-Year-Old Male With Sudden Onset of Fever, Headache, and Confusion - p. 254 33. Case 29 A 38-Year-Old HIV Patient With Various Nonspecific Symptoms - p. 259 34. Part C Fungus - p. 266 35. Case 30 A 57-Year-Old Female With Cough and Weight Loss - p. 267 36. Case 31 A 55-Year-Old Woman With Rheumatoid Arthritis on Immunosuppressants Presents With Cough, Dyspnea, and Pleuritic Chest Pain - p. 276 37. Case 32 A 21-Year-Old Male With Hemoptysis - p. 282 38. Case 33 A 73-Year-Old-Male With a Painful Knee - p. 286 39. Part D Parasite - p. 294 40. Case 34 A 45-Year-Old Male With Prolonged Diarrhea - p. 295 41. Case 35 A 70-Year-Old Female With Abdominal Pain - p. 303 42. Case 36 A 40-Year-Old Immunocompromised Male With Ring-Enhancing Brain Lesions - p. 314 43. Case 37 A 35-Year-Old Male Returning From Travel With Fever and Headache - p. 324 44. Case 38 A 45-Year-Old Male With Heart Failure and Cardiomyopathy - p. 335 45. Introduction—Immunology - p. 341 46. SECTION 2 Immunology - p. 353 47. Case 39 A 6-Year-Old Boy With Fever, Cough, and Shortness of Breath - p. 356 48. Case 40 A 20-Month-Old Girl With Recurrent Infections - p. 370 49. Case 41 A 25-Year-Old Female With a Diffuse, Itchy Rash, Fatigue, and Joint Pain - p. 377 50. Case 42 A 7-Month-Old Boy Presents With Chronic Diarrhea and Failure to Thrive - p. 383 51. Case 43 A 24-Year-Old Female Presents With Chronic Rhinitis, Sinus Congestion, and Recurrent Sinusitis - p. 394 52. Case 44 A 50-Year-Old Male Establishing Care - p. 406 53. Case 45 Four-Day-Old Boy Presents With Lethargy, Poor Feeding, and Craniofacial Abnormalities - p. 413 54. Case 46 A 4-Month-Old Boy With Bloody Diarrhea and Eczema - p. 423 55. Case 47 A 33-Year-Old Pregnant Female With Fever, Malaise, and Myalgia - p. 429 56. Case 48 A 66-Year-Old Man Is Found by Paramedics With Hives, Hypotension, and Loss of Consciousness - p. 438 57. Case 49 A 6-Year-Old Girl With Wheezing, Lip Swelling, and Vomiting - p. 448 58. Case 50 A 29-Year-Old Male With Hemoptysis - p. 455 59. Case 51 A 12-Year-Old Boy With Fever, Arthralgia, and Rash - p. 463 60. Case 52 A 14-Year-Old Boy With Weeping, Pruritic Lesions on Lower Extremities - p. 470 61. Case 53 A 7-Year-Old Boy With Arthralgias, Abdominal Pain, and Palpable Purpura - p. 478 62. Case 54 A 67-Year-Old Male With Malaise and Fever After a Kidney Transplant - p. 484 63. Case 55 A 4-Month-Old Infant With a History of Severe Combined Immunodeficiency Who Underwent Allogeneic Stem Cell Transplant and Presents With Pruritic Morbilliform Rash and Diarrhea - p. 490 64. Case 56 A 4-Year-Old Boy Presents With Persistent Rash and Chronic Pruritis - p. 499 65. Case 57 A 4-Year-Old Boy With Burning Sensation in the Chest and Abdominal Pain - p. 512 66. Case 58 A 42-Year-Old Female Presents to the Emergency Department With Generalized Pruritus - p. 522 67. Appendix - p. 532 68. Index - p. 535
