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Topics:
General Internal Medicine
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Rheumatology
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General Rheumatology
•
Infectious Disease
Should we feel comfortable starting anti-TNF therapy in an otherwise low risk patient with borderline IGRA?
Should a CXR be pursued? Is there a difference in sensitivity/specificity of different IGRAs?
Related Questions
Do you regularly recommend an immunological workup for patients with suspected immunodeficiency or defer to immunology?
Should patients starting cyclophosphamide be screened routinely for latent tuberculosis (TB)?
How would you treat an asymptomatic patient with a positive Blastomyces antibody, evidence of prior granulomatous lung disease on imaging, and who may require immunosuppression in the future?
In light of recent measles outbreaks, have you adjusted your vaccination counseling or preventive strategies for adult immunocompromised patients?
What is the interpretation of an IGRA with positive TB wells and negative nil and negative mitogen wells?
In a patient with negative Hep B surface Ag, Hep B surface antibody+, and Hep B core antibody+ serologies, do you initiate antiviral prophylaxis (e.g. entecavir) prior to starting rituximab?
How do you integrate next-generation sequencing with traditional culture methods to improve the identification of fungal pathogens, especially in cases where routine cultures are negative when evaluating suspected prosthetic joint infections?
What is the recommended fungal workup in an immunocompromised patient after 5 days of persistent fever?
Would you add immunosuppression for recurrent calcium kidney stones in a patient with sarcoidosis?
How do you approach management of recurrent idiopathic pleuropericarditis?