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Topics:
Rheumatology
•
Infection-related arthritis
•
Gastroenterology
•
Disorders of the Small Intestine
How do you decide when it is appropriate to discontinue long-term antibiotic therapy in a patient with Whipple's disease?
Related Questions
How do you decide when to use acid-suppressive medications for GI prophylaxis when patients are on prolonged corticosteroid therapy?
What strategies do you implement in your clinic to ensure comprehensive screening and timely diagnosis of syphilis in populations with risk factors for sexually transmitted infections?
Would you give long term antistreptococcal antibiotic prophylaxis to a patient who presents with features of poststreptococcal reactive arthritis but who also meets criteria for Acute Rheumatic Fever?
In an infant whose mother resumes TNF inhibitor therapy (e.g., adalimumab, infliximab, certolizumab) after delivery and is breastfeeding, do you recommend delaying live vaccinations?
How do you differentiate between chikungunya-induced arthritis and RA during sporadic outbreaks or in regions with higher prevalence?
What are your vaccine recommendations while patients are on biologics?
Would you consider anti-IL-5 therapy (mepolizumab or benralizumab) to either prevent or treat the more severe manifestations of eosinophilic granulomatosis with polyangiitis, such as "infiltrative" (eg cardiomyopathy, pulmonary infiltrates, or gastroenteritis) or "vasculitic" (eg neuropathy, palpable purpura, or glomerulonephritis)?
How would you manage a patient with strongly suspected Lyme arthritis and negative bacterial synovial fluid cultures who was started on empiric antibiotics against typical bacterial pathogens arthritis before arthrocentesis and collection of cultures?
How do you focus your history and exam to better identify potential cases of chikungunya presenting with rheumatic symptomas in the setting of global travel?
When and how do you do testing for disaccharidases on GI biopsies?
