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Mimics of infectious diseases Zunaira Islam MD PGY1 Kausar Akhtar, Infectious Disease Orlando Regional Medical Center
Initial Infectious Dx Cellulitis Noninfectious Mimic   Squamous cell carcinoma Hyperthyroidism  Pemphigus  Sweet ’s syndrome (neutrophilic skin infiltration Pyoderma grangrenosum Familial Mediterranean Fever Familial Hiberan Fever Eosinophilic cellulitis (Wells syndrome)  Erythromelalgia  Carcinoma Erysepelatoides Sneddon Wilkinson disease Foreign body granulomatous reaction  Pustular psoriasis Acute generalized exanthematous pustulosis (drugs reaction)
DESQUAMATING SKIN LESIONS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DRESS ,[object Object]
[object Object],[object Object]
[object Object],DVT ,[object Object]
[object Object],[object Object]
 
Still ’s disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Iguazu waterfalls – Brazil / Argentina
Eosinophilic Cellulitis – WELLS syndrome ,[object Object],[object Object],[object Object],[object Object]
Khone waterfalls – Laos (Africa)
Erythromelalgia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
INFECTIOUS Pneumonia  NON-INFECTIOUS MIMIC   Pulmonary embolus  hemorrahage Pulmonary alveolar proteinosis Pulmonary Renal Syndrome Wegener ’s granulomatosis  Goodpasture ’s syndrome  Aspiration syndromes  Zenker ’s diverticulum  Lipid (nasal or lip emulsions)  Metastatic cancer  B.O.O.P Chronic Eosinophilic pneumonia Hypersensitivity pneumonitis Radiation pneumonitis Chemotherapy/drug induced  Collagen vascular diseases associated  Granulomatous Vasculitis Churg Strauss (eosinophilic) syndrome Pulmonary vasculitis
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NON-INFECTIOUS MIMIC Myxoma  Fibroelastoma Sarcoma  Arteritis Libman Sacks endocarditis (SLE) Marantic (thrombotic) endocarditis Rheumatoid nodules  Xanthogranulomatosis Hypernephroma  Immune complex nephritis
INFECTIOUS  Osteomyelitis  Septic arthritis  Lymphadenitis  Misc:  NON-INFECTIOUS   MIMIC   Sarcoma  Metastatic carcinoma Gout  Pseudogout  Reactive arthritis  Rheumatoid arthritis  Psoriatic arthritis Lymphoma  Carcinomatosis  Angioimmunoblastic lymphadenopathy  SLE  Sarcoidosis Rheumatologic, Autoimmune.
 
 
 
Infectious  Meningitis/meningo-encephalitis  Non Infectious Mimic Acute: NSAID drugs  SLE Recurrent: Mollart ’s meningitis(HSV?) SLE Tumor Migraine  Dermoid cyst Fourth ventricle cyst  Chronic: Behcet ’s disease Leptomeningeal metastas Primary CNS angitis SLE Sjogren syndrome  Other: Sarcoidosis , liver failure, malignancy
Infectious Sepsis Non Infectious Adrenal insufficiency GI Bleed / hypotension MI PE Pancreatitis Diurectic induced DKA Vasculitis Anaphylaxis Drug overdose
 

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Mimics of infectious_diseases

  • 1. Mimics of infectious diseases Zunaira Islam MD PGY1 Kausar Akhtar, Infectious Disease Orlando Regional Medical Center
  • 2. Initial Infectious Dx Cellulitis Noninfectious Mimic Squamous cell carcinoma Hyperthyroidism Pemphigus Sweet ’s syndrome (neutrophilic skin infiltration Pyoderma grangrenosum Familial Mediterranean Fever Familial Hiberan Fever Eosinophilic cellulitis (Wells syndrome) Erythromelalgia Carcinoma Erysepelatoides Sneddon Wilkinson disease Foreign body granulomatous reaction Pustular psoriasis Acute generalized exanthematous pustulosis (drugs reaction)
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.  
  • 9.
  • 10. Iguazu waterfalls – Brazil / Argentina
  • 11.
  • 12. Khone waterfalls – Laos (Africa)
  • 13.
  • 14.  
  • 15.
  • 16.
  • 17.  
  • 18. INFECTIOUS Pneumonia NON-INFECTIOUS MIMIC Pulmonary embolus hemorrahage Pulmonary alveolar proteinosis Pulmonary Renal Syndrome Wegener ’s granulomatosis Goodpasture ’s syndrome Aspiration syndromes Zenker ’s diverticulum Lipid (nasal or lip emulsions) Metastatic cancer B.O.O.P Chronic Eosinophilic pneumonia Hypersensitivity pneumonitis Radiation pneumonitis Chemotherapy/drug induced Collagen vascular diseases associated Granulomatous Vasculitis Churg Strauss (eosinophilic) syndrome Pulmonary vasculitis
  • 19.  
  • 20.
  • 21. INFECTIOUS Osteomyelitis Septic arthritis Lymphadenitis Misc: NON-INFECTIOUS MIMIC Sarcoma Metastatic carcinoma Gout Pseudogout Reactive arthritis Rheumatoid arthritis Psoriatic arthritis Lymphoma Carcinomatosis Angioimmunoblastic lymphadenopathy SLE Sarcoidosis Rheumatologic, Autoimmune.
  • 22.  
  • 23.  
  • 24.  
  • 25. Infectious Meningitis/meningo-encephalitis Non Infectious Mimic Acute: NSAID drugs SLE Recurrent: Mollart ’s meningitis(HSV?) SLE Tumor Migraine Dermoid cyst Fourth ventricle cyst Chronic: Behcet ’s disease Leptomeningeal metastas Primary CNS angitis SLE Sjogren syndrome Other: Sarcoidosis , liver failure, malignancy
  • 26. Infectious Sepsis Non Infectious Adrenal insufficiency GI Bleed / hypotension MI PE Pancreatitis Diurectic induced DKA Vasculitis Anaphylaxis Drug overdose
  • 27.